STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival
Introduction: In clinical practice, it is common to see stroke and trauma simultaneously in the same patient. When such a patient presents to the emergency department (ED), rapid assessment must be done to adequately manage both conditions. As the assessment will cover a significant number of steps...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Emergencies, Trauma and Shock |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jets.jets_92_24 |
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| author | Fatimah Lateef Francesca Lim Liew Yee Kent M. Ng YA Genevieve Mohamed Ridzuan Bin Sulaiman Sagar Galwankar Rose V. Goncalves Danielle Glaze Michael Lai |
| author_facet | Fatimah Lateef Francesca Lim Liew Yee Kent M. Ng YA Genevieve Mohamed Ridzuan Bin Sulaiman Sagar Galwankar Rose V. Goncalves Danielle Glaze Michael Lai |
| author_sort | Fatimah Lateef |
| collection | DOAJ |
| description | Introduction:
In clinical practice, it is common to see stroke and trauma simultaneously in the same patient. When such a patient presents to the emergency department (ED), rapid assessment must be done to adequately manage both conditions. As the assessment will cover a significant number of steps and tasks to be accomplished, it may prove challenging, especially for a novice practitioner. As a result, key diagnostic signs may be missed or overlooked. This may cause nondiagnosis, misdiagnosis, or delay in the handling of time-dependent diagnoses (e.g. thrombolytic therapy decision for stroke and recognition of early shock in trauma). Therefore, the need for a comprehensive approach to the management of the patient who has simultaneous acute stroke and trauma is needed.
Methods:
We propose the Stroke-Trauma (STRAUMA) Code framework for use in the ED and by first-line healthcare staff. We used a trans-continental approach by testing our proposed STRAUMA framework at two centers: in the Department of Emergency Medicine at Singapore General Hospital in Singapore and in the Emergency Care Center at Sarasota Memorial Hospital in Sarasota, Florida, USA.
Results:
Both teams agreed that the new proposed STRAUMA Code framework is systematic, structured, and organized thus making it easier to apply in the clinical setting.
Conclusion:
A structured approach to manage the more complex cases presenting to the ED is useful so as not to miss important and often critical information and steps which will affect patient management as well as outcomes. |
| format | Article |
| id | doaj-art-3d9a8c33c24e4384a8e4617cb55de5e0 |
| institution | Matheson Library |
| issn | 0974-2700 0974-519X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Emergencies, Trauma and Shock |
| spelling | doaj-art-3d9a8c33c24e4384a8e4617cb55de5e02025-07-04T08:43:37ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27000974-519X2025-04-01182566110.4103/jets.jets_92_24STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of SurvivalFatimah LateefFrancesca LimLiew Yee KentM. Ng YA GenevieveMohamed Ridzuan Bin SulaimanSagar GalwankarRose V. GoncalvesDanielle GlazeMichael LaiIntroduction: In clinical practice, it is common to see stroke and trauma simultaneously in the same patient. When such a patient presents to the emergency department (ED), rapid assessment must be done to adequately manage both conditions. As the assessment will cover a significant number of steps and tasks to be accomplished, it may prove challenging, especially for a novice practitioner. As a result, key diagnostic signs may be missed or overlooked. This may cause nondiagnosis, misdiagnosis, or delay in the handling of time-dependent diagnoses (e.g. thrombolytic therapy decision for stroke and recognition of early shock in trauma). Therefore, the need for a comprehensive approach to the management of the patient who has simultaneous acute stroke and trauma is needed. Methods: We propose the Stroke-Trauma (STRAUMA) Code framework for use in the ED and by first-line healthcare staff. We used a trans-continental approach by testing our proposed STRAUMA framework at two centers: in the Department of Emergency Medicine at Singapore General Hospital in Singapore and in the Emergency Care Center at Sarasota Memorial Hospital in Sarasota, Florida, USA. Results: Both teams agreed that the new proposed STRAUMA Code framework is systematic, structured, and organized thus making it easier to apply in the clinical setting. Conclusion: A structured approach to manage the more complex cases presenting to the ED is useful so as not to miss important and often critical information and steps which will affect patient management as well as outcomes.https://journals.lww.com/10.4103/jets.jets_92_24checklistemergency medicinesimulationstraumastroketrauma |
| spellingShingle | Fatimah Lateef Francesca Lim Liew Yee Kent M. Ng YA Genevieve Mohamed Ridzuan Bin Sulaiman Sagar Galwankar Rose V. Goncalves Danielle Glaze Michael Lai STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival Journal of Emergencies, Trauma and Shock checklist emergency medicine simulation strauma stroke trauma |
| title | STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival |
| title_full | STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival |
| title_fullStr | STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival |
| title_full_unstemmed | STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival |
| title_short | STRAUMA Code: The Systematic Approach to Simultaneous Stroke and Trauma Assessment – Strengthening the “Stroke-Trauma” Chain of Survival |
| title_sort | strauma code the systematic approach to simultaneous stroke and trauma assessment strengthening the stroke trauma chain of survival |
| topic | checklist emergency medicine simulation strauma stroke trauma |
| url | https://journals.lww.com/10.4103/jets.jets_92_24 |
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