• Thomas Erik Wurmb, Peter Frühwald, Joachim Knuepffer, Frank Schuster, Markus Kredel, Norbert Roewer, and Jörg Brederlau.
• Department of Anaesthesiology, University Hospital of Wuerzburg, Wuerzburg, Germany. wurmb_t@klinik.uni-wuerzburg.de
• Eur J Emerg Med. 2008 Dec 1;15(6):311-7.

ObjectiveObjective of this study is to determine whether the formulation of standard operating procedures (SOPs) and their incorporation in a trauma pathway are associated with an improvement of trauma treatment process.Materials And MethodsA retrospective data analysis of traumatized patients treated before the introduction of the SOPs (group I) and after a SOP training period of 6 months (group II) was performed. The time required for resuscitation (period A), diagnostic workup (period B) and total stay in the emergency room (period C) was used as a marker of trauma team performance. Data are described as median and interquartile range. Mortality within the first 24 h and within 30 days was determined.ResultsEighty-two patients in group I and 79 patients in group II were analysed. Period A took 13 (10-17) min in group I and 10 (8-15) min in group II, respectively (P<0.001). Period B was finished after 23 (17-33) min in group I and after 17 (13-21) min in group II (P<0.001). Period C took 47 (37-59) min in group I and 42 (34-53) min in group II, respectively (P<0.05). A difference in mortality was not observed.ConclusionSOP incorporation in a trauma pathway shortens the total stay in the emergency room, resuscitation time and the time to achieve definitive diagnosis in multiple trauma patients. Thus, it can be concluded that organization and timing of trauma treatment steps help in improving the quality of trauma treatment process.

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