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Prehospital time and mortality in pediatric trauma
PurposeThe “Golden Hour” of transportation to a hospital has long been accepted as a central principal of trauma care. However, this has not been...
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The accuracy of prehospital triage decisions in English trauma networks – a case-cohort study
BackgroundCare for injured patients in England is provided by inclusive regional trauma networks. Ambulance services use triage tools to identify...
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Accuracy between prehospital and hospital diagnosis in helicopter emergency medical services and its consequences for trauma care
PurposeFor optimal prehospital trauma care, it is essential to adequately recognize potential life-threatening injuries in order to correctly triage...
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Prehospital and emergency department airway management of severe penetrating trauma in Sweden during the past decade
BackgroundPrehospital tracheal intubation (TI) is associated with increased mortality in patients with penetrating trauma, and the utility of...
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Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis
IntroductionFocused assessment with sonography for trauma helps detect abdominal free fluid. Prehospital ultrasound scanning is also important...
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The forgotten cohort-lessons learned from prehospital trauma death: a retrospective cohort study
BackgroundTrauma related deaths remain a relevant public health problem, in particular in the younger male population. A significant number of these...
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Effect of urban vs. remote settings on prehospital time and mortality in trauma patients in Norway: a national population-based study
BackgroundNorway has a diverse population pattern and often long transport distances from injury sites to hospitals. Also, previous studies have...
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Trauma patient transport to hospital using helicopter emergency medical services or road ambulance in Sweden: a comparison of survival and prehospital time intervals
BackgroundThe benefits of helicopter emergency medical services (HEMS) transport of adults following major trauma have been examined with mixed...
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Changes in temperature in preheated crystalloids at ambient temperatures relevant to a prehospital setting: an experimental simulation study with the application of prehospital treatment of trauma patients suffering from accidental hypothermia
BackgroundAccidental hypothermia is common in all trauma patients and contributes to the lethal diamond, increasing both morbidity and mortality. In...
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Oral transmucosal fentanyl citrate analgesia in prehospital trauma care: an observational cohort study
BackgroundPain is one of the major prehospital symptoms in trauma patients and requires prompt management. Recent studies have reported insufficient...
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Hypocalcaemia upon arrival (HUA) in trauma patients who did and did not receive prehospital blood products: a systematic review and meta-analysis
PurposeHypocalcaemia upon arrival (HUA) to hospital is associated with morbidity and mortality in the trauma patient. It has been hypothesised that...
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Prehospital predictors of the need for transfusion in patients with major trauma
PurposeSevere haemorrhage is a leading cause of early mortality following major trauma. By early identification of patients at risk, blood...
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Prehospital transportation of severe penetrating trauma victims in Sweden during the past decade: a police business?
IntroductionSweden is facing a surge of gun violence that mandates optimized prehospital transport approaches, and a survey of current practice is...
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Critical hypertension in trauma patients following prehospital emergency anaesthesia: a multi-centre retrospective observational study
BackgroundCritical hypertension in major trauma patients is associated with increased mortality. Prehospital emergency anaesthesia (PHEA) is...
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In-hospital mortality after prehospital endotracheal intubation versus alternative methods of airway management in trauma patients. A cohort study from the TraumaRegister DGU®
PurposePrehospital airway management in trauma is a key component of care and is associated with particular risks. Endotracheal intubation (ETI) is...
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Predictors of post-intubation hypotension in trauma patients following prehospital emergency anaesthesia: a multi-centre observational study
BackgroundPost-intubation hypotension (PIH) after prehospital emergency anaesthesia (PHEA) is prevalent and associated with increased mortality in...
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The potential of point-of-care diagnostics to optimise prehospital trauma triage: a systematic review of literature
PurposeIn the prehospital care of potentially seriously injured patients resource allocation adapted to injury severity (triage) is a challenging....
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Risk factors and mortality associated with undertriage after major trauma in a physician-led prehospital system: a retrospective multicentre cohort study
PurposeTo assess the incidence of undertriage in major trauma, its determinant, and association with mortality.
MethodsA multicentre retrospective...
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The efficacy of prehospital IV fluid management in severely injured adult trauma patients: a systematic review and meta-analysis
PurposeThe most widely used prehospital strategy for the management of hemorrhagic shock or trauma accompanied by hypotension is fluid resuscitation....
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The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan
BackgroundEmergency medical service (EMS) providers are the first medical professionals to make contact with patients in an emergency. However, the...
