[A multidisciplinary organizational Emergency Department model for trauma patients in hypovolemic shock].
Hypovolemic shock in trauma patients causes high mortality because of exanguination, secondary brain damage, multiple organ disfunction. Good organization and operative protocols are vital to patients in need of a prompt and multidisciplinary treatment.


METHODS
We collected data about resuscitative and diagnostic process, severity scores and outcome of all trauma patients in hypovolemic shock admitted to the Ospedale Maggiore in Bologna (Italy) after the organization of an Internal Trauma System.


RESULTS
We obtained a reduction of both diagnostic and therapeutic times and mortality during the last 14 years.


CONCLUSIONS
A valid internal organization can improve mortality of trauma patients without expenditure of extra resources.
Unità Operativa di Rianimazione-118, Ospedale Maggiore, Bologna.
Francesco
F
Cancellieri
Giorgio
G
Gambale
D000063:Accidents, Traffic; D000328:Adult; D001803:Blood Transfusion; D003627:Data Interpretation, Statistical; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D017146:Models, Organizational; D012774:Shock, Traumatic / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D013997:Time Factors; D014193:Trauma Centers; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000150:complications; D014950:Wounds, Penetrating / Q000150:complications