Table 1 Observed key events and timings in in situ simulations
No. | Trauma Team Leader Review | Pupil check time (min: seconds) | Dilated pupil declared time | Head Injury declared time | Intubation time | Phone major trauma centre | Neuroprotection time and event |
|---|---|---|---|---|---|---|---|
1 | On arrival | 6:30 | 6:45 | 6:47 | 16:45 | 18:06 | 17:39 Ventilate to normocapnia |
2 | On arrival | X | X | 3:56 | 19:08 | X | X |
3 | On arrival | 8:35 | 8:40 | 12:31 | 15:06 | 9:15 | 06:34 Raise head 30° |
4 | On arrival | 3:56 | 4:00 | 5:44 | 21:40 | X | X |
5 | On arrival | 3:59 | 4:22 | 5:18 | 30:06 | 18:02 | X |
6 | 01:53 | 9:58 | 10:11 | X | 22:20 | 14:40 | X |
7 | On arrival | X | X | X | X | 11:03 | X |
8 | On arrival | 3:50 | 4:15 | 4:30 | 18:30 | 6:00 | 11:50 Mannitol |
9 | On arrival | 4:50 | 4:59 | 5:20 | 17:33 | 6:30 | 12:50 Mannitol |
10 | On arrival | 4:00 | 4:20 | 8:45 | 19:01 | 9:30 | X |
11 | On arrival | 6:11 | 7:49 | X | X | 18:22 | X |
12 | On arrival | 3:59 | 4:50 | 6:23 | 16:05 | X | 10:35 Raise head 30° |
13 | On arrival | 9:15 | 9:19 | 9:45 | 15:58 | 9:15 | 13:15 Mannitol |
14 | On arrival | 5:07 | 5:25 | 15:40 | 20:31 | 11:00 | 09:30 Raise head 30° |
15 | On arrival | 4:18 | 4:58 | 5:23: (6:33 time critical declared and repeated at 11:20) | 13:47 | 8:30 | 14:00 Raise head 30° |
16 | On arrival | 4:40 | 4:44 | 20:16 | 23:56 | 6:55 | X |
17 | On arrival | 5:50 | 6:30 | 7:55 | 16:15 | 8:40 | X |
18 | On arrival | 4:53 | 5:10 | 5.57 | 18:00 | 8:05 | X |
19 | On arrival | 2:10 | 9:20 | 9:20 | 18:20 | 11:25 | 14:30 Reduce venous pressure |
20 | On arrival | 8:45 | 09:05 | 9:20 | 18:35 | X | X |