An Evidence-based Prehospital Guideline for External Hemorrhage Control: American College of Surgeons Committee on Trauma
@article{Bulger2014AnEP, title={An Evidence-based Prehospital Guideline for External Hemorrhage Control: American College of Surgeons Committee on Trauma}, author={Eileen M. Bulger and David Snyder and Karen Schoelles and Catherine S. Gotschall and Drew E. Dawson and Eddy S. Lang and Nels D. Sanddal and Frank K. Butler and Mary E. Fallat and Peter Taillac and Lynn J White and Jeffrey P. Salomone and William Seifarth and Michael J Betzner and Jay A. Johannigman and Norman E. Mcswain}, journal={Prehospital Emergency Care}, year={2014}, volume={18}, pages={163 - 173} }
Abstract This report describes the development of an evidence-based guideline for external hemorrhage control in the prehospital setting. This project included a systematic review of the literature regarding the use of tourniquets and hemostatic agents for management of life-threatening extremity and junctional hemorrhage. Using the GRADE methodology to define the key clinical questions, an expert panel then reviewed the results of the literature review, established the quality of the evidence…
181 Citations
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References
SHOWING 1-10 OF 79 REFERENCES
Prehospital interventions performed in a combat zone: A prospective multicenter study of 1,003 combat wounded
- MedicineThe journal of trauma and acute care surgery
- 2012
In a prospective study of prehospital LSIs performed in a combat zone, a higher rate of incorrectly performed and missed LSIs in airway and chest (breathing) interventions than hemorrhage control interventions is observed.
The Development of Evidence-based Prehospital Guidelines Using a GRADE-based Methodology
- MedicinePrehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
- 2014
The National Prehospital EBG Model Process can be used to create credible, transparent, and usable prehospital evidence-based guidelines and it is suggested that a centralized or regionalized approach beused to create and maintain a full set of prehospital EBGs as a means of optimizing resource use.
Tranexamic Acid for Trauma-Related Hemorrhage
- MedicineAdvanced emergency nursing journal
- 2014
It is critical for emergency medicine providers to be familiar with appropriate use of tranexamic acid in order to maximize efficacy and decrease the potential adverse events.
QuikClot use in trauma for hemorrhage control: case series of 103 documented uses.
- MedicineThe Journal of trauma
- 2008
QuikClot, a zeolite that works by absorbing water and concentrating coagulation factors to stop bleeding in a series of patients, has been effectively used by a wide range of providers in the field and hospital to control hemorrhage.
The Eastern Association of the Surgery of Trauma approach to practice management guideline development using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology
- MedicineThe journal of trauma and acute care surgery
- 2012
The purpose of this article was to describe the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology.
A national model for developing, implementing, and evaluating evidence-based guidelines for prehospital care.
- MedicineAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine
- 2012
According to the model, prehospital EBG development would begin with the input of evidence from various external sources, and the Grading of Recommendations, Assessment, Development, and Evaluation methodology would be used to determine a quality-of-evidence rating and a strength of recommendation related to the patient care guidelines.
Guidelines for Field Triage of Injured Patients: Recommendations of the National Expert Panel on Field Triage
- MedicinePediatrics
- 2009
This report describes the process and rationale used by the Expert Panel on Field Triage to revise the Decision Scheme, an algorithm that guides EMS providers through four decision steps to determine the most appropriate destination facility within the local trauma care system.
Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011.
- MedicineMMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports
- 2012
This report describes the dissemination and impact of the 2006 Guidelines; outlines the methodology used by the Panel for its 2011 review; explains the revisions and modifications to the physiologic, anatomic, mechanism-of-injury, and special considerations criteria; updates the schematic of the2006 Guidelines; and provides the rationale used byThe Panel for these changes.
Tourniquets: A Review of Current Use with Proposals for Expanded Prehospital Use
- MedicinePrehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
- 2008
The physiologic, pathophysiologic, andclinical underpinnings of safe tourniquet use are reviewed here, along with a discussion of alternatives to tournique use and future directions in which tourniques research andother initiatives will further enhance the safe, rational use of this potentially life-saving tool.
Prehospital emergency care: evaluation of the junctional emergency tourniquet tool with a perfused cadaver model.
- MedicineJournal of special operations medicine : a peer reviewed journal for SOF medical professionals
- 2014
The JETT is a single device capable of effectively and quickly controlling bilateral lower extremity junctional hemorrhage at normal physiological blood pressures.