Critical illness intersects with the workload of rural doctors in Australia, mostly via their on-call responsibilities to rural hospitals. A significant proportion of these are prehospital incidents - vehicle crashes, farming injuries, bushfire etc. Effective care for such patients requires an integration of prehospital ambulance services, retrieval services and tertiary level trauma services a...

Blomberg, H. 2013. Influence of The Education and Training of Prehospital Medical Crews on Measures of Performance and Patient Outcomes. Acta Universitatis Upsaliensis. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 863. 59 pp. Uppsala. ISBN 978-91-554-8589-4. Prehospital care has developed dramatically the last decades with the implementation of new devic...

Road traffic crash-related death, injury, and chronic disability continue to be a major worldwide burden to drivers, pedestrians, and users of mass transit, especially in low- and middle-income countries (LMIC). Projections predict worsening of this burden, and while motorization of LMIC increases exponentially, a corresponding improvement in prehospital and acute in-hospital trauma care has no...

Focused assessment with sonography for trauma (FAST) is a part of resuscitation of trauma patients recommended by international panel consensus. The purpose of FAST is to identify free fluid, which necessarily means blood in acute trauma patients. In this article, the authors focused on various aspects of FAST in the emergency department, prehospital care, pediatric setting, training and genera...

Trauma care in the general population has largely become protocol-driven, with an emphasis on fast and efficient treatment, good team communication at all levels of care including prehospital care, initial resuscitation, intensive care, and rehabilitation. Most available literature on trauma care has focused on adults, allowing the potential to apply concepts from adult care to pediatric care. ...

introduction this study determines the effect of prehospital time and advanced trauma life support interventions for trauma patients transported to an our trauma center. materials and methods this study was a retrospective study of trauma victims presenting to a trauma center in central iran by emergency medical services (ems) and hospitalized for more than 24 hours. demographic and injury char...

Introduction Prehospital trauma systems have been shown to significantly reduce mortality in resource limited areas[1]. Nepal has an annual per-capita health expenditure of $30[2]. In 2012, the first professionally trained, non profit Nepali Ambulance Service (NAS) began operations with five ambulances. It is a non-profit initiative in Kathmandu valley aiming to deliver rapid ambulance transpor...

BACKGROUND Only a few studies have addressed the trimodal distribution of childhood trauma fatalities in lesser developed countries. We conducted this study to evaluate pre-hospital, Emergency Department (ED) and in-hospital distribution of childhood injury-related death for each mechanism of injury in Tehran, Iran. This information will be used for the efficient allocation of the limited injur...

BACKGROUND The utility of advanced prehospital interventions for severe blunt traumatic brain injury (BTI) remains controversial. Of all trauma patient subgroups it has been anticipated that this patient group would most benefit from advanced prehospital interventions as hypoxia and hypotension have been demonstrated to be associated with poor outcomes and these factors may be amenable to preho...

BACKGROUND Few data exist supporting a survival benefit to prehospital endotracheal intubation (ETI) over bag-valve-mask ventilation (BVM) in trauma patients. METHODS Data were reviewed from all trauma patients transported to our Level I trauma center receiving prehospital ETI or BVM. Mortality was adjusted by age, Revised Trauma Score, Injury Severity Score, and mechanism of injury (penetrat...