Care for polytrauma patients is carried out in different phases and by multiple specialists of different areas and services of Parc Taulí.
Phase 1: Pre-hospital care. PPT code activation.
The initial care of the polytrauma patient begins in the pre-hospital setting, at which time the patient is treated by the pre-hospital medical service, doing:
- Una initial assessment.
- Initiating measures for save his life.
- Prioritizing yours immediate transfer to the hospital.
PPT code
In this phase and together with the triage initial hospitalization,identifies the patient as polytraumatic and activates the PolyTraumatic Patient Code (or PPT code):
The PPT code warns all professionals involved in the initial care of the patient who is arriving and that they must urgently go to the polytrauma patient care box (located in the Emergency) to prepare and wait for him.
Priority level
According to gravity assessed by the pre-hospital care team and triage, the polytrauma patients are classify in three levels of priority:
- Priority 0: Patient with vital compromise and affectation of vital signs.
- Priority 1: Patient with serious injuries that compromise or may compromise his life.
- Priority 2: Potentially serious polytraumatized patient due to the injuries he presents, the mechanism of action, his comorbidities, etc., but who is not yet life-threatening.
Phase 2: Primary review in the hospital
Primary review begins when the patient arrives at the polytrauma patient care box. This is the first hospital action that the patient receives with themain goal to detect and treat them life-threatening injuries.
They are active and work together:
- Anesthesiology (team leader)
- General and Digestive Surgery
- Orthopedic Surgery and Traumatology
- Pharmacy
- Hematology and Hemotherapy (Blood Bank)
- Intensive Care medicine
- Radiology
-
Nurse
- Nurses
- TCAI
- Health assistants
The primary review is carried out following the recommendations established in theAdvanced Trauma Life Support (ATLS) and in the internal clinical guide available on the corporate intranet.
Phase 3. Treatment
After the primary review is completed, the patient may require:
- Un emerging treatment (immediate treatment to solve injuries that compromise the patient's life and that cannot wait) i transferred in different areas of the hospital, such as interventional radiology or the operating room.
- Month complementary tests (among them, usually a computed tomography (CT) scan).
- Admission in different services of the hospital according to their condition and their injuries: critical area, hospitalization floor, emergency area, etc.
