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Subject Area

General Surgery

Article Type

Original Study

Abstract

Objectives To evaluate the level of clinical response of Menuofia university hospitals in the management of trauma and burn multiple-casualty patients according to the guidelines in a major incident. Background Providing clinical care to multiple casualties is the comparatively 'easy' part of in-hospital major incident management. The key is to plan, be flexible within the plan, and to train staff in advance. Patients and methods This prospective study was conducted on two groups consisted of 138 patients presented in trauma and burn major incidents. The clinical response of the emergency department of the hospital was assessed by hospital major incident standby, activation of the plan, triage of the patients, activation of trauma team, and the outcomes of the patients in each incident. Results There was no initial hospital response documented for all major incidents in group I, but in group II, there was response to 80.9% of major incidents, and this was related to the communication from the emergency service. The casualties presented with different types of injuries, such as head, chest, or abdominal injuries. Approximately 13 patients were with no injuries and 12 patients had multiple traumatic critical injuries. More than 50% of patients in group II had met the criteria of trauma team activation, and this affected the length of hospital stay and the outcomes of patients. Conclusion By activating the protocol, modified hospital triage, team work, effective maneuvers, and treatment modification, the immediate resuscitation and stabilization of patients was achieved in less time.

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