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Table 2 Communication and decision making using patient information

From: Trauma team activation varies across Dutch emergency departments: a national survey

 

Total

One team

Tiered response

P-value**

n = 69*

n = 47

n = 22

n (%)

n (%)

n (%)

Type of pre-notification

   

0.28

  Telephone call

64 (92.8)

42 (89.4)

22 (100.0)

  Digital on mobile device

1 (1.4)

1 (2.4)

0 (0.0)

  Othera

4 (5.8)

4 (8.5)

0 (0.0)

Professional sending pre-notification from pre-hospital setting

   

0.94

  EMD (indirect)

22 (31.9)

15 (31.9)

7 (31.8)

  (H)EMS (direct)

27 (39.1)

19 (40.4)

8 (36.4)

  (H)EMS and EMD (direct and indirect)

14 (20.3)

9 (19.1)

5 (22.7)

  Otherb

5 (7.2)

3 (6.4)

2 (9.1)

  Unknown

1 (1.4)

1 (2.1)

0 (0.0)

Professional receiving pre-notification at ED

   

0.27

  ED nurse

67 (97.1)

46 (97.9)

21 (95.5)

   first ED nurse present

39 (56.5)

26 (55.3)

13 (59.1)

   triage nurse

17 (24.6)

14 (29.8)

3 (13.6)

   coordinator/senior nurse

11 (15.9)

6 (12.8)

5 (22.7)

  ED physician

1 (1.4)

0 (0.0)

1 (4.5)

  Otherc

1 (1.4)

1 (2.1)

0 (0.0)

Professional making decision for TTA

   

0.29

  ED nurse

32 (46.4)

19 (40.4)

13 (59.1)

   ED nurse receiving pre-notification

14 (20.3)

9 (19.1)

5 (22.7)

   triage nurse

10 (14.5)

5 (10.6)

5 (22.7)

   coordinator/senior nurse

8 (11.6)

5 (10.6)

3 (13.6)

  ED physician

21 (30.4)

17 (36.2)

4 (18.2)

   emergency physician

11 (15.9)

8 (17.0)

3 (13.6)

   (trauma) surgeon

8 (11.6)

7 (14.9)

1 (4.5)

   other physician (not specified)

2 (2.9)

2 (4.3)

0 (0.0)

  Multiple professionals

14 (20.3)

9 (19.1)

5 (22.7)

   ED nurse and EMS

1 (1.4)

1 (2.1)

0 (0.0)

   ED nurse and emergency physician

6 (8.7)

4 (8.5)

2 (9.1)

   meeting with whole ED team

7 (10.1)

4 (8.5)

3 (13.6)

  Otherd

2 (2.9)

2 (4.3)

0 (0.0)

  1. ED Emergency Department, EMD Emergency Medical Dispatcher, EMS Emergency Medical Service, HEMS Helicopter Emergency Medical Services, TTA Trauma Team Activation
  2. *Three of the EDs do not receive pre-notification; at these EDs decision for TTA is made by an ED nurse (coordinator/senior nurse) and other (n = 2; ED floor manager and protocol)
  3. **Counts for different categories were compared by the Chi-square test
  4. aBy telephone call and electronically (n = 3), only electronically (screen on ED)
  5. bMultiple possibilities (n = 2), electronically, mostly by EMS nurse and sometimes by EMD
  6. cED nurse or emergency physician or secretary
  7. dNot specified