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dc.contributor.authorKeijzers, Gerben B
dc.contributor.authorCampbell, Don
dc.contributor.authorHooper, Jeffrey
dc.contributor.authorBost, Nerolie
dc.contributor.authorCrilly, Julia
dc.contributor.authorSteele, Michael Craig
dc.contributor.authorEddington, Blake
dc.contributor.authorGeeraedts, Leo MG
dc.description.abstractBackground Initial management of trauma patients is focused on identifying life- and limb-threatening injuries and may lead to missed injuries. A tertiary survey can minimise the number and effect of missed injuries and involves a physical re-examination and review of all investigations within 24 h of admission. There is little information on current practice of tertiary survey performance in hospitals without a dedicated trauma service. We aimed to determine the rate of tertiary survey performance and the detail of documentation as well as the baseline rate of missed injuries. Methods We performed a retrospective, descriptive study of all multitrauma patients who presented to an Australian level II regional trauma centre without a dedicated trauma service between May 2008 and February 2009. A medical records review was conducted to determine tertiary survey performance and missed injury rate. Results Of 252 included trauma patients, 20% (n = 51) had a tertiary survey performed. A total of nine missed injuries were detected in eight patients (3.2%). Of the multiple components of the tertiary survey, most were poorly documented. Documentation was more comprehensive in the subgroup of patients who did have a formal tertiary survey. Conclusions Tertiary survey performance was poor, as indicated by low documentation rates. The baseline missed injury rate was comparable to previous that of retrospective studies, although in this study an underestimation of true missed injury rates is likely. Implementing a formal, institutional tertiary survey may lead to improved tertiary survey performance and documentation and therefore improved trauma care in hospitals without a dedicated trauma service.
dc.publisherSpringer New York LLC
dc.publisher.placeUnited States
dc.relation.ispartofjournalWorld Journal of Surgery
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.titleTertiary Survey Performance in a Regional Trauma Hospital Without a Dedicated Trauma Service
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorCrilly, Julia
gro.griffith.authorKeijzers, Gerben

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