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. 2021 May 5;52(2):e4014686. doi: 10.25100/cm.v52i2.4686

Table 2. Logistics and resources for the implementation of the trauma code.

Activation Criteria Initial Assessment and Resuscitation Departments that can activate the Trauma Code Selectively activated departments according to the patient's compromise
Trauma Code Patient admitted to the emergency department with evidence of penetrating or blunt trauma, with involvement of two or more body systems or severe involvement of one or more systems or associated with hemodynamic instability (Systolic Blood Pressure ≤ 90 mmHg or Heart Rate ≥ 120 bpm). Location: Resuscitation Room. Located 5 meters from the emergency room door. General Surgeon. On-site 24 hours a day, immediate response. Orthopedics: On-site 12 hours a day, immediate response. Available at night, 20-minute response.
First responder: Emergency physician at the head of the emergency team (general/resident physician, head nurse, nursing assistants, respiratory therapist, stretcher bearer). Trauma Surgeon. On-site 12 hours a day, immediate response. Available during the evenings, response time 20 minutes. Neurosurgery: On-site 12 hours a day, immediate response. Available at night, 20-minute response.
Functions: Primary and secondary assessment according to ATLS guidelines (12), trauma code activation, compressible hemorrhage control, securing airway and ventilation, eFAST, pelvic binder/ tourniquet placement, vascular access (5 Fr femoral arterial access sheath and high-flow venous catheter), crystalloid resuscitation onset, massive transfusion activation, blood products transfusion, and tetanus toxoid administration. Blood bank: Available 24 hours a day. Located 20 meters from the emergency department. They send a trauma pack containing: 4 units of red blood cells, 4 units of plasma, and 4 units of platelets (as required). Angiography: Interventional Radiologist and standard angiography equipment, on-site 12 hours a day, immediate response. Available at night, 20-minute response.
Adjuncts: Portable chest and pelvis X-ray. Station located 10 meters away from the emergency room. It IS transferred to the Resuscitation Room with any trauma code activation. Tomography: Available 24 hours a day. Located 10 meters from the emergency department. Multi-detector equipment with 128 slices. Endoscopy: Gastroenterologist endoscopist and standard endoscopy equipment, on-site 12 hours a day, immediate response. Available at night, 20-minute response.
Standard operating room equipped and prioritized by a pre-established protocol. Located one floor above the emergency department and connected by direct-access elevator with priority for the trauma code. Obstetrics: On-site 24 hours a day, immediate response.