Objective: To characterize a population of twice-transferred trauma patients. We hope that by studying triple jumps we can find a way to reduce their number. Data sources and extraction: Retrospective chart review of all trauma patients at a level I trauma center from 1996-1999 who were seen at two and only two acute care facilities before reaching the trauma center because of a single acute traumatic event. Ninety-three patient charts were analyzed. Conclusions: The majority of patients were victims of motor vehicle crashes and were transferred for non-spine orthopedic injuries. These patients were stable, as manifested by trauma score and injury severity score. They needed specialized care, rather than critical care. Thus, reducing the number of triple jumps will involve refining transfer protocols as to the need for specialty care.
Learning Objectives: At the conclusion of the session, the participant in this session will be able to: 1. Recognize that the number of triple jumps needs to be reduced. 2. List characteristics of twice-transferred trauma patients (triple jumps). 3. Identify areas to target to reduce the number of triple jumps.
Keywords: Injury, EMS/Trauma
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: University of Iowa Hospitals and Clinics
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: I am a resident physician at the University of Iowa Hospitals and Clinics on leave to the University of Iowa College of Public Health in order to perform research with the Injury Prevention Center