Process measure aimed at reducing time to haemorrhage control: outcomes associated with Code Crimson activation in exsanguinating truncal trauma.

Abstract:

BACKGROUND:Major trauma activation is a process that mobilizes personnel and resources required to care for severely injured patients. Exsanguinating truncal trauma patients require an additional response beyond major trauma activation aimed at expediting haemorrhage control. To address this requirement, 'Code Crimson' (CC) activation was developed. Our aim was to examine the performance of CC activation as a process measure in the identification and management of patients with exsanguinating truncal trauma. METHODS:Retrospective cohort study (2010-2015) of all adult patients who underwent operative intervention within 6 h of arrival for truncal trauma was performed. Patients were classified into: (i) major haemorrhage (assessment of blood consumption score ≥2, base deficit ≥5 and/or transfusion ≥5 U of red blood cells pre-/intra-operatively), or (ii) no major haemorrhage. We evaluated the proportion of patients with/without major haemorrhage in which a CC was activated as well as time to operating theatre across groups. RESULTS:A total of 210 patients were included with a median Injury Severity Score of 20 (interquartile range (IQR) 9-29) and overall mortality of 13%. Eighty-nine patients were classified as major haemorrhage and 61 patients underwent CC activation. The majority of CC activations (92%) fulfilled major haemorrhage criteria (sensitivity 63%, specificity 96%). Time to theatre was lower in those with CC activation with median time of 23 min (IQR 15-39.5) versus non-CC with median of 95 min (IQR 43-180, P < 0.001). CONCLUSION:CC was primarily activated in patients with major haemorrhage and led to a decrease in time to theatre for patients with operative truncal trauma.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Tovmassian D,Hameed AM,Ly J,Pathmanathan N,Devadas M,Gomez D,Hsu JM

doi

10.1111/ans.15650

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

481-485

issue

4

eissn

1445-1433

issn

1445-2197

journal_volume

90

pub_type

杂志文章
  • Paediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?

    abstract:BACKGROUND:Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving ne...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14175

    authors: Tallapragada K,Peddada RS,Dexter M

    更新日期:2018-03-01 00:00:00

  • Can pathological reports of rectal cancer provide national quality indicators?

    abstract:BACKGROUND:Rectal cancer care has become increasingly complex and requires accurate information. The pathology report is a vital tool for accessing information to gauge a patient's prognosis and to guide treatment decisions. The aim of this study was to assess the quality of histopathological reporting and surgery for ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14440

    authors: Keane C,Lin AY,Kramer N,Bissett I

    更新日期:2018-09-01 00:00:00

  • Second primary colorectal cancer in the era of prevalent screening and imaging.

    abstract:BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12136

    authors: Bae S,Asadi M,Jones I,McLaughlin S,Bui A,Steele M,Tie J,Gibbs P

    更新日期:2013-12-01 00:00:00

  • Modified stapled haemorrhoidectomy: a suggested improved technique.

    abstract:BACKGROUND:Longo's technique of stapled haemorrhoidopexy has revolutionized management of symptomatic haemorrhoids. However, several problems have been identified in the original Longo's technique. In particular, recurrence of haemorrhoidal tissue has been found to be significantly higher. METHODS:An improved techniqu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04484.x

    authors: Ng KH,Chew MH,Eu KW

    更新日期:2008-05-01 00:00:00

  • Suspended animation: the past, present and future of major cardiothoracic trauma.

    abstract::About 50% of the trauma victims die at the scene mostly because of exsanguinating haemorrhage. Most trials of resuscitation fail in face of the ongoing bleeding. Ongoing research/studies to save these victims by inducing rapid hypothermia using cardiopulmonary bypass as an emergency initial measure along with delayed ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.14313

    authors: Mohiyaddin S,Nanjaiah P,Saad AO,Acharya MN,Khan TA,Davies RH,Ashraf S

    更新日期:2018-07-01 00:00:00

  • Modified elliptical rotation flap for sacrococcygeal pilonidal sinus disease.

    abstract:BACKGROUND:Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complicatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12818

    authors: Dizen H,Yoldas Ö,Yıldız M,Cilekar M,Dilektaşlı E

    更新日期:2014-10-01 00:00:00

  • Colonoscopy withdrawal time and polyp/adenoma detection rate: a single-site retrospective study in regional Queensland.

    abstract:BACKGROUNDS:Bowel cancer is the second most common non-cutaneous cancer diagnosed in Australia among both genders. Colonoscopy withdrawal time of at least 6 min has been accepted as the standard to achieve the target polyp detection rate (PDR) and adenoma detection rate (ADR). A retrospective review was conducted in Bu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15652

    authors: Wong WJ,Arafat Y,Wang S,Hawes S,Hung K

    更新日期:2020-03-01 00:00:00

  • Effect of exercise prehabilitation on functional status of patients undergoing bowel resection: a systematic review.

    abstract:BACKGROUND:Bowel resections have high morbidity and mortality rates and are becoming increasingly common in Australia. To reduce the burden on patients and the health system, measures for improving patient outcomes after resection must be investigated. One possible method for improving patient outcomes is prehabilitati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15659

    authors: Teo JYK,Turner R,Self M

    更新日期:2020-05-01 00:00:00

  • Review of emotional intelligence in health care: an introduction to emotional intelligence for surgeons.

    abstract:BACKGROUND:The aim of this review is to explain the components of emotional intelligence (EI) and explore the benefits within today's health care system with an emphasis on surgery. EI is a person's ability to understand their own emotions and those of the individuals they interact with. Higher individual EI has multip...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15671

    authors: Sharp G,Bourke L,Rickard MJFX

    更新日期:2020-04-01 00:00:00

  • Survey of trends in minimally invasive intervention for necrotizing pancreatitis.

    abstract:BACKGROUND:Minimally invasive techniques to manage infected pancreatic necrosis have been recently developed and changes in their pattern of use are unknown. The aims of this survey were to determine the trends in the role of minimally invasive techniques to manage infected complications of necrotizing pancreatitis and...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05265.x

    authors: Loveday BP,Rossaak JI,Mittal A,Phillips A,Windsor JA

    更新日期:2011-01-01 00:00:00

  • Influence of screw to joint distance on articular subsidence in tibial-plateau fractures.

    abstract:BACKGROUND:Tibial-plateau fractures with depressed osteochondral fragments have a high incidence of articular subsidence post reduction. Locking plates aim to prevent this via 'raft' screws below the subchondral bone. However, differences in plate design and patient anatomy result in variability of screw position in re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14978

    authors: Ye X,Huang D,Perriman DM,Smith PN

    更新日期:2019-04-01 00:00:00

  • Laparoscopic-assisted colectomy with Duhamel procedure for idiopathic megacolon in adults: a retrospective study.

    abstract:BACKGROUND:Idiopathic megacolon (IMC) is an uncommon disease in adults. To date, only a few laparoscopic experiences and functional outcomes of IMC have been reported. This study was to retrospectively analyse our 12 year surgical experience and functional outcomes in adult patients with IMC. METHODS:A 12-year retrosp...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15868

    authors: Wang L,Zheng H,Tian Y,Mou J,Zhang L,Liu B,Tong W

    更新日期:2020-11-01 00:00:00

  • Laying open (deroofing) and curettage of sinus as treatment of pilonidal disease: a systematic review and meta-analysis.

    abstract:BACKGROUND:Laying open (deroofing, not excision) and curettage of the sinus is a minimally invasive procedure to treat pilonidal disease. A consensus on its efficacy and outcomes has not been reached. We reviewed and meta-analysed the efficacy of this procedure. METHODS:PubMed, Medline, Scopus, Ovid, Cochrane central ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/ans.13377

    authors: Garg P,Menon GR,Gupta V

    更新日期:2016-01-01 00:00:00

  • Treatment of subglottic hemangiomas with propranolol: initial experience in 10 infants.

    abstract:BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2010.05643.x

    authors: Mahadevan M,Cheng A,Barber C

    更新日期:2011-06-01 00:00:00

  • Factors related to post-operative metabolic acidosis following major abdominal surgery.

    abstract:BACKGROUND:Metabolic acidosis is frequently observed in perioperative patients, especially those who undergo major surgery. The aim of this study was to evaluate the factors related to post-operative metabolic acidosis and to attempt to identify the clinical effect of metabolic acidosis following major abdominal surger...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06235.x

    authors: Park CM,Chun HK,Jeon K,Suh GY,Choi DW,Kim S

    更新日期:2014-07-01 00:00:00

  • Factors influencing donor and recipient decision making in adult-to-adult living donor liver transplantation: a survey of a non-transplant population.

    abstract:BACKGROUND:This study aimed to (i) investigate the factors that influence donor and recipient decision making in adult-to-adult living donor liver transplantation (AALDLT); (ii) quantify the level of risk that would be acceptable to potential donors; and (iii) determine from whom an individual would be willing to recei...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12839

    authors: Lansom JD,Rowe S,Sandroussi C,Harrison JD,Solomon M,McCaughan G,Crawford M

    更新日期:2017-03-01 00:00:00

  • Carotid redo surgery: both safe and durable.

    abstract:AIM:To examine the outcomes and complications of surgery for recurrent carotid stenosis. METHODS:From 1974 to 2000, 1922 carotid endarterectomies were performed in our unit. A retrospective cohort analysis of these records identified 24 patients (1.2%) who underwent surgery for recurrent stenosis. RESULTS:There were ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-8-.x

    authors: Harris RA,Stow N,Fisher CM,Neale ML,Appleberg M

    更新日期:2003-12-01 00:00:00

  • Update on indications for lateral lymph node dissection in the management of lower rectal cancer.

    abstract::The presence of lateral lymph node (LLN) metastasis was associated with higher local recurrence risk in patients with lower rectal cancer. The role of LLN dissection has not been fully determined despite prolonged debate that last for few decades. The practical difference between Japan and the West was the main culpri...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15691

    authors: Fung DTL,Lee PJM

    更新日期:2020-07-01 00:00:00

  • Surgical management of ductal carcinoma in situ in Australia in 1995.

    abstract:BACKGROUND:In the present paper we describe the presentation and management of ductal carcinoma in situ (DCIS) of the breast in women in Australia in 1995. This representative, national data set provides a historical comparator for studies examining DCIS management that follow. METHODS:Surgeons identified by populatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02532.x

    authors: Shugg D,White VM,Kitchen PR,Pruden M,Collins JP,Hill DJ

    更新日期:2002-10-01 00:00:00

  • Many faces of pancreaticobiliary reflux.

    abstract::Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreatico...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2012.06076.x

    authors: Williams NE,Gundara JS,Hugh TJ,Samra JS

    更新日期:2012-06-01 00:00:00

  • Risk factors associated with perforated appendicitis in elderly patients presenting with signs and symptoms of acute appendicitis.

    abstract:BACKGROUND:The aim of this study was to identify factors associated with rupture in elderly patients with acute appendicitis. METHODS:The medical records of 601 consecutive patients >60 years of age with acute appendicitis between 1995 and 2005 were retrospectively reviewed. Historical, clinical and laboratory factors...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04182.x

    authors: Sheu BF,Chiu TF,Chen JC,Tung MS,Chang MW,Young YR

    更新日期:2007-08-01 00:00:00

  • Developmental anomaly of the inferior vena cava.

    abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02502.x

    authors: Sandercoe GD,Brooke-Cowden GL

    更新日期:2003-05-01 00:00:00

  • Gallstones in New Zealand: composition, risk factors and ethnic differences.

    abstract:BACKGROUND:Gallstone disease is a worldwide problem causing morbidity, mortality and a drain on health-care resources. This prospective study aimed to investigate the spectrum of gallstone types in New Zealand and relate these to known risk factors. METHODS:Gallstone samples were collected from 107 patients undergoing...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06234.x

    authors: Stringer MD,Fraser S,Gordon KC,Sharples K,Windsor JA

    更新日期:2013-07-01 00:00:00

  • Severe trauma caused by stabbing and firearms in metropolitan Sydney, New South Wales, Australia.

    abstract:BACKGROUND:Stabbing and firearm trauma causing severe injuries (injury severity score (ISS) >15) and death is uncommon in Australia. The present study describes the experience with stabbings and firearm trauma causing severe injuries at a major Australian urban trauma centre. METHODS:Data from a prospectively generate...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03333.x

    authors: Wong K,Petchell J

    更新日期:2005-04-01 00:00:00

  • Management of sigmoid volvulus: is early surgery justifiable?

    abstract:INTRODUCTION:Sigmoid volvulus typically occurs in older patients who have multiple co-morbidities. Therefore, often, a conservative approach to management is chosen. However, there is little data on long-term outcomes of this approach in Australasia. The aim of this study was to review the recurrence and mortality outc...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06182.x

    authors: Yassaie O,Thompson-Fawcett M,Rossaak J

    更新日期:2013-01-01 00:00:00

  • Art of preserving health: studies on the medical supervision of physical exercise.

    abstract::To the ancient Greeks, physical exercise was an essential part of life, especially during adolescence and young adulthood. Long after the end of the Classical Greek era, Roman conquest brought a shift towards martial training, increased professionalism in athletic competition and a weak strand of restorative gymnastic...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1445-2197.2009.05149.x

    authors: Thurston AJ

    更新日期:2009-12-01 00:00:00

  • Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?

    abstract::Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bil...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13676

    authors: March B,Burnett D,Gani J

    更新日期:2016-11-01 00:00:00

  • Operative experience in the Victorian general surgical training programme.

    abstract:BACKGROUND:The Royal Australasian College of Surgeons recommends minimum operative and endoscopy training requirements for advanced trainees in general surgery. This study examines the influences of trainee seniority, geographical location of surgical rotation, and surgeons' remuneration arrangements on the operative a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-1-.x

    authors: Wong K,Birks D

    更新日期:2003-12-01 00:00:00

  • Laparoscopic revision of gastric band surgery.

    abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05088.x

    authors: Bardsley S,Hopkins G

    更新日期:2010-05-01 00:00:00

  • Impact of anastomotic leak on recurrence and survival after colorectal cancer surgery: a BioGrid Australia analysis.

    abstract:BACKGROUND:There is conflicting evidence regarding the oncological impact of anastomotic leak following colorectal cancer surgery. This study aims to test the hypothesis that anastomotic leak is independently associated with local recurrence and overall and cancer-specific survival. METHODS:Analysis of prospectively c...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13648

    authors: Sammour T,Hayes IP,Jones IT,Steel MC,Faragher I,Gibbs P

    更新日期:2018-01-01 00:00:00