PMID: 9191657May 1, 1997Paper

Effect of the prehospital trauma life support program (PHTLS) on prehospital trauma care

The Journal of Trauma
J AliJ I Williams

Abstract

Improvement in trauma patient outcome has been demonstrated after the implementation of the Prehospital Trauma Life Support (PHTLS) program in Trinidad and Tobago. This study was aimed at identifying prehospital care factors that may explain this improvement. All patients transferred by ambulance to the major trauma referral hospital had assessment of airway control, oxygen use, cervical (C)-spine control, and hemorrhage control, as well as splinting of extremities during pre-PHTLS (July of 1990 to December of 1991; n = 332) and post-PHTLS periods (January of 1994 to June of 1995; n = 350). Pre-PHTLS data were compared with post-PHTLS data by chi 2 analysis with a p value < or = 0.05 being considered statistically significant. The frequency (%) increased in the post-PHTLS period for airway control (10 vs. 99.7%), C-spine control (2.1 vs. 89.4%), splinting of extremities (22 vs. 60.6%), hemorrhage control (16 vs. 96.9%), and oxygen use (6.6 vs. 89.5%) when no specific problem was identified. When a specific problem was identified in these areas, the post-PHTLS percentage also increased for airway control (16.2 vs. 100%), C-spine control (25 vs. 100%), splinting of extremities (33.9 vs. 100%), hemorrhage control (18 vs. 100%), an...Continue Reading

References

Jun 11, 1992·The Journal of Trauma·L A DurhamK L Mattox
Nov 1, 1990·The Journal of Emergency Medicine·J S Haller
Dec 1, 1986·Annals of Emergency Medicine·P E PepeM K Copass
Jan 1, 1985·The Journal of Trauma·J P SmithC F Frey
Jan 25, 1985·JAMA : the Journal of the American Medical Association·J P Smith, B I Bodai
Jan 1, 1984·The Journal of Trauma·L M JacobsR B D'Agostino
Oct 27, 1994·The New England Journal of Medicine·W H BickellK L Mattox

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Citations

Nov 17, 2001·Social Science & Medicine·M Nurok
Aug 22, 2013·Journal of Neurotrauma·Terje SundstrømKnut Wester
Jan 27, 2000·The Journal of Trauma·C Arreola-RisaG J Jurkovich
Jun 19, 2003·The Journal of Trauma·Charles Mock
May 13, 2008·The Journal of Trauma·Jameel Ali
Jul 9, 2013·National Journal of Maxillofacial Surgery·Sukhminder Jit Singh BajwaGagandeep Singh Ghai
Aug 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ping Fung Kon JinKees Jan Ponsen
Aug 28, 2013·Journal of the American College of Surgeons·Hans BlombergRolf Gedeborg
Jan 6, 2016·The Indian Journal of Surgery·Jameel AliMahesh C Misra
Jul 21, 2007·Injury·Bahman S RoudsariFrederick P Rivara
Aug 16, 2008·Acta Anaesthesiologica Scandinavica·P BerlacUNKNOWN Scandinavian Society for Anesthesiology and Intensive Care Medicine
May 27, 2006·Accident; Analysis and Prevention·Wen-Hsian ChangYu-Hern Chang
Jul 13, 2004·Injury·Wouter J VlesLoek P H Leenen
Sep 23, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Richard Bruce SchwartzE Brooke Lerner
Jul 8, 2016·Acta chirurgica Belgica·Martin Lucien TongletStephane Degesves
Mar 17, 2016·Acta ortopedica brasileira·Fabiana de Godoy CasimiroAlberto Cliquet
Apr 5, 2005·Journal of the American College of Surgeons·Norman E McSwain
Jun 1, 1997·The Journal of Trauma·J AliJ I Williams
Nov 18, 2005·Current Opinion in Critical Care·Charles MockCarlos Arreola-Risa
Jan 27, 2017·Annual Review of Public Health·Teri A ReynoldsCharles Mock
Oct 27, 2018·BMJ Open Sport & Exercise Medicine·Rhea Viola MebertAristomenis Konstantinos Exadaktylos
Dec 19, 2015·The Journal of Trauma and Acute Care Surgery·Kyle K SokolMatthew J Eckert
Jun 30, 2012·The Journal of Trauma and Acute Care Surgery·Jaymie Ang Henry, Arthur Lawrence Reingold
Jul 28, 2012·Revista do Colégio Brasileiro de Cirurgiões·Romeo Lages SimõesDanilo Nagib Salomão Paulo
Dec 13, 2016·Prehospital and Disaster Medicine·Ahmed ZakariahCharles Mock
Jan 14, 2005·Prehospital and Disaster Medicine·Carlos Arreola-RisaJorge Vargas
Jun 22, 2002·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S K D'AmoursS A Deane
Jun 15, 2006·Prehospital and Disaster Medicine·Luis Mauricio Pinet Peralta
May 13, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Michel TeubenKai Sprengel
Apr 10, 2021·World Journal of Surgery·James JinUNKNOWN International Society of Surgery (ISS) and the G4 Alliance International Standards and Guidelines for Quality Safe Surgery a
Jun 19, 2021·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Zachary J EisnerJohn W Scott
Jul 14, 2021·Der Anaesthesist·C JaekelUNKNOWN Sektion Notfall‑, Intensivmedizin und Schwerverletztenversorgung (Sektion NIS) der DGU

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