Population of Interest
- All trauma patients who undergo surgery within 24 hours of arrival to first surgical role of care (includes all surgeries performed).
- Patients who receive endotracheal tube/cricothyroidomy/tracheostomy before the initial surgery AND undergo surgical procedure at Role 2 or Role 3.
Intent (Expected Outcomes)
- Anesthesia care is documented on an anesthetic record and uploaded to Theater Medical Data Story.
- Trauma patients in the OR maintain a body temperature > 36˚C during surgery.
- Anesthesia following major trauma will be induced and maintained with less than 20% drop in initial blood pressure.
- Patients undergoing massive transfusion will receive blood products in 1:1:1:1 ratio (plasma:platelets:RBC: cryoprecipitate).
- Calcium is administered to patients who have received: one unit and after every 4 units of red blood product transfused.
- Antibiotics are administered to all patients prior to initiation of surgery incision.
Performance/Adherence Metrics
- Number and percentage of patients in the population of interest who have anesthesia record received.
- Number and percentage of trauma patients who maintained a body temperature > 36˚C during surgery (as recorded on anesthesia record).
- Number and percentage of patients who do not drop systolic blood pressure more than 20 mmHg during the first 15 min after induction of anesthesia.
- Number and percentage of patients undergoing massive transfusion (>10 u RBC + whole blood with 24 hours after injury) who received blood products in an FFP:RBC ratio between 0.5:1 to 1:1.5 while in the OR (as recorded on anesthesia record).
- Number and percentage of patients undergoing massive transfusion (>10 u RBC + whole blood with 24 hours after injury) who receive platelet or whole blood transfusion while in the OR (as recorded on anesthesia record).
- Number and percentage of patients who received more than 1 units of blood products transfused who also received calcium (as recorded on anesthesia record).
- Number and percentage of patients who received antibiotic before surgery or documented no antibiotic indicated.
Data Source
- Patient Record
- Department of Defense Trauma