PMID- 34482391
OWN - NLM
STAT- MEDLINE
DCOM- 20211122
LR  - 20211122
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 134
IP  - 1540
DP  - 2021 Aug 13
TI  - Tertiary survey by trauma nurse specialist at a paediatric trauma centre.
PG  - 73-82
AB  - INTRODUCTION: Tertiary surveys aim to detect injuries missed in the initial 
      assessment of trauma. We introduced a process by which the trauma nurse 
      specialist performed a number of the tertiary surveys (NTSs) at our paediatric 
      trauma centre. METHODS: Data from the first six months following introduction of 
      the NTS were compared to retrospective data from the six months prior to NTS 
      implementation (pre-NTS), when trauma surveys were completed by medical staff. 
      RESULTS: Over the 12-month period, 130 children met the criteria for a tertiary 
      survey. Pre-NTS, 57/62 eligible patients received a tertiary survey, compared to 
      61/68 during NTS (p=0.77). There were significantly more road traffic crash 
      patients in the NTS group (p=0.008) but no significant differences by 
      demographics, injury pattern, injury severity score or outcomes. New injuries 
      were found in three patients pre-NTS compared to five patients during NTS (odds 
      ratio 1.3 (95%CI 1.3-2.0, p=0.73)). CONCLUSION: This study conservatively 
      supports the hypothesis that, with training and support, a trauma nurse 
      specialist can perform tertiary surveys as effectively as doctors. A larger study 
      is required to confirm these findings.
FAU - Sawyer, Matt
AU  - Sawyer M
AD  - Starship Children's Health, Children's Trauma Service.
FAU - Kool, Bridget
AU  - Kool B
AD  - University of Auckland, Faculty of Medical and Health Sciences.
FAU - Hamill, James K
AU  - Hamill JK
AD  - Starship Children's Health, Children's Trauma Service; University of Auckland, 
      Faculty of Medical and Health Sciences.
LA  - eng
PT  - Journal Article
DEP - 20210813
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
SB  - IM
MH  - Adolescent
MH  - Ankle Fractures/diagnosis
MH  - Brain Concussion/diagnosis
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Finger Injuries/diagnosis
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Nurse Specialists
MH  - *Nurse's Role
MH  - *Pediatric Nursing
MH  - Tooth Injuries/diagnosis
MH  - Trauma Centers
MH  - *Trauma Nursing
MH  - Undiagnosed Diseases/*diagnosis
MH  - Wounds and Injuries/*diagnosis
COIS- Nil.
EDAT- 2021/09/06 06:00
MHDA- 2021/11/23 06:00
CRDT- 2021/09/05 20:57
PHST- 2021/09/05 20:57 [entrez]
PHST- 2021/09/06 06:00 [pubmed]
PHST- 2021/11/23 06:00 [medline]
PST - epublish
SO  - N Z Med J. 2021 Aug 13;134(1540):73-82.