Optimizing Trauma Team Activation: A Mixed-Method Analysis of De-escalation, Re-consultation, and Clinician Decision-Making at a Level I Trauma Center.

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Title: Optimizing Trauma Team Activation: A Mixed-Method Analysis of De-escalation, Re-consultation, and Clinician Decision-Making at a Level I Trauma Center.
Authors: Tang CL; Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Burkholder TW; Department of Emergency Medicine, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Bridge JS; Department of Emergency Medicine, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Wong MD; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Burner ER; Department of Emergency Medicine, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Tian JY; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Siletz AE; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Matsushima K; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Inaba K; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA., Martin MJ; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.
Source: The American surgeon [Am Surg] 2026 Sep; Vol. 92 (9), pp. 2321-2332. Date of Electronic Publication: 2026 Mar 28.
Publication Type: Journal Article
Journal Info: Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE; In Process
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  Data: <searchLink fieldCode="AU" term="%22Tang+CL%22">Tang CL</searchLink>; Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Burkholder+TW%22">Burkholder TW</searchLink>; Department of Emergency Medicine, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Bridge+JS%22">Bridge JS</searchLink>; Department of Emergency Medicine, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Wong+MD%22">Wong MD</searchLink>; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Burner+ER%22">Burner ER</searchLink>; Department of Emergency Medicine, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Tian+JY%22">Tian JY</searchLink>; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Siletz+AE%22">Siletz AE</searchLink>; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Matsushima+K%22">Matsushima K</searchLink>; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Inaba+K%22">Inaba K</searchLink>; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.<br /><searchLink fieldCode="AU" term="%22Martin+MJ%22">Martin MJ</searchLink>; Division of Trauma and Acute Care Surgery, Department of Surgery, Los Angeles General Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.
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  Data: <searchLink fieldCode="JN" term="%220370522%22">The American surgeon</searchLink> [Am Surg] 2026 Sep; Vol. 92 (9), pp. 2321-2332. <i>Date of Electronic Publication: </i>2026 Mar 28.
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              Text: 2026 Sep
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