Selective Prehospital Advanced Resuscitative Care – Developing a Strategy to Prevent Prehospital Deaths From Noncompressible Torso Hemorrhage. Issue 1 (21st January 2022)

• Record Type: Journal Article
• Authors: Qasim, Zaffer; Butler, Frank K.; Holcomb, John B.; Kotora, Joseph G.; Eastridge, Brian J.; Brohi, Karim; Scalea, Thomas M.; Schwab, C. William; Drew, Brendon; Gurney, Jennifer; Jansen, Jan O.; Kaplan, Lewis J.; Martin, Matthew J.; Rasmussen, Todd E.; Shackelford, Stacy A.; Bank, Eric A.; Braude, Darren; Brenner, Megan; Guyette, Francis X.; Joseph, Bellal; Hinckley, William R.; Sperry, Jason L.; Duchesne, Juan
• Is Part Of: Shock. Volume 57:Issue 1(2022)
• Page Start: 7
• Page End: 14
• Publication Date: 2022-01-21
• Subjects: Hemorrhage -- noncompressible torso hemorrhage -- prehospital -- resuscitation; Shock -- Periodicals; Shock -- Periodicals; Choc (Pathologie) -- Périodiques; Shock; Periodicals; 616.0475
• DOI: 10.1097/SHK.0000000000001816
• Languages: English
• ISSNs: 1073-2322

Abstract

Abstract : ABSTRACT: Hemorrhage, and particularly noncompressible torso hemorrhage 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.