Abstract:

Objective To explore the effect of cockpit resource management model in emergency treatment of severe trauma patients. Methods We constructed the emergency treatment mode of severe trauma patients based on the concept of cockpit resource management，including the establishment of trauma rescue team，the optimization of intelligent system，the transformation of environmental zoning，the visual management of items，and the development of treatment process list of severe trauma patients. We used convenience sampling to select 119 cases of severe trauma patients admitted to the emergency department of a tertiary class A hospital in Hangzhou from January to May and from August to December 2023 as the study subjects. The experimental group（n=61） received the severe trauma treatment model constructed based on the concept of cockpit resource management，and the control group（n=58） received the conventional treatment model. The treatment process timeliness indexes，medical resource utilization and treatment effects were compared between the two groups. Results The venous or intraosseous opening rate within 5 min and the time of endotracheal intubation in experimental group were improved，but there was no significance compared with the control group（P>0.05）. Focused assessment with sonography for trauma（Fast） compliance rate and triage accuracy rate of the experimental group were significantly better than control group（P<0.05），the time from admission to operation and the length of stay in the resuscitation room were significantly shorter than control group，and the treatment cost was less than the control group（P<0.05）. 48h outcome and self-care ability after 3 months in the experimental group were significantly better than the control group（P<0.05）. Conclusion The use of cockpit resource management to severe trauma patients can strengthen the continuity and systematization of treatment，shorten the duration of treatment，improve the treatment effect and patient outcome，and save medical resources.

Key words: Emergency Service, Hospital, Emergency Care, Cockpit Resource Management, Severe Trauma, Treatment Mode