We set up step-wise goals for different stages of trauma management in our hospital, including RESUSCITATION, STABILIZATION, REHABILITATION, and SOCIALIZATION.
In order to achieve these goals, we have also set up multiple rapid response protocols with reliable quality in several difficult domains. Major chest or abdominal injury mandatory for emergency surgery is transferred to the operating theater within 30 minutues. Interventional radiology with transarterial embolization is done within 2 hours after the patient’s arrival.
The【Massive Transfusion Protocol】enables rapid and steady blood component production. It consequently enhances the quality of resuscitation during major trauma and postpartum hemorrhage, balances the proportion of transfused blood components while avoids wasting at the same time.
【Resectional surgery for deep lung laceration】timely stops the bleeding, preserves the lung function, and stabilizes the hemodynamics, preventing condition worsening and the use of ECMO. This procedure facilitates the further management of other organ injuries, which would have been delayed by the use of ECMO.
【Combinational management for intra-abdominal solid organ injury】enables early diagnosis and early intervention between the emergency department physician, the interventional radiologist, and the trauma surgeon. Bleeding patients undergo interventional radiology and transarterial embolization within 2 hours, and unstable patients undergo surgical intervention within 30 minutes. The resuscitation quality and patient outcome are also improved by the 【Massive Transfusion Protocol】.
【Interventional radiography and transarterial embolization】timely controls the arterial bleeding in unstable pelvic fracture and preserves vital organ perfusion. The following surgery for pelvic fracture shortens the bed-ridden duration and facilitates rehabilitation.
【The management algorithm for mangled extremities】aims to stabilize the patient and restore the limb function, with early rehabilitation based on the individualized recovery.
It takes timely and copious collaboration of different surgical subspecialty to manage simultaneous yet multiple organ injury. A miss is as good as a mile. We have devoted ourselves to working out the miracle, starting by solving the riddles and the impossible hiding in the detail. We work together, reflect on our own errors, and we improve together. We intend to bring the injured not only functionally back to the society but also emotionally back to their family.