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. 2023 Jan;27(1):38-51.
doi: 10.5005/jp-journals-10071-24384.

Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey

Kanwalpreet Sodhi  1 , Ruchira Wasudeo Khasne  2 , Gunjan Chanchalani  3 , Ganshyam Jagathkar  4 , Venkat Raman Kola  5 , Mahesh Mishra  6 , Shrikant Sahasrabudhe  7 , Rajesh C Mishra  8 , Amrish Patel  9 , Ankur R Bhavsa  10 , Haider Abbas  11 , Pragyan Kumar Routray  12 , Pramod Sood  13 , Prasad Anant Rajhans  14 , Reshu Gupta  15 , Kapil Dev Soni  16 , Manender Kumar  17
Affiliations

Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey

Kanwalpreet Sodhi et al. Indian J Crit Care Med. 2023 Jan.

Abstract

Background: Trauma is the leading cause of death in India resulting in a significant public health burden. Indian Society of Critical Care Medicine (ISCCM) has established a trauma network committee to understand current practices and identify the gaps and challenges in trauma management in Indian settings.

Material and methods: An online survey-based, cross-sectional, descriptive study was conducted with high-priority research questions based on hospital profile, resource availability, and trauma management protocols.

Results: Data from 483 centers were analyzed. A significant difference was observed in infrastructure, resource utilization, and management protocols in different types of hospitals and between small and big size hospitals across different tier cities in India (p < 0.05). The advanced trauma life support (ATLS)-trained emergency room (ER) physician had a significant impact on infrastructure organization and trauma management protocols (p < 0.05). On multivariate analysis, the highest impact of ATLS-trained ER physicians was on the use of extended focused assessment with sonography in trauma (eFAST) (2.909 times), followed by hospital trauma code (2.778 times), dedicated trauma team (1.952 times), and following trauma scores (1.651 times).

Conclusion: We found that majority of the centers are well equipped with optimal infrastructure, ATLS-trained physician, and management protocols. Still many aspects of trauma management need to be prioritized. There should be proactive involvement at an organizational level to manage trauma patients with a multidisciplinary approach. This survey gives us a deep insight into the current scenario of trauma care and can guide to strengthen across the country.

How to cite this article: Sodhi K, Khasne RW, Chanchalani G, Jagathkar G, Kola VR, Mishra M et al. Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey. Indian J Crit Care Med 2023;27(1):38-51.

Keywords: Advanced trauma life support-trained emergency room physician; Trauma; Trauma center; Trauma code; Trauma team; e-FAST.

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

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Type of participating hospital
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Capacity of hospitals
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Types of trauma being managed across centers
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Type of fluid and analgesia preferred for trauma management
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Antiedema preference across centers
See this image and copyright information in PMC

References

    1. Indian Society for Trauma and Acute Care. Trauma in India: Factfile. Available at: https://traumaindia.org/trauma-india-factfile.php. Accessed on: 14 December 2022.
    1. Misra P, Majumdar A, Misra MC, Kant S, Gupta SK, Gupta A, et al. Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi. Indian J Crit Care Med. 2017;21(10):678–683. doi: 10.4103/ijccm.IJCCM_197_17. - DOI - PMC - PubMed
    1. Department of expenditure, Government of India. Classification of Indian Cities, Office Memorandum, Government of India. Available at: https://doe.gov.in/sites/default/files/21-07-2015.pdf. Accessed on: 1 September 2022.
    1. MacKenzie EJ, Rivara FP, Jurkovich GJ, Nathens AB, Frey KP, Egleston BL, et al. A national evaluation of the effect of trauma-centre care on mortality. N Engl J Med. 2006;354(4):366–366. doi: 10.1056/NEJMsa052049. - DOI - PubMed
    1. Magnone S, Allegri A, Belotti E, Castelli CC, Ceresoli M, Coccolini F, et al. Impact of ATLS guidelines, trauma team introduction, and 24-hour mortality due to severe trauma in a busy, metropolitan Italian hospital: A case–control study. Ulus Travma Acil Cerrahi Derg. 2016;22(3):242–246. doi: 10.5505/tjtes.2015.19540. - DOI - PubMed

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