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Prehospital Mortality Due to Hemorrhagic Shock Remains High and Unchanged : A Summary of Current Civilian EMS Practices and New Military Changes

Duchesne, Juan (författare)
Department of Surgery Tulane, New Orleans, Louisiana, USA
Taghavi, Sharven (författare)
Department of Surgery Tulane, New Orleans, Louisiana, USA
Houghton, August (författare)
Department of Surgery Tulane, New Orleans, Louisiana, USA
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Khan, Mansoor (författare)
Academic Department of Military Surgery and Trauma, Royal Centre for Defense Medicine, UK
Perreira, Bruno (författare)
Department of Surgery and Surgical Critical Care, University of Campinas, Campinas, Brazil
Cotton, Bryan (författare)
Department of Surgery, University of Texas Health Science Center, Houston, Texas, USA
Tatum, Danielle (författare)
Trauma Specialist Program, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, USA
Brenner, Megan (författare)
Department of Surgery, University of California Riverside, Riverside, California, USA
Ferrada, Paula (författare)
VCU Surgery Trauma, Critical Care and Emergency Surgery, Richmond, Virginia, USA
Hörer, Tal M., 1971- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery
Kauvar, David (författare)
Vascular Surgery Service, San Antonio Military Medical Center, San Antonio, Texas, USA
Kirkpatrick, Andrew (författare)
Regional Trauma Services Foothills Medical Centre Departments of Surgery, Critical Care Medicine, University of Calgary, Calgary, Alberta
Ordonez, Carlos (författare)
Fundación Valle del Lili, Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Colombia
Priouzram, Artai (författare)
Department of Cardiothoracic and Vascular Surgery, Linköping University Hospital, Linköping, Sweden
Roberts, Derek (författare)
Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Ottawa, Ontario, Canada
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 (creator_code:org_t)
Lippincott Williams & Wilkins, 2021
2021
Engelska.
Ingår i: Shock. - : Lippincott Williams & Wilkins. - 1073-2322 .- 1540-0514. ; 56:1S, s. 3-8
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Mortality secondary to trauma related hemorrhagic shock has not improved for several decades. Underlying the stall in progress is the conundrum of effective pre-hospital interventions for hemorrhage control. As we know, neither pressing hard on the gas nor "Stay and play" have changed mortality over the last 20 years. For this reason, when dealing with effective changes that will improve severe hemorrhage mortality outcomes, there is a need for the creation of a hybrid pre-hospital model.Improvements in mortality outcomes for patients with severe hemorrhage based on evidence for common civilian prehospital procedures such as in-field intubation and immediate fluid resuscitation with crystalloid solution is weak at best. The use of tourniquets, once considered too risky to use, however, has risen dramatically in large part due success seen during their use in the military. Their use in the civilian setting shows promising results. Recently updated military Advanced Resuscitative Care (ARC) guidelines propose the use of prehospital whole blood transfusion as well as in-field use of Zone 1 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Several case studies from Europe suggest these strategies are feasible for use in the civilian population, but could they be implemented in the U.S.?

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

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