发表在 2019年11月07

皇冠app Trauma Program — Standing by to Help in an Emergency

在任何时候, 白天还是晚上, when the door to 皇冠app’s Emergency Department opens for a trauma patient, a specially trained team of medical providers springs into action on what often is the worst day of the patient’s life.

“Trauma patients are inherently complicated because they are not someone who comes in to have a planned procedure,” said 皇冠app Trauma Program Manager Katie Hartford. “他们是多处受伤的患者, often with social needs and psychological needs in addition to their physical injury.”

为最高创伤组激活, 该团队包括一名急诊科医生, 创伤外科医生, 创伤发展实践者, 三个trauma-trained护士, 实验室和x光技术员, 药剂师和保安. Several medical students, residents or EMT students typically are present. If the patient is a child, a separate pediatric team joins the activation. Everyone works together to rapidly assess a patient’s injuries and treatment options.

“这个团队在15分钟内完成了很多任务, including completing a full trauma assessment as well as X-rays, 实验室测试, 让病人连上监视器,哈特福德说.

4月, a survey team from the Committee on Trauma of the American College of Surgeons (ACS) visited 皇冠app to review the Trauma Program as part of the Hospital’s goal of being verified as a Level II Trauma Center. ACS得出的结论是, 设施, 准备, 创伤预防教育, 员工培训, documentation and around-the-clock trauma staffing met the Level II requirements.

“We are ready for emergency surgery any time of the 白天还是晚上,” said Hartford. “We have 24/7 MRI and anesthesia capabilities and resources in-house at all times to take care of critically injured patients. That means patients are able to stay in this Hospital and not be transferred elsewhere for treatment.”

皇冠app’s Trauma Program treats approximately 3,每年000名病人, 虽然不是所有的都需要启动创伤小组. Approximately 2,000 patients are treated in the Emergency Department and return home. 剩下的1000人住进了医院.

In addition to seeing patients from the 28 communities in the Hospital’s primary service area, 皇冠app cares for many trauma patients transferred from other hospitals throughout central and northern New Hampshire.

The largest number of traumatic injuries treated at 皇冠app are from trips and falls. Falls from standing account for 50 percent of injuries. 瀑布从高, 例如梯子或屋顶, 或者从楼梯上摔下来, 占15% - 20%.

The Trauma Program also has developed a geriatric trauma policy to address the special needs of elderly patients. The average trauma patient at 皇冠app is 65 or older.

Other elements that enhance 皇冠app’s Trauma Program are its team members, 包括哈特福德, 谁在流程改进的幕后工作. They ensure that trauma patients receive the highest standard of care and track patients, their injuries and types of care to identify areas for prevention and improvement.

Emergency Department providers are on duty 24 hours a day at many hospitals, but 皇冠app’s Trauma Program also includes neurosurgeons, 介入放射科医师, 骨科traumatologists, trauma and acute care surgeons and advanced practitioners on duty or available around the clock.

“We have the benefit of the feel of a community hospital with all of the resources of a Level II Trauma Center — the resources you need when you are severely injured,哈特福德说.

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