• Non-compliance with ACS-COT recommended criteria for full trauma team activation is associated with undertriage deaths (February 2018)

    Category: Acute Care Surgery, Administration, Epidemiology, Outcomes/Guidelines, Trauma Systems
    Christopher J. Tignanelli, MD, Wayne E. Vander Kolk, MD, Judy N. Mikhail, PhD, Matthew J. Delano, MD, PhD, and Mark R. Hemmila, MD
    CME 1 CME Credit(s)

    Learning Objectives:

    The objective of this article is to bring to light non-compliance with recommended best triage practices and evaluate its association on clinical outcomes. Poor compliance was found across 29 ACS verified level 1 and 2 trauma centers in this study, improved compliance was associated with improved risk-adjusted mortality. These findings support advocating practice pattern modification to more strictly adhere to the minimum ACS-6 criteria for full TTA should save lives.

    Impact Statement:

    Compliance with ACS CoT trauma triage best practices is subpar among ACS verified level 1 and 2 trauma centers.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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