OBJECTIVE We evaluated the benefit of emergency medical services providers' placing a second intravenous (IV) line in the prehospital trauma setting. Our hypothesis was that the placement of a second IV catheter in trauma does not result in an improvement in heart rate, blood pressure, rehospitalizaton rate, or 30-day mortality. METHODS A retrospective chart review of 320 trauma patients in a...

The military has long been interested in advanced decision-support capabilities for combat casualty care in which an automated computer algorithm processes available data and, through artificial intelligence, offers caregivers accurate information about the state of the casualty. However, two major obstacles have impeded these capabilities. First, routine vital signs have been speculated to be ...

This study aimed to exhaustively examine associations between prehospital variables and emergency care resource needs among blunt trauma patients. The study included blunt trauma patients aged 15 years or older who were admitted to a tertiary care medical center in Osaka, Japan, from January 2005 to December 2009. The primary end point was a composite measure of overall emergency care resource ...

The impact of prehospital care on the outcome of patients with a traumatic brain injury has investigated in Sweden and the results from Rudehill et al. [14] showed a positive impact on postresuscitation neurological status and therefore better neurological outcome because of an effective prehospital care [13]. Prehospital care has increased in terms of both medical and technical competence [14]...

Copyright © 2015, Kashan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. Trauma is one of the most impor...

BACKGROUND We previously showed that in the absence of a formal emergency system, lay people face a heavy burden of injuries in Kampala, Uganda, and we demonstrated the feasibility of a basic prehospital trauma course for lay people. This study tests the effectiveness of this course and estimates the costs and cost-effectiveness of scaling up this training. METHODS AND FINDINGS For six months...

INTRODUCTION The use of guidelines regarding the termination or withholding of cardiopulmonary resuscitation (CPR) in traumatic cardiac arrest patients remains controversial. This study aimed to describe the outcomes for victims of penetrating and blunt trauma who received prehospital CPR. METHODS We conducted a retrospective review of a statewide major trauma registry using data from 2001 to...