Selective Prehospital Advanced Resuscitative Care – Developing a Strategy to Prevent Prehospital Deaths From Noncompressible Torso Hemorrhage
| Autor: | C. William Schwab, Juan Duchesne, Brian J. Eastridge, Karim Brohi, Jason L. Sperry, Stacy Shackelford, Joseph G Kotora, Thomas M. Scalea, Zaffer Qasim, Jan O. Jansen, Frank K. Butler, Todd E. Rasmussen, Megan Brenner, Darren Braude, Francis X. Guyette, Jennifer M. Gurney, Matthew J. Martin, John B. Holcomb, Lewis J. Kaplan, Bellal Joseph, William R Hinckley, Brendon Drew, Eric A. Bank |
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| Rok vydání: | 2021 |
| Předmět: |
Patient Care Team
Emergency Medical Services medicine.medical_specialty Resuscitation business.industry Psychological intervention Torso Hemorrhage Critical Care and Intensive Care Medicine medicine.anatomical_structure Hemorrhagic shock Emergency Medicine medicine Humans Hemorrhage control Triage Intensive care medicine business |
| Zdroj: | Shock. 57:7-14 |
| ISSN: | 1540-0514 1073-2322 |
| DOI: | 10.1097/shk.0000000000001816 |
| Popis: | Hemorrhage, and particularly noncompressible torso hemorrhage (NCTH) remains a leading cause of potentially preventable prehospital death from trauma in the United States and globally. A subset of severely-injured patients either die in the field or develop irreversible hemorrhagic shock before they can receive hospital definitive care, resulting in poor outcomes. The focus of this opinion paper is to delineate (a) the need for existing trauma systems to adapt so that potentially life-saving advanced resuscitation and truncal hemorrhage control interventions can be delivered closer to the point-of-injury in select patients, and (b) a possible mechanism through which some trauma systems can train and incorporate select prehospital advanced resuscitative care teams to deliver those interventions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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