Pei-Yang Hu,Xin-Yi Chen,Xiong-Huan Chen,Yi-Min Chen.[J].Chin J Traumatol,2018,21(5):256-260. 10.1016/j.cjtee.2018.04.002
Trauma care construction under the guidance of county-level trauma centers
  
DOI：10.1016/j.cjtee.2018.04.002
KeyWord: Severe traumaIntegrated emergency management systemCounty-level hospital
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Author NameAffiliation
Pei-Yang Hu Trauma Center, Tiantai People's Hospital of Zhejiang Province, Taizhou 317200, Zhejiang Province, China 
Xin-Yi Chen Trauma Center, Tiantai People's Hospital of Zhejiang Province, Taizhou 317201, Zhejiang Province, China 
Xiong-Huan Chen Trauma Center, Tiantai People's Hospital of Zhejiang Province, Taizhou 317202, Zhejiang Province, China 
Yi-Min Chen Trauma Center, Tiantai People's Hospital of Zhejiang Province, Taizhou 317203, Zhejiang Province, China 
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Abstract:
      Severe trauma has the characteristics of complicated condition, multiple organs involved, limited auxiliary examinations, and difficulty in treatment. Most of the trauma patients were sent to primary hospitals to receive treatments. But the traditional mode of separate discipline management can easily lead to delayed treatment, missed or wrong diagnosis and high disability, which causes a high mortality in severe trauma patients. Therefore, if the primary hospitals, especially county-level hospitals (usually the top general hospital within the administrative region of a county), can establish a scientific and comprehensive trauma care system, the success rate of trauma rescue in this region can be greatly improved. On March 1st, 2013, Tiantai People's Hospital of Zhejiang Province, China set up a trauma care center, which integrated the pre-hospital and in-hospital trauma treatment procedures, and has achieved good economic and social benefits. Till March 1st, 2017, 1265 severe trauma patients (injury severity score >16) have been treated in this trauma center. The rescue success rate reached 95% and the delayed and/or missed diagnosis rate was less than 5%. Totally 86 severe cases of pelvic fractures with unstable hemodynamics were treated, and the success rate was 92%. The in-hospital emergency rescue response time is less than 3 min, and the time from definite diagnosis to surgery is within 35 min.
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