ATLS adherence in 250 polytrauma patients in India is of interest. While airway control and cervical spine immobilization were timely, delays in CT imaging and suboptimal transfusion ratios (PRBC: FFP = 1.5:1) were noted. Patients with ISS > 25 had significantly longer imaging times and higher mortality (21% vs. 9%). Overall, in-hospital mortality was 14%. Dedicated trauma teams and protocol optimization are recommended for improved outcomes.
Singh et al. (Sun,) studied this question.