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Temporal changes in the prehospital management of trauma patients: 2014-2021.
Bradford, James M; Teixeira, Pedro G; DuBose, Joseph; Trust, Marc D; Cardenas, Tatiana Cp; Golestani, Simin; Efird, Jessica; Kempema, James; Zimmerman, Jessica; Czysz, Clea; Robert, Michelle; Ali, Sadia; Brown, Lawrence H; Brown, Carlos Vr.
Afiliación
  • Bradford JM; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: James.bradford@utexas.edu.
  • Teixeira PG; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: pgteixeira@austin.utexas.edu.
  • DuBose J; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: joseph.dubose@austin.utexas.edu.
  • Trust MD; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: mdtrust@ascension.org.
  • Cardenas TC; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: tatiana.cardenas@ascension.org.
  • Golestani S; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: sgolestani@mcw.edu.
  • Efird J; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: Jessica.efird@ascension.org.
  • Kempema J; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: jkempema@ascension.org.
  • Zimmerman J; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: jessicaturner@utexas.edu.
  • Czysz C; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: cczysz@ascension.org.
  • Robert M; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: michelle.robert@ascension.org.
  • Ali S; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: Sali2@ascension.org.
  • Brown LH; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: lhbrown@ascension.org.
  • Brown CV; Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, United States. Electronic address: carlos.brown@austin.utexas.edu.
Am J Surg ; 228: 88-93, 2024 Feb.
Article en En | MEDLINE | ID: mdl-37567816
ABSTRACT

INTRODUCTION:

Aggressive prehospital interventions (PHI) in trauma may not improve outcomes compared to prioritizing rapid transport. The aim of this study was to quantify temporal changes in the frequency of PHI performed by EMS.

METHODS:

Retrospective chart review of adult patients transported by EMS to our trauma center from January 1, 2014 to 12/31/2021. PHI were recorded and annual changes in their frequency were assessed via year-by-year trend analysis and multivariate regression.

RESULTS:

Between the first and last year of the study period, the frequency of thoracostomy (6% vs. 9%, p â€‹= â€‹0.001), TXA administration (0.3% vs. 33%, p â€‹< â€‹0.001), and whole blood administration (0% vs. 20%, p â€‹< â€‹0.001) increased. Advanced airway procedures (21% vs. 12%, p â€‹< â€‹0.001) and IV fluid administration (57% vs. 36%, p â€‹< â€‹0.001) decreased. ED mortality decreased from 8% to 5% (p â€‹= â€‹0.001) over the study period. On multivariate regression, no PHI were independently associated with increased or decreased ED mortality.

CONCLUSION:

PHI have changed significantly over the past eight years. However, no PHI were independently associated with increased or decreased ED mortality.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Servicios Médicos de Urgencia Límite: Adult / Humans Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Servicios Médicos de Urgencia Límite: Adult / Humans Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article