Atención inicial al trauma graveutilidad de la videograbación en la valoración de la calidad asistencial

Resumen

Objective: To study usefulness of the video recording in the evaluation of the quality of care in hospital initial care of patients with severe trauma. Patients and methods: Prospective observational study over a period of 6 months. We included all adult patients with traumatic injury admitted to the ICU from the pre-hospital means. Continuous recording took place in video of the initial resuscitation, with subsequent review by a multidisciplinary group. Epidemiological characteristics, adherence to the established protocol, time management and the incidence of errors or system failures were analyzed. Results: 117 patients admitted were included. Of these, 71% were male, with an average age of 43 years and Injury Severity Score (ISS) 19.8 ± 15.6. Overall protocol compliance in the primary and secondary survey was 79.9% and 70% respectively. The evaluation of trauma team performance were: leadership 87%, team organization 88%, care organization 75% and roles follow-up 76%. Resuscitation took 43 minutes. Conclusion: The video-recording of trauma resuscitation allows to analyze the presence of errors and/or de- lays affecting the quality of the assistance provided.