Management of polytraumatized patient in Emilia Romagna. Data analysis of nontrauma center Hub Emergency Department

Introduction Trauma still has a great impact in term of morbidity and mortality all over the world. In Emilia Romagna, a region of the north of Italy, the Integrated System of Assistance to Trauma (SIAT) was created to ensure the best management of prehospital and early in-hospital trauma patient. Materials and Methods We reporte and discuss the results of an experimental study done in Emergency Department of Ferrara; datas refer to management of prehospital and early in-hospital trauma patient in the biennium 2015-2016. Results Datas show an increase in cases handled in the hub center instead of in the spoke ones; anyway there was an increasing in centralizing patients in the regional Hub Trauma center. Trauma Team was correctly activated, with an increasing trend. In addition, raising percentage of admission in ICU was associated with the raising percentage of patients treated in emergency medicine ward. Conclusions This article allows us to reflect and discuss about prehospital and in hospital polytraumatized patient path. Thanks to this newborn protocol of centralisation, traumatic patients were uniformly managed in the Western Emilia Romagna SIAT; trauma had a multidisciplinary approach and more appropriate admission. This resulted in optimizing the whole process from the income to the outcome of the patient. Moreover, the hospital of the study showed to be ready to cover the amount of trauma, except for those patients who needed to an hyperspecialistic approach.