title: [Trauma centre admission of severely injured or critically ill patients: comparison of estimated and real arrival times].
abstract: BACKGROUND
  During early in-hospital management of the arriving trauma patient the timing of the trauma team alert is an important organisational step. To evaluate the accordance of the estimated and the real arriving time we performed a retrospective data analysis at a level I German trauma centre.
  
  
  METHODS
  Retrospective data analysis. Trauma team alerts from September 2010 until March 2011 were analysed. According to the hospitals pre-alert algorithm, trauma team alert took place 10 min before the estimated time of arrival.
  
  
  RESULTS
  There were 165 trauma team alerts included in the analysis. The estimated arrival time coincided with the real arrival time in less than 10 % of cases. In 76 % of the cases, the patient arrived in an acceptable time frame with the trauma team waiting less than 14 min. In 3 % of the cases, the patient arrived prior to the trauma team.
  
  
  CONCLUSIONS
  An exact estimation of the arrival time is rare. With a trauma team alert 10 min prior to the estimated time of arrival, an acceptable waiting time can be achieved. Arrival of the patient prior to the trauma team can be avoided.
authors.affiliation: Sektion Notfallmedizin, Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum, Oberdürrbacherstraße 6, 97080, Würzburg, Deutschland, Wurmb_t@klinik.uni-wuerzburg.de.
authors.forename: T
authors.initials: T
authors.lastname: Wurmb
authors.forename: H
authors.initials: H
authors.lastname: Jansen
authors.forename: M
authors.initials: M
authors.lastname: Böttcher
authors.forename: M
authors.initials: M
authors.lastname: Kredel
authors.forename: C
authors.initials: C
authors.lastname: Wunder
authors.forename: A
authors.initials: A
authors.lastname: Gehrmann
authors.forename: N
authors.initials: N
authors.lastname: Roewer
authors.forename: R
authors.initials: R
authors.lastname: Muellenbach
mesh_terms: D000465:Algorithms; D016638:Critical Illness / Q000628:therapy*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005858:Germany; D006801:Humans; D010343:Patient Admission / Q000706:statistics & numerical data*; D010360:Patient Transfer / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013997:Time Factors; D013996:Time and Motion Studies; D014193:Trauma Centers / Q000706:statistics & numerical data*; D015599:Trauma Severity Indices; D014850:Waiting Lists; D014947:Wounds and Injuries / Q000628:therapy*