Table 1.
Seventeen trauma system criteria and definitions identified from the recommendations for a national trauma system in Norway -reference 21.
| Item no. | Criteria | Definitions |
|---|---|---|
| 1 | Defined TT | -a defined multidisciplinary group of personnel receives trauma patients |
| 2 | TT activation criteria | -predefined and written criteria activates the TT |
| 3 | TT activation < 15 min | -the time to assemble the TT is within 15 minutes |
| 4 | TT available 24 hrs | -the TT is accessible around the clock |
| 5 | TT training | -there are regular training sessions for the TT with a minimum frequency of two times per year. TT training is based on the principles described by the BEST foundation (see references 25, 30 and 31) |
| 6 | ED < 15 min | -the emergency room is ready within 15 minutes |
| 7 | OR < 15 min | -the operating theatre is ready within 15 minutes |
| 8 | CXR < 15 min | -a chest x-ray is taken and made accessible to the TT within 15 min |
| 9 | Trauma Protocol | -there is a written and updated trauma protocol describing the management of major trauma |
| 10 | Trauma Checklist | -a checklist is used for documenting and guiding the management of the trauma patient in the ED |
| 11 | Transfer Criteria | -there are written criteria for transfer of patients to higher level of care |
| 12 | Trauma Registry | -the hospital records data of trauma patients in a dedicated registry |
| 13 | Trauma Meetings |
-the hospital conducts regular morbidity and mortality meetings. The meetings are multidisciplinary audits where management of the hospital's trauma patients are discussed. The minimum frequency is two times per year. |
| 14 | Anaesthesiologist ATLS- course |
-the trauma team senior anaesthesiologist is required to have attended the ATLS- course |
| 15 | Surgeon ATLS- course | -the trauma team senior surgeon is required to have attended the ATLS- course. |
| 16 | Haemostatic surgery course | -the trauma team senior surgeon is required to have attended DSTC or equivalent emergency haemostatic surgery course |
| 17 | Trauma nursing course | -minimum one of the trauma team nurses is required to have attended TNCC course or equivalent. |
Abbreviations denote: TT: trauma team; BEST: Better & Systematic Trauma Care; ED: emergency department; OR: operating room; CXR: chest x-ray; ATLS: advanced trauma life support; DSTC: definitive surgical trauma care course; TNCC: trauma nursing core course