A meta-analysis of prehospital care times for trauma

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Brendan G CarrCharles C Branas

Abstract

Time to definitive care is a major determinant of trauma patient outcomes yet little is empirically known about prehospital times at the national level. We sought to determine national averages for prehospital times based on a systematic review of published literature. We performed a systematic literature search for all articles reporting prehospital times for trauma patients transported by helicopter and ground ambulance over a 30-year period. Forty-nine articles were included in a final meta-analysis. Activation time, response time, on-scene time, and transport time were abstracted from these articles. Prehospital times were also divided into urban, suburban, rural, and air transports. Statistical tests were computed using weighted arithmetic means and standard deviations. The data were drawn from 20 states in all four U.S. Census Regions and represent the prehospital experience of 155,179 patients. Average duration in minutes for urban, suburban, and rural ground ambulances for the total prehospital interval were 30.96, 30.97, and 43.17; for the response interval were 5.25, 5.21, and 7.72; for the on-scene interval were 13.40, 13.39, and 14.59; and for the transport interval were 10.77, 10.86, and 17.28. Average helicopter a...Continue Reading

References

May 4, 1979·JAMA : the Journal of the American Medical Association·M S EisenbergA Hallstrom
Aug 1, 1991·Annals of Emergency Medicine·R O Cummins, D A Chamberlain
Feb 1, 1990·Annals of Emergency Medicine·B HonigmanP T Pons
Mar 1, 1989·Annals of Emergency Medicine·S E JonesE Alcouloumre
Oct 1, 1988·Annals of Emergency Medicine·N C DeanP J Hawker
Apr 1, 1988·The Journal of Trauma·F W ClevengerH D Reines
Sep 1, 1988·The American Journal of Emergency Medicine·J R HedgesD W Haver
May 1, 1987·Archives of Surgery·S R ShackfordR W Virgilio
Aug 1, 1987·The Journal of Trauma·G J JurkovichA Luterman
Dec 1, 1986·Annals of Emergency Medicine·R E Burney, R P Fischer
Nov 1, 1986·The Journal of Trauma·M RhodesA Rappe
Jan 1, 1987·Annals of Emergency Medicine·T E AndersonM J Leicht
Apr 1, 1987·Annals of Emergency Medicine·A A CwinnN Dinerman
Jan 1, 1985·The Journal of Trauma·J P SmithC F Frey
Jun 1, 1985·Annals of Emergency Medicine·C AprahamianJ F Tucker
Jul 1, 1985·The Journal of Trauma·C W SchwabC N Hensleigh
Nov 25, 1974·JAMA : the Journal of the American Medical Association·J C Harvey
Jan 1, 1969·Archives of Surgery·L P Haacker
Nov 1, 1984·The Journal of Trauma·R P FischerJ H Duke
Jan 1, 1984·The Journal of Trauma·L M JacobsR B D'Agostino
Apr 1, 1984·Annals of Emergency Medicine·R RothG M Cannon
Jun 10, 1983·JAMA : the Journal of the American Medical Association·W G Baxt, P Moody
Jun 1, 1982·The Journal of Trauma·A S Gervin, R P Fischer
Dec 1, 1982·The Journal of Trauma·J R HedgesH R Champion
Jun 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·C C BranasS J Davidson
Jan 1, 1995·The Journal of Trauma·D C GrossmanR Rosenblatt
Mar 1, 1995·The American Journal of Emergency Medicine·S FeeroL Irwin
Apr 1, 1996·Journal of Epidemiology and Community Health·R Milne, M Thorogood
Nov 1, 1996·The Journal of Trauma·R NortonJ Hoyt
Apr 1, 1997·The Journal of Trauma·D C GrossmanR V Maier
Jul 1, 1997·Journal of the American College of Surgeons·A BlumenfeldJ Shemer
Jul 1, 1997·The Journal of Trauma·C S CocanourC M Ursic
Oct 1, 1995·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·M A MorriseyR Treat

❮ Previous
Next ❯

Citations

Oct 29, 2009·JAMA : the Journal of the American Medical Association·Matthew B KleinThomas Concannon
May 4, 2011·World Journal of Surgery·Håkon Kvåle Bakke, Torben Wisborg
Jan 1, 2010·International Journal of Emergency Medicine·Sultan Al-Shaqsi
Dec 22, 2012·Prehospital and Disaster Medicine·Amado Alejandro BáezSusan R Wilcox
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Eileen M BulgerUNKNOWN Resuscitation Outcomes Consortium Investigators
Jul 29, 2008·BMC Emergency Medicine·Malcolm J BoyleFrank Archer
Nov 17, 2012·BMC Health Services Research·Colman B TaylorJohn Myburgh
Oct 5, 2012·International Journal of Health Geographics·Alka B PatelWilliam A Ghali
Aug 22, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Iztok TomazinJanko Kersnik
Mar 5, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Håkon Kvåle BakkeTorben Wisborg
Mar 16, 2013·Journal of Emergencies, Trauma, and Shock·Mazen J El Sayed
Jul 28, 2012·International Journal of Critical Illness and Injury Science·Pallavi S UthkarshS Pruthvish
Jan 8, 2014·Archives of Trauma Research·Uthkarsh PallavisarjiRao Nagaraja Girish
Jul 20, 2014·British Journal of Anaesthesia·D J LockeyH M Lossius
Sep 10, 2014·Prehospital and Disaster Medicine·Mohammad ParavarAzade Sadat Mirzadeh
Jun 28, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brendan G CarrCharles C Branas
Nov 4, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Zamir MeraliEric M Massicotte
Jul 31, 2013·The American Journal of Emergency Medicine·Tomas BelzuneguiJose Antonio Sanz
Apr 16, 2013·Annals of Emergency Medicine·M Kit DelgadoJeremy D Goldhaber-Fiebert
Jan 10, 2013·Injury·Obi T OkoyeDemetrios Demetriades
Sep 25, 2012·The American Journal of Emergency Medicine·Nicholas J JohnsonRoger A Band
Sep 28, 2014·Critical Care : the Official Journal of the Critical Care Forum·Christopher W SeymourDerek C Angus
Aug 30, 2011·Annals of Emergency Medicine·Christopher W SeymourThomas D Rea
Apr 13, 2010·Journal of Critical Care·Christopher W SeymourDavid F Gaieski
Sep 29, 2009·Annals of Emergency Medicine·Craig D NewgardUNKNOWN Resuscitation Outcomes Consortium Investigators
Feb 10, 2009·Annals of Emergency Medicine·Brendan G CarrCarlos A Camargo
Jun 23, 2007·Injury·Bahman S RoudsariFrederick P Rivara
Apr 11, 2007·Resuscitation·K CrewdsonG Davies
Mar 19, 2009·Health Services Research·Guy David, Tanguy Brachet
Jan 8, 2009·Emergency Medicine Australasia : EMA·Matthew Vincent ShepherdLin Davis
Sep 21, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sage R MyersBrendan G Carr
Mar 21, 2016·Journal of Veterinary Emergency and Critical Care·Rita M HanelBrian Trumpatori
Jul 17, 2013·Journal of Clinical Epidemiology·Charles C BranasBrendan G Carr
Sep 17, 2015·Health Care Management Science·Seokcheon Lee
May 7, 2015·Scandinavian Journal of Medicine & Science in Sports·A D FlourisG P Kenny
May 5, 2010·Air Medical Journal·Scott E McIntoshScott T Youngquist
Apr 25, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Marc EcksteinStephen Sanko
Jul 20, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ross J FleischmanCraig Warden
Apr 19, 2015·BMC Research Notes·Isabelle BragardGilles Dupuis
Jul 8, 2016·Acta chirurgica Belgica·Martin Lucien TongletStephane Degesves

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Michael G MillinBrian Schwartz
Emergency Medicine Journal : EMJ
Kamilia S FunderJacob Steinmetz
Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Christopher W SeymourRoger A Band
JAMA : the Journal of the American Medical Association
Erik von Elm
International Journal of Critical Illness and Injury Science
Pallavi S UthkarshS Pruthvish
© 2021 Meta ULC. All rights reserved