In trauma care, time is not just money—it’s mortality, morbidity, and meaningful metrics. From the moment a patient’s wheels cross the ED threshold to the minute a trauma activation is triggered and the second a life‑saving intervention is performed, timestamps narrate the entire performance of a trauma system. These seemingly small numerical markers become the backbone of Performance Improvement (PI), ensuring that trauma teams don’t just save lives—they learn from every encounter.

Hypothermia is one of the most dangerous complications in trauma care, and importantly, it does not only occur in the prehospital environment. Even inside the trauma bay, exposure required for rapid assessment and lifesaving interventions frequently triggers unintended heat loss. This internal, iatrogenic exposure can quickly push trauma patients into hypothermia, accelerating their progression into the Diamond of Death—hypothermia, acidosis, coagulopathy, and hypocalcemia (Trauma Nursing, 2024).