Variability in the structure and care processes for critically injured children: A multicenter survey of trauma bay and intensive care units.

ABSTRACT:

Purpose

Evaluate national variation in structure and care processes for critically injured children.

Methods

Institutions with pediatric intensive care units (PICUs) that treat trauma patients were identified through the Virtual Pediatric Systems (n=72). Prospective survey data were obtained from PICU and Trauma Directors (n=69, 96% response). Inquiries related to structure and care processes in the PICU and emergency department included infrastructure, physician staffing, team composition, decision making, and protocol/checklist use.

Results

About one-third of the 69 institutions were ACS-verified Level-1 Pediatric Trauma Centers (32%); 36 (52%) were state-designated Level 1. The surgeon was the primary decision maker in the trauma bay at 88% of sites, and in the PIC

SUBMITTER: Flynn-O'Brien KT 

PROVIDER: S-EPMC12766855 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature