Prehospital trauma care: what do we really know?

@article{Liberman2007PrehospitalTC,
  title={Prehospital trauma care: what do we really know?},
  author={M. Liberman and B. Roudsari},
  journal={Current Opinion in Critical Care},
  year={2007},
  volume={13},
  pages={691–696}
}
Purpose of reviewThe prehospital care of injured patients has been surrounded with much controversy over the years. This controversy exists regarding the specific interventions used on-scene and en-route to definitive care centers, regarding the overall approach to the care of these patients (advanced life support versus basic life support) and with regards to who should be providing this care. This section of the journal aims to review the most current literature concerning these topics as… Expand
Prehospital trauma care: a clinical review.
TLDR
A balance between "scoop and run" and "stay and play" is probably the best approach for trauma patients in the prehospital period, according to the mechanism of injury, distance to the trauma center and the available resources. Expand
Prehospital Care and In-Hospital Initial Trauma Management
TLDR
The management of trauma patients involves extremely complex logistics, across several levels of any healthcare system, and multiple providers with different training are called to face technical, organizational, clinical, and communication challenges in a significantly time-constrained situation. Expand
Prehospital care of severely injured trauma patients : studies on management, assessment, and outcome
TLDR
The results indicated that prehospital prioritization among the severely injured and the assessment and management of parameters related to head trauma differed between genders, and pre-hospital intubation could not be related to outcome. Expand
Is advanced life support better than basic life support in prehospital care? A systematic review
TLDR
ALS seems to improve survival in patients with myocardial infarction and BLS seems to be the proper level of care for patients with penetrating injuries. Expand
Prehospital Trauma Care
TLDR
In inhospital trauma care providers should take interest in the quality of prehospital care as well as the qualityof the rehabilitation program following acute inhospital care. Expand
The Chain of Survival. Studies of a prehospital trauma system in Iraq
TLDR
The mortality rate was significantly lower among patients initially managed in-field by first responders compared to patients without first-responder support, demonstrating that simple interventions done early—by any type of trained care provider—are crucial for trauma survival. Expand
Prehospital Trauma Life Support for Companion Animals and 'Operational Canines'.
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  • Medicine
  • Journal of veterinary emergency and critical care
  • 2016
TLDR
The Veterinary Committee on Trauma’s (VetCOT) Prehospital Trauma Care Best Practice recommendations for dogs and cats should be considered as best practice clinical recommendations for the most common veterinary conditions that may be encountered in a prehospital scenario. Expand
Prehospital Trauma System Reduces Mortality in Severe Trauma: A Controlled Study of Road Traffic Casualties in Iraq
TLDR
Where prehospital transport time is long, a two-tier prehospital system of trained paramedics and layperson first responders reduces trauma mortality in severe RTA injuries. Expand
Does the presence of an emergency physician influence pre-hospital time, pre-hospital interventions and the mortality of severely injured patients? A matched-pair analysis based on the trauma registry of the German Trauma Society (TraumaRegister DGU®).
TLDR
This retrospective analysis shows that there was no significant difference in mortality although patients who were attended by an emergency physician and those who received non-physician care received fewer pre-hospital interventions with similar scene times, and definitive conclusions are not allowed to be drawn about the optimal model of pre- hospital care. Expand
Evaluating the impact of prehospital care on mortality following major trauma in New Zealand: a retrospective cohort study
  • B. Kool, R. Lilley, +6 authors S. Ameratunga
  • Medicine
  • Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
  • 2021
TLDR
The study findings will help identify opportunities to optimise the delivery of EMS care in New Zealand by informing the development or revision of existing major trauma EMS policies and guidelines, and to provide a baseline for monitoring the impact of future initiatives. Expand
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