• The American surgeon · Mar 2021

    The Impact of the Tertiary Survey in an Established Trauma Program.

    • Brendan P Mitchell, Kelly Stumpff, Stepheny Berry, James Howard, Ashley Bennett, and Robert D Winfield.
    • 12251 Department of Surgery, University of Kansas Medical Center, Kansas City, KS, USA.
    • Am Surg. 2021 Mar 1; 87 (3): 437-442.

    IntroductionThe trauma tertiary survey (TTS) was first described in 1990 and is recognized as an essential practice in trauma care. The TTS remains effective in detecting secondary injuries in the modern era.MethodsTrauma patients discharged between August 1, 2016, and December 31, 2016, were identified in our trauma registry. Collected data include TTS completion rates, detection of injuries, type of provider, and timing. TTS documentation was qualitatively evaluated.ResultsOut of 407 patients, 264 patients (65%) received a TTS. Injury detection rate was 1.1.%. Average time to TTS was 41 hours. TTS were completed by resident physicians (46%) and advanced practice providers (APPs; 46%). TTS documentation was more complete for APPs than for resident physicians.ConclusionTTS remains an integral component of modern trauma care. Ongoing education on the significance of TTS and the importance of thorough documentation is essential. Provision of real-time feedback to providers is also critical for improving current practices.

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