Selective Prehospital Advanced Resuscitative Care - Developing a Strategy to Prevent Prehospital Deaths From Noncompressible Torso Hemorrhage

Zaffer Qasim, Frank K. Butler, John B. Holcomb, Joseph G. Kotora, Brian J. Eastridge, Karim Brohi, Thomas M. Scalea, C. William Schwab, Brendon Drew, Jennifer Gurney, Jan O. Jansen, Lewis J. Kaplan, Matthew J. Martin, Todd E. Rasmussen, Stacy A. Shackelford, Eric A. Bank, Darren Braude, Megan Brenner, Francis X. Guyette, Bellal JosephWilliam R. Hinckley, Jason L. Sperry, Juan Duchesne

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)7-14
Number of pages8
JournalShock (Augusta, Ga.)
Volume57
Issue number1
DOIs
StatePublished - Jan 1 2022

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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