Table 7.
Checklist results for trauma case B
| Element | Number of teams “Yes”/initial | Number of teams “Yes”/final | Number of teams “No”/initial | Number of teams “No”/final | Likelihood Ratio* |
|---|---|---|---|---|---|
| Consciousness |
10 |
10 |
0 |
0 |
|
| A-airway |
9 |
10 |
1 |
0 |
|
| B-breathing |
9 |
10 |
1 |
0 |
|
| Primary survey C-circulation |
9 |
10 |
1 |
0 |
|
| (ABC < 2 minutes) D GCS |
8 |
10 |
2 |
0 |
|
| (DE < 5 minutes) Motor response |
7 |
10 |
3 |
0 |
|
| Pupillary exam |
8 |
10 |
2 |
0 |
|
| E-exposure |
10 |
10 |
0 |
0 |
|
| Oxygen administration |
8 |
10 |
2 |
0 |
|
| Electrocardiogram |
10 |
10 |
0 |
0 |
|
| Blood pressure |
10 |
10 |
0 |
0 |
|
| Monitoring Oxygen saturation |
10 |
10 |
0 |
0 |
|
| Temperature |
0 |
5 |
10 |
5 |
|
| Anamnesis |
10 |
10 |
0 |
0 |
|
| Past medical history |
1 |
5 |
9 |
5 |
0.044 |
| Allergies |
0 |
7 |
10 |
3 |
|
| Focused history Treatment |
0 |
1 |
10 |
9 |
|
| Mechanism of injury |
7 |
10 |
3 |
0 |
|
| Time from injury |
5 |
10 |
5 |
0 |
|
| Last meal |
0 |
0 |
10 |
10 |
|
| Insert an intravenous line ** |
10 |
10 |
0 |
0 |
|
| ABO+ Rhesus |
10 |
10 |
0 |
0 |
|
| Glucose level |
2 |
3 |
8 |
7 |
0.605 |
| CBC, electrolytes, renal &hepatic& coagulation tests, creatine kinase, arterial blood gases |
10 |
10 |
0 |
0 |
|
| Fluids bolus ** |
3 |
3 |
7 |
7 |
1.000 |
| FAST ultrasound exam ** |
5 |
7 |
5 |
3 |
0.359 |
| 12-lead electrocardiogram |
1 |
4 |
9 |
6 |
0.112 |
| Insert a second intravenous line ** |
8 |
8 |
2 |
2 |
1.000 |
| Request for CT scan |
9 |
10 |
1 |
0 |
|
| Request the neurosurgeon ** |
9 |
10 |
1 |
0 |
|
| Recognize signs of increased ICP |
3 |
9 |
7 |
1 |
0.004 |
| Recognize the need for intubation ** |
10 |
10 |
0 |
0 |
|
| Anticipate a difficult airway |
5 |
9 |
5 |
1 |
0.044 |
| Number of direct laryngoscopy atempts (more than two) |
6 |
0 |
4 |
10 |
|
| Ventilation achieved between intubation attempts |
10 |
10 |
0 |
0 |
|
| Ask for help ** |
5 |
5 |
5 |
5 |
1.000 |
| Use of alternative techniques for intubation |
5 |
0 |
5 |
10 |
|
| Decide for cricothyroidotomy ** |
10 |
10 |
0 |
0 |
|
| Airway secured ** |
10 |
10 |
0 |
0 |
|
| Treat high ICP |
4 |
9 |
6 |
1 |
0.015 |
| Immobilize the fracture |
8 |
9 |
2 |
1 |
0.528 |
| Give antibiotic |
4 |
10 |
6 |
0 |
|
| Perform the logroll |
4 |
8 |
6 |
2 |
0.063 |
| Perform a complete secondary survey |
3 |
1 |
7 |
9 |
0.255 |
| IOT checklist completed verified |
0 |
2 |
10 |
8 |
*
Chi-Square Test; ** Time to achievement recorded; D-disability, CBC-complete blood count, a FAST-focused assessment with Sonography in Trauma, ICP-intracranial pressure, IOT-orotracheal intubation