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VOLUME 27 , ISSUE 1 ( January, 2023 ) > List of Articles

Original Article

Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey

Kanwalpreet Sodhi, Ruchira Wasudeo Khasne, Gunjan Chanchalani, Ganshyam Jagathkar, Venkat Raman Kola, Mahesh Mishra, Shrikant Sahasrabudhe, Rajesh C Mishra, Amrish Patel, Ankur R Bhavsa, Pragyan Kumar Routray, Pramod Sood, Prasad Anant Rajhans, Reshu Gupta, Manender Kumar

Keywords : Advanced trauma life support-trained emergency room physician, e-FAST, Trauma, Trauma center, Trauma code, Trauma team

Citation Information : Sodhi K, Khasne RW, Chanchalani G, Jagathkar G, Kola VR, Mishra M, Sahasrabudhe S, Mishra RC, Patel A, Bhavsa AR, Routray PK, Sood P, Rajhans PA, Gupta R, Kumar M. Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey. Indian J Crit Care Med 2023; 27 (1):38-51.

DOI: 10.5005/jp-journals-10071-24384

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Trauma is the leading cause of death in India resulting in a significant public health burden. Indian Society of Critical Care Medicine (ISCCM) has established a trauma network committee to understand current practices and identify the gaps and challenges in trauma management in Indian settings. Material and methods: An online survey-based, cross-sectional, descriptive study was conducted with high-priority research questions based on hospital profile, resource availability, and trauma management protocols. Results: Data from 483 centers were analyzed. A significant difference was observed in infrastructure, resource utilization, and management protocols in different types of hospitals and between small and big size hospitals across different tier cities in India (p < 0.05). The advanced trauma life support (ATLS)-trained emergency room (ER) physician had a significant impact on infrastructure organization and trauma management protocols (p < 0.05). On multivariate analysis, the highest impact of ATLS-trained ER physicians was on the use of extended focused assessment with sonography in trauma (eFAST) (2.909 times), followed by hospital trauma code (2.778 times), dedicated trauma team (1.952 times), and following trauma scores (1.651 times). Conclusion: We found that majority of the centers are well equipped with optimal infrastructure, ATLS-trained physician, and management protocols. Still many aspects of trauma management need to be prioritized. There should be proactive involvement at an organizational level to manage trauma patients with a multidisciplinary approach. This survey gives us a deep insight into the current scenario of trauma care and can guide to strengthen across the country.

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