title: Evaluation of the effects of standard rescue procedure on severe trauma treatment in china.
abstract: BACKGROUND
  This study aimed to evaluate the effects of standard rescue procedure (SRP) in improving severe trauma treatments in China.
  
  
  METHODS
  This study was conducted in 12 hospitals located in geographically and industrially different cities in China. A standard procedure on severe trauma rescue was established as a general rule for staff training and patient treatment. A regional network (system) efficiently integrating prehospital rescue, emergency room treatments, and hospital specialist treatments was built under the rule for information sharing and improving severe trauma treatments. Treatment outcomes were compared between before and 1 year after the implementation of the SRP.
  
  
  RESULTS
  The outcomes of a total of 74,615 and 12,051 trauma cases were collected from 12 hospitals before and after the implementation of the SRP. Implementation of the SRP led to efficient cooperation and information sharing of different treatment services. The emergency response time, prehospital transit time, emergency rescue time, consultation call time, and mortality rate of patients were 24.24 ± 4.32 min, 45.69 ± 3.89 min, 6.38 ± 1.05 min, 17.53 ± 0.72 min, and 33.82% ± 3.87% (n = 441), respectively, before the implementation of the standardization and significantly reduced to 10.11 ± 3.21 min, 22.39 ± 4.32 min, 3.26 ± 0.89 min, 3.45 ± 0.45 min, and 20.49% ± 3.11%, separately (n = 495, P < 0.05) after that.
  
  
  CONCLUSIONS
  Staff training and SRP can significantly improve the efficiency of severe trauma treatments in China.
authors.forename: Xiao-Feng
authors.initials: XF
authors.lastname: Yin
authors.forename: Tian-Bing
authors.initials: TB
authors.lastname: Wang
authors.forename: Pei-Xun
authors.initials: PX
authors.lastname: Zhang
authors.forename: Yu-Hui
authors.initials: YH
authors.lastname: Kou
authors.forename: Dian-Ying
authors.initials: DY
authors.lastname: Zhang
authors.forename: Kai
authors.initials: K
authors.lastname: Yu
authors.forename: De-Cheng
authors.initials: DC
authors.lastname: Lyu
authors.forename: Mao-Zheng
authors.initials: MZ
authors.lastname: Liu
authors.forename: Dong-Sheng
authors.initials: DS
authors.lastname: Zhou
authors.forename: Peng
authors.initials: P
authors.lastname: Zhang
authors.forename: Jue-Hua
authors.initials: JH
authors.lastname: Jing
authors.forename: Wei-Wei
authors.initials: WW
authors.lastname: Ge
authors.forename: Li Ying
authors.initials: LY
authors.lastname: Cao
authors.forename: Guo-Sheng
authors.initials: GS
authors.lastname: Wang
authors.forename: Shao-Jie
authors.initials: SJ
authors.lastname: Deng
authors.forename: Weng-Hua
authors.initials: WH
authors.lastname: Liu
authors.forename: Mao
authors.initials: M
authors.lastname: Zhang
authors.forename: Yong-An
authors.initials: YA
authors.lastname: Xu
authors.forename: Kun
authors.initials: K
authors.lastname: Zhang
authors.forename: Bing
authors.initials: B
authors.lastname: Li
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Zhong-Li
authors.initials: ZL
authors.lastname: Gao
authors.forename: Cheng-La
authors.initials: CL
authors.lastname: Yi
authors.affiliation: Department of Trauma and Orthopeadics, Peking University People's Hospital, Beijing 100044; Peking University Traffic Medical Center, Beijing 100191, China.
authors.forename: Bao-Guo
authors.initials: BG
authors.lastname: Jiang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002681:China; D004632:Emergency Medical Services / Q000592:standards*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D014947:Wounds and Injuries; D055815:Young Adult