Impact of “hypotension on arrival” on required surgical disciplines and usage of damage control protocols in severely injured patients

Abstract

Abstract Background For trauma patients with subsequent immediate surgery, it is unclear which surgical disciplines are most commonly required for treatment, and whether and to what extend this might depend on or change with “hypotension on arrival”. It is also not known how frequently damage control protocols are used in daily practice and whether this might also be related to “hypotension on arrival”. Methods A retrospective analysis of trauma patients from a German level 1 trauma centre and subsequent “immediate surgery” between 01/2017 and 09/2022 was performed. Patients with systolic blood pressure > 90 mmHg (group 1, no-shock) and thoracic surgery > vascular surgery > neurosurgery). Therefore, surgeons from these specialties must be available without delay to provide optimal trauma care.

Keywords

• Trauma surgery
• Hypotension on arrival
• Severe trauma
• Damage control protocol