PMID- 30694036
OWN - NLM
STAT- MEDLINE
DCOM- 20191112
LR  - 20200309
IS  - 1488-2310 (Electronic)
IS  - 0008-428X (Print)
IS  - 0008-428X (Linking)
VI  - 62
IP  - 1
DP  - 2019 Feb 1
TI  - Expanding the trauma code to other causes of hemorrhagic shock - ruptured 
      abdominal aortic aneurysms.
PG  - E17-E18
AB  - Expediting life-saving care for hemorrhagic shock through multi-disciplinary code 
      protocols is a potential method to improve outcomes. Trauma codes have become 
      standard of care at most tertiary care centres; however, it is unclear if similar 
      protocols can improve delivery of care for other forms of hemorrhagic shock. We 
      examined the feasibility of a code protocol for ruptured abdominal aortic 
      aneurysms (RAAAs) by reviewing the literature and comparing patient outcomes for 
      RAAA and trauma patients at our institution, where the latter have a 
      wellestablished trauma code protocol. We show that, despite being similarly 
      unstable, patients with RAAA experienced delays to care milestones compared with 
      trauma patients, even when accounting for diagnostic delays. Combining these data 
      with present understanding of factors implicated in RAAA survival, we propose 
      that a "CodeAAA" protocol may fill an important gap in RAAA care and that further 
      prospective studies examining the utility of such a code are warranted.
CI  - (c) 2019 Joule Inc. or its licensors
FAU - Chehroudi, Cyrus
AU  - Chehroudi C
AD  - From the Division of Vascular and Endovascular Surgery, The Ottawa Hospital, 
      Ottawa, Ont. (Chehroudi, Jetty); and the Division of General Surgery, The Ottawa 
      Hospital, Ottawa, Ont. (Lampron).
FAU - Patapas, Jason
AU  - Patapas J
AD  - From the Division of Vascular and Endovascular Surgery, The Ottawa Hospital, 
      Ottawa, Ont. (Chehroudi, Jetty); and the Division of General Surgery, The Ottawa 
      Hospital, Ottawa, Ont. (Lampron).
FAU - Lampron, Jacinthe
AU  - Lampron J
AD  - From the Division of Vascular and Endovascular Surgery, The Ottawa Hospital, 
      Ottawa, Ont. (Chehroudi, Jetty); and the Division of General Surgery, The Ottawa 
      Hospital, Ottawa, Ont. (Lampron).
FAU - Jetty
AU  - Jetty
AD  - From the Division of Vascular and Endovascular Surgery, The Ottawa Hospital, 
      Ottawa, Ont. (Chehroudi, Jetty); and the Division of General Surgery, The Ottawa 
      Hospital, Ottawa, Ont. (Lampron).
LA  - eng
PT  - Journal Article
PL  - Canada
TA  - Can J Surg
JT  - Canadian journal of surgery. Journal canadien de chirurgie
JID - 0372715
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aneurysm, Ruptured/complications/diagnosis/*surgery
MH  - Aortic Aneurysm, Abdominal/complications/diagnosis/*surgery
MH  - Blood Vessel Prosthesis Implantation/methods/mortality
MH  - Canada
MH  - Cohort Studies
MH  - Emergencies
MH  - Endovascular Procedures/*methods/mortality
MH  - Female
MH  - Humans
MH  - Injury Severity Score
MH  - International Classification of Diseases
MH  - Male
MH  - Prognosis
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Shock, Hemorrhagic/etiology/mortality/*surgery
MH  - Survival Analysis
MH  - Trauma Centers
MH  - Treatment Outcome
PMC - PMC6351263
COIS- None declared.
EDAT- 2019/01/30 06:00
MHDA- 2019/11/13 06:00
PMCR- 2019/02/01
CRDT- 2019/01/30 06:00
PHST- 2019/01/30 06:00 [entrez]
PHST- 2019/01/30 06:00 [pubmed]
PHST- 2019/11/13 06:00 [medline]
PHST- 2019/02/01 00:00 [pmc-release]
AID - 0620e17 [pii]
AID - 10.1503/cjs.018717 [doi]
PST - ppublish
SO  - Can J Surg. 2019 Feb 1;62(1):E17-E18. doi: 10.1503/cjs.018717.