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
  • Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

    abstract::Although the published work in health care increasingly promotes aviation as a high-reliability industry to be emulated, there is little empirical research to justify equating the dynamics of health care's operating environment with that of aviation. This article examines some of the potential key areas of difference ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04619.x

    authors: Hunt GJ,Callaghan KS

    更新日期:2008-08-01 00:00:00

  • Four-dimensional computed tomography for parathyroid localization: a new imaging modality.

    abstract:INTRODUCTION:Four-dimensional computed tomography (4DCT) is a new parathyroid localization technique not previously reported in Australia. It provides both functional and anatomical imaging in a single test, with superior sensitivity compared with sestamibi scintigraphy (SeS). This study examines the utility of 4DCT in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12571

    authors: Brown SJ,Lee JC,Christie J,Maher R,Sidhu SB,Sywak MS,Delbridge LW

    更新日期:2015-06-01 00:00:00

  • Revising the surgical registrar on-call roster.

    abstract:BACKGROUND:The work hours of junior doctors have been in the spotlight since the mid-1980s. Rostering and the structure of surgical units aim to balance quality and continuity of patient care with reasonable working hours. METHODS:Actual hours worked during two 12-week surgical registrar rosters were compared. Complia...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05374.x

    authors: Wysocki AP,McGowan B

    更新日期:2010-07-01 00:00:00

  • Long-term comparison of external valvular stenting and stripping of varicose veins.

    abstract:BACKGROUND:The recurrence rate following stripping of the long saphenous vein is unacceptable. Repair of the terminal valve of the long saphenous vein is a physiological alternative. The aim of the present study was to prospectively compare the long-term recurrence rates in patients having had reparative and ablative p...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02714.x

    authors: Lane RJ,Graiche JA,Coroneos JC,Cuzzilla ML

    更新日期:2003-08-01 00:00:00

  • Diarrhoea after laparoscopic cholecystectomy: incidence and main determinants.

    abstract:BACKGROUND:Data on the effect of laparoscopic cholecystectomy (LC) on bowel function are controversial. The aim of this study was to determine the incidence of postcholecystectomy diarrhoea (PCD) and to identify patient characteristics that can be used as predictors in daily practice. METHODS:In 100 consecutive patien...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04539.x

    authors: Fisher M,Spilias DC,Tong LK

    更新日期:2008-06-01 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

  • Developing tools to predict outcomes following cardiovascular surgery.

    abstract:BACKGROUND:Surgical decision-making tools may help surgeons achieve better outcomes by providing more personally relevant information to patients. This paper describes approaches to developing statistical tools capable of estimating the probability of morbidity and mortality after cardiovascular surgery. Our aim is to ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2010.05644.x

    authors: Boult M,Fitzpatrick K,Barnes M,Maddern G,Fitridge R

    更新日期:2011-11-01 00:00:00

  • Bilateral thoracoscopy, mediastinoscopy and laparoscopy, in addition to CT, MRI and PET imaging, are essential to correctly stage and treat patients with mesothelioma prior to trimodality therapy.

    abstract:BACKGROUND:Trimodality therapy (TMT; extrapleural pneumonectomy (EPP), chemotherapy and radiation therapy) offers the potential of optimal survival in selected patients with Brigham stage I-II epitheliod mesothelioma based on CT, MRI and PET scanning. We hypothesized that these scanning modalities were inadequate to ac...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05060.x

    authors: Alvarez JM,Hasani A,Segal A,Sterret G,Millward M,Nowak A,Musk W,Bydder S

    更新日期:2009-10-01 00:00:00

  • Similar length of colon is removed regardless of localization in right-sided colonic cancer surgery.

    abstract:BACKGROUND:Colorectal cancers represent a heterogenous group of tumours. While left segmental colectomy is an accepted and oncologically safe practice for left-sided colonic cancer (CC), some authors suggest that limited segmental resection of right-sided cancer should be debated in order to preserve length of the rese...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.14276

    authors: Siebert M,Trilling B,Lamotte A,Taton N,Bellier A,Faucheron JL

    更新日期:2018-07-01 00:00:00

  • Can serum inflammatory parameters estimate outcome of pleurodesis in mesothelioma?

    abstract:BACKGROUND:As pleurodesis causes systemic inflammation and is associated with considerable cost and morbidity during long-term follow up, the identification of patients who will experience an unsuccessful pleurodesis would be desirable. This study was aimed to investigate whether systemic inflammatory reaction induced ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04028.x

    authors: Bilgin M,Hasdiraz L,Ozkaya M,Oguzkaya F

    更新日期:2007-04-01 00:00:00

  • Quantifying the lumbar spine movements of surgeons during surgical lists in a teaching hospital.

    abstract:BACKGROUND:Low back pain (LBP) is a common occupational musculoskeletal complaint among health professionals. No research has quantified lumbar movement patterns in the surgical workplace, identifying 'at risk' behaviours with objective measures. This project aimed to identify lumbar movement patterns and change in LBP...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.14812

    authors: Wartski M,Williams CM,Broughton NS,Bowles KA

    更新日期:2019-03-01 00:00:00

  • Surgical outcomes of a randomized prospective trial involving patients with a proximal femoral fracture.

    abstract:BACKGROUND:An orthopaedic management/patient-focused care unit (OMPFCU) involving a dedicated orthopaedic-geriatrics liaison team was established at the Royal Brisbane Hospital in 1994 in an effort to safely accelerate rehabilitation of patients with proximal femoral fractures. METHODS:The surgical outcomes of the pat...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1440-1622.2001.02019.x

    authors: Day GA,Swanson C,Yelland C,Broome J,Dimitri K,Massey L,Richardson H,Marsh A

    更新日期:2001-01-01 00:00:00

  • Appendix redux: a stone unturned.

    abstract::Recent advances in understanding of the biology of appendicitis are reviewed. Immunological aspects are discussed in the setting of a changing microbiome. Implications for practice are summarized. ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.16018

    authors: de Costa A

    更新日期:2020-06-08 00:00:00

  • Extended medial gastrocnemius myocutaneous flap in repair of the quadriceps extension mechanism.

    abstract::The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03951.x

    authors: Warrier SK,Mah E,Morrison WA

    更新日期:2006-12-01 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

  • Modified saphenous-peritoneal shunt in refractory ascites: new technique.

    abstract:BACKGROUND:Refractory ascites is a serious complication for patients with decompensated liver cirrhosis. Saphenous-peritoneal shunting is a possible surgical treatment for its relief, but tends to lead to higher groin infections. The purpose of the present paper was to determine whether a modified procedure could resol...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03315.x

    authors: Chen JH,Liu HD,Yu JC,Chen CJ,Shih ML,Liu YC,Hsieh CB

    更新日期:2005-03-01 00:00:00

  • Unusual case of Morgagni hernia associated with malrotation.

    abstract::Morgagni herniae are rare congenital diaphragmatic hernia, which normally present late in adult life with minimal symptoms. They are always associated with a peritoneal hernial sac, and often contain transverse colon or stomach. We present an unusual case of a Morgagni hernia containing caecum in an 81-year-old woman,...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02745.x

    authors: Court FG,Wemyss-Holden SA,Fitridge R,Maddern GJ

    更新日期:2003-09-01 00:00:00

  • Population-based study of age, gender and causes of severe injury in Auckland, 2004.

    abstract:BACKGROUND:The burden of severe injury is an important health statistic. When accurate injury data are linked to census population data a reference dataset can be obtained. This information is vital to direct injury prevention and trauma system development. METHODS:Severe injury was defined as death or injury severity...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04719.x

    authors: Creamer GL,Civil I,Koelmeyer T,Adams D,Cacala S,Thompson J

    更新日期:2008-11-01 00:00:00

  • Early urinary diversion with ileal conduit and vesicovaginostomy in the treatment of radiation cystitis due to carcinoma cervix: a study from a tertiary care hospital in South India.

    abstract:BACKGROUND:To study the magnitude of radiation cystitis following radiation therapy for carcinoma cervix, and propose an algorithm to decide on early diversion, with or without vesicovaginostomy. METHODS:Women who developed radiation cystitis following radiotherapy for carcinoma cervix from January 1998 to December 20...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12898

    authors: Banerji JS,Devasia A,Kekre NS,Chacko N

    更新日期:2015-10-01 00:00:00

  • Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods.

    abstract:BACKGROUND:We assessed the accuracy of three different methods measuring the angle between two fixed Kirschner wires for the potential purpose of determining correction during rotational osteotomy of long bones. METHODS:Thirty-one orthopaedic consultants and registrars were prospectively asked to measure the angle bet...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12371

    authors: Graham D,Suzuki A,Reitz C,Saxena A,Kuo J,Tetsworth K

    更新日期:2013-12-01 00:00:00

  • Effect of calcitonin gene-related peptide on anastomotic healing in the presence of endotoxin.

    abstract:BACKGROUND:Intestinal anastomotic healing is a complex procedure in which several mediators, cytokines and other substances play roles, as well as calcitonin gene-related peptide (CGRP). CGRP is capable of stimulating DNA synthesis and cell proliferation in endothelial cells by increasing vasodilatation and inflammator...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03616.x

    authors: Dogmuş M,Ersoy E,Anadol AZ,Ozel U,Bilgehan A

    更新日期:2005-12-01 00:00:00

  • Cardiac surgery versus stenting: what is better for the patient?

    abstract::Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06262.x

    authors: Edelman JJ,Wilson MK,Bannon PG,Vallely MP

    更新日期:2012-11-01 00:00:00

  • Delivery of surgical care in Samoa: perspectives on capacity, barriers and opportunities by local providers.

    abstract:BACKGROUND:The Pacific Island nation of Samoa faces a number of challenges in delivering surgical care. Our group aimed to identify the barriers and opportunities to improving the delivery of safe, affordable, timely surgical care in Samoa. METHODS:A mixed-methods approach was undertaken. The quantitative analysis use...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15295

    authors: Comery B,Perry WRG,Young S,Dare A,Matalavea B,Bissett IP,Windsor JA

    更新日期:2019-06-18 00:00:00

  • Chlorhexidine-induced anaphylaxis in surgical patients: a review of the literature.

    abstract:BACKGROUND:Chlorhexidine (CHL) has antiseptic and disinfectant properties used to prevent hospital-acquired infections. CHL-induced anaphylaxis is poorly reported in surgical literature despite government warnings and growing recognition. The aim of this review is to increase awareness of CHL-induced anaphylaxis in the...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13269

    authors: Sharp G,Green S,Rose M

    更新日期:2016-04-01 00:00:00

  • Orbital exenterations: an 18-year experience from a single head and neck unit.

    abstract:BACKGROUND:To review the outcomes of the patients who undergo orbital exenteration for malignancy. METHODS:A retrospective review of patients who underwent orbital exenteration performed at Royal Prince Alfred and Concord Hospitals between 1990 and 2008. RESULTS:A total of 38 patients were identified. The most common...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05592.x

    authors: Kuo CH,Gao K,Clifford A,Shannon K,Clark J

    更新日期:2011-05-01 00:00:00

  • Achieving quality in colonoscopy: bowel preparation timing and colon cleanliness.

    abstract:BACKGROUND:Colonoscopy is considered the gold standard for investigation of large bowel pathology. Numerous factors influence the efficacy of bowel preparation for colonoscopy. Inadequate bowel preparation can lead to missed pathology. Timing of fasting and bowel preparation, timing of procedure and possibly patient bo...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-2197.2010.05429.x

    authors: Athreya PJ,Owen GN,Wong SW,Douglas PR,Newstead GL

    更新日期:2011-04-01 00:00:00

  • Surgical repair of spontaneous renal allograft rupture: a new procedure.

    abstract:BACKGROUND:The purpose of the present paper is to introduce a new surgical procedure using the external oblique aponeurosis (EOA) for repair of spontaneous renal allograft rupture. METHODS:Thirty-eight cases with spontaneous renal allograft rupture were encountered in 1000 consecutive kidney transplants between April ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-1-02650.x

    authors: He B,Rao MM,Han X,Li X,Guan D,Gao J

    更新日期:2003-06-01 00:00:00

  • Impact of splenectomy on circulating T-lymphocyte subsets in stage III gastric cancer.

    abstract:BACKGROUND:The role of splenectomy remains unclear in patients with gastric cancer who undergo total gastrectomy. The aim of this study was to prospectively evaluate the impact of splenectomy on circulating T-lymphocyte subsets and survival in advanced gastric cancer. METHODS:Analysis of lymphocyte subsets was perform...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02429.x

    authors: Cho MY,Kroh MD,Joh YG,Suh SO

    更新日期:2002-06-01 00:00:00

  • Retrospective survival analysis of stage II-III rectal cancer: tumour regression grade, grading and lymphovascular invasion are the only predictors.

    abstract:BACKGROUND:Tumour regression grade is gaining interest as a prognostic factor of patients undergoing neoadjuvant chemoradiotherapy and surgery for locally advanced rectal cancer. METHODS:A series of 68 consecutive patients with locally advanced rectal cancer treated by neoadjuvant chemoradiotherapy and surgery between...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16476

    authors: Morini A,Annicchiarico A,Romboli A,Ricco' M,Crafa P,Montali F,Dell'Abate P,Costi R

    更新日期:2020-12-14 00:00:00

  • Paediatric constipation for adult surgeons--article 1: targeting the cause.

    abstract::Constipation is very common in all age groups and can be resistant to standard therapies, producing chronic morbidity. Childhood onset constipation frequently produces symptoms that persist into adulthood. Recent advances have been made in the diagnosis and treatment of childhood constipation that could have applicati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-1433.2004.03149.x

    authors: Sutcliffe JR,King SK,Southwell BR,Hutson JM

    更新日期:2004-09-01 00:00:00