Chapter 1 – Trauma Operating Room

Abstract

A large operating room (OR) situated near the emergency department, elevators, and ICU should be designated as the Trauma OR to facilitate the logistics of patient flow and minimize transport. The room should be securable for high profile patients.
A contingency plan for multiple simultaneous operations should be in place with the operating rooms in sufficient proximity to allow nursing and anesthesia cross-coverage and facilitate supervision of the surgical teams. Direct lines of communication between the OR, resuscitation area, ICU, other ORs, blood bank, and laboratory should be in place.
All rooms should have ample overhead lighting as well as access to portable headlamps.
Multiple monitors to display imaging, vital signs, and laboratory such as thromboelastometry, should be in place.
Hybrid operating and interventional radiology teams should be familiar with operating in the hybrid room.
A dedicated family waiting room should be identified, and all family should be directed to this area for the postoperative discussion.

Chapter 1 Trauma Operating Room

Brian Mecklenburg , Lisa L. Schlitzkus , and Kenji Inaba

General Principles

A large operating room (OR) situated near the emergency department, elevators, and ICU should be designated as the Trauma OR to facilitate the logistics of patient flow and minimize transport. The room should be securable for high profile patients.
A contingency plan for multiple simultaneous operations should be in place with the operating rooms in sufficient proximity to allow nursing and anesthesia cross-coverage and facilitate supervision of the surgical teams. Direct lines of communication between the OR, resuscitation area, ICU, other ORs, blood bank, and laboratory should be in place.
All rooms should have ample overhead lighting as well as access to portable headlamps.
Multiple monitors to display imaging, vital signs, and laboratory such as thromboelastometry, should be in place.
Hybrid operating and interventional radiology teams should be familiar with operating in the hybrid room.
A dedicated family waiting room should be identified, and all family should be directed to this area for the postoperative discussion.

Figure 1.1 The trauma operating room should be spacious in order to allow multiple surgical teams operating simultaneously. Multiple and large monitors should display vital signs, images, and laboratory results.

Figure 1.2

(a) A hybrid operating room is highly valuable in severe multitrauma. Surgical teams and angiointervention specialists can work simultaneously without having to move the patient to the radiology suite.

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