Oslo University Hospital

Notification Routines
From the scene of the accident, reports are made to the Emergency Medical Communication Center (AMK) and to the coordinator in the Emergency Department in accordance with specified criteria. The coordinator notifies the trauma team through a group search with key words on the calling display. The team members acknowledge via the calling. In the case of early warning, the team leader, who is responsible for communicating, among other things, to the chief anesthesiologist (862) / coordinator for intensive care units (581-73600) and to the interventional radiographer / radiologist / operating nurse, is informed about the use of Trauma-OP.

Graded Trauma Alarm
If physiology is affected, a large trauma team (Stort Team, ST) is called. In the case of serious injury without affected physiology, and accidents with high energy, but physiologically normal patients, a limited team (Lite Team, LT) is called. If the patient assigned to the Lite Team turns out to be more seriously injured or additional resources are needed, additional resources are called in. Personnel resources are graduated as early as possible after the primary survey. Both 833 and 832 should be present if the patient is critically ill. However, the vast majority of patients are not physiologically affected and must be handled by either 833 or 832 (by agreement between them), together with another LIS (829, 830, 831), who has passed the ATLS, as examining surgeon. This ensures a broadening of expertise, as well as flexibility, which means that other emergency operations are affected as little as possible. Transfer of a physiologically stable patient with presumed isolated head injury from another hospital is accepted by 833 or the one 833 delegates the task to, together with on-call neurosurgery (which fills in the trauma record and writes the income record). Patients who do not meet the criteria for admission to a trauma team can be seen by a surgeon in reception (832 or 833), and a trauma alarm can be triggered if necessary. For anaesthesia, separate individual assessments are made of whether to provide 2 nurses and/or doctors.