STUDY OBJECTIVE: To evaluate the relationship among injury severity, prehospital procedures, and time spent at the scene by paramedics for victims of major trauma. DESIGN: Retrospective study of 98 consecutive patients with an Injury Severity Score of more than 15 who were brought to a trauma center by fire department paramedics. SETTING: A medium-sized metropolitan emergency medical services (EMS) system and a Level I trauma center. RESULTS: There were 66 male and 32 female patients with a mean age of 34 years. Thirty-two patients (32.6%) died. Blunt and penetrating trauma accounted for 68.4% and 31.6% of cases, respectively. Thirty-three patients (33.7%) had successful advanced airway procedures, and 81 (82.7%) had at least one IV line started in the field. Analysis of scene time, prehospital procedures, and injury severity parameters revealed that more procedures were performed in the field on the more severely injured cases; that despite this, there was a trend toward shorter scene time for more severely injured patients; and that there was a mean scene time of 8.1 minutes. This is the shortest scene time reported to date for prehospital trauma care in an EMS system. CONCLUSION: Extremely short scene times can be attained without foregoing potentially life-saving advanced life support interventions in an urban EMS system with strong medical control. In such a system, the most severely injured victims may spend less time at the scene although more procedures are performed on them.
STUDY OBJECTIVE: To evaluate the relationship among injury severity, prehospital procedures, and time spent at the scene by paramedics for victims of major trauma. DESIGN: Retrospective study of 98 consecutive patients with an Injury Severity Score of more than 15 who were brought to a trauma center by fire department paramedics. SETTING: A medium-sized metropolitan emergency medical services (EMS) system and a Level I trauma center. RESULTS: There were 66 male and 32 female patients with a mean age of 34 years. Thirty-two patients (32.6%) died. Blunt and penetrating trauma accounted for 68.4% and 31.6% of cases, respectively. Thirty-three patients (33.7%) had successful advanced airway procedures, and 81 (82.7%) had at least one IV line started in the field. Analysis of scene time, prehospital procedures, and injury severity parameters revealed that more procedures were performed in the field on the more severely injured cases; that despite this, there was a trend toward shorter scene time for more severely injured patients; and that there was a mean scene time of 8.1 minutes. This is the shortest scene time reported to date for prehospital trauma care in an EMS system. CONCLUSION: Extremely short scene times can be attained without foregoing potentially life-saving advanced life support interventions in an urban EMS system with strong medical control. In such a system, the most severely injured victims may spend less time at the scene although more procedures are performed on them.
Authors: Silke Aldrian; Simon Wernhart; Lukas Negrin; Gabriel Halat; Elisabeth Schwendenwein; Vilmos Vécsei; Stefan Hajdu Journal: Wien Klin Wochenschr Date: 2011-12-05 Impact factor: 1.704
Authors: Daniel P Davis; Kent M Koprowicz; Craig D Newgard; Mohamud Daya; Eileen M Bulger; Ian Stiell; Graham Nichol; Shannon Stephens; Jonathan Dreyer; Joseph Minei; Jeffrey D Kerby Journal: Prehosp Emerg Care Date: 2011-02-10 Impact factor: 3.077
Authors: David J Wallace; Jeremy M Kahn; Derek C Angus; Christian Martin-Gill; Clifton W Callaway; Thomas D Rea; Jagpreet Chhatwal; Kristen Kurland; Christopher W Seymour Journal: Acad Emerg Med Date: 2014-01 Impact factor: 3.451
Authors: Craig D Newgard; Robert H Schmicker; Jerris R Hedges; John P Trickett; Daniel P Davis; Eileen M Bulger; Tom P Aufderheide; Joseph P Minei; J Steven Hata; K Dean Gubler; Todd B Brown; Jean-Denis Yelle; Berit Bardarson; Graham Nichol Journal: Ann Emerg Med Date: 2009-09-23 Impact factor: 5.721
Authors: Ian G Stiell; Lisa P Nesbitt; William Pickett; Douglas Munkley; Daniel W Spaite; Jane Banek; Brian Field; Lorraine Luinstra-Toohey; Justin Maloney; Jon Dreyer; Marion Lyver; Tony Campeau; George A Wells Journal: CMAJ Date: 2008-04-22 Impact factor: 8.262
Authors: Xi Xiang Tan; Nicholas D Clement; Michael Frink; Frank Hildebrand; Christian Krettek; Christian Probst Journal: Indian J Crit Care Med Date: 2012-01