XXXX team activation can be tailored by prehospital criteria.

@entity1 @entity772 @entity130
A two phase prospective study was carried out at a regional Level I @entity130 center over 1 year. Phase I involved collecting observational data to determine which @entity130 criteria could potentially be used to identify @entity1 that could be evaluated by a lower level @entity130 activation (category-3). A category-3 involved a smaller response team with priority access to imaging. Phase II involved implementing this third tier activation system and prospectively evaluating the outcomes related to resources and @entity1 care. A total of 3104 @entity1 were evaluated with 2076 @entity1 in phase I and 1037 in phase II. Three commonly identified activation criteria out of the 36 studied were not associated with admission. These criteria were pedestrian struck by vehicle, high speed vehicular crash, and Glasgow @entity772 Score 12-14. These criteria were then used as triggers for a category-3 activation in phase II. Comparisons of @entity1 with these three identified criteria between phase I and II demonstrated that significantly fewer @entity1 were admitted, charges were reduced, emergency department times were similar, and less @entity1 -power hours were needed in phase II. The utilization of a third tiered activation system resulted in a decrease utilization of many resources without sacrificing @entity1 care.
