Paramedic vs private transportation of trauma patients. Effect on outcome

Archives of Surgery
D DemetriadesK Alo

Abstract

Prehospital emergency medical services (EMS) play a major role in any trauma system. However, there is very little information regarding the role of prehospital emergency care in trauma. To investigate this issue, we compared the outcome of severely injured patients transported by paramedics (EMS group) with the outcome of those transported by friends, relatives, bystanders, or police (non-EMS group). We compared 4856 EMS patients with 926 non-EMS patients. General linear model analysis was performed to test the hypothesis that hospital mortality is the same in EMS and non-EMS cases, controlling for the following confounding factors, which are not affected by mode of transportation: age, gender, mechanism of injury, cause of injury, Injury Severity Score (ISS), and severe head injury. Crude, specific, and adjusted mortality rates and relative risks were also derived for the EMS and non-EMS groups. Large, urban, academic level I trauma center. All patients meeting the criteria for major trauma. The two groups were similar with regard to mechanism of injury and the need for surgery or intensive care unit admission. The crude mortality rate was 9.3% in the EMS group and 4.0% in the non-EMS group (relative risk, 2.32; P < .001). Af...Continue Reading

Citations

Jan 1, 2009·International Journal of Emergency Medicine·Scott G WeinerJessica D Goetz
Mar 24, 2004·Injury·Stefano Di BartolomeoUNKNOWN Regional Study-Group on Major Injury
Jan 8, 2000·The Surgical Clinics of North America·J I Sanchez, C N Paidas
Mar 1, 2003·The Journal of Emergency Medicine·Tracy YoungCraig Zwerling
Feb 1, 2003·Annals of Surgery·Moishe LibermanJohn S Sampalis
Feb 1, 2003·Annals of Surgery·David Hoyt
Nov 16, 1996·BMJ : British Medical Journal·M CookeR Smith
Nov 8, 2002·Emergency Medicine Journal : EMJ·M RevellI Greaves
Nov 21, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Stephen J M SollidUNKNOWN Pre-hospital advanced airway management expert group
Nov 26, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Olli-Pekka RyynänenAntti Malmivaara
Sep 29, 2004·American Journal of Public Health·Corinne Peek-AsaLorann Stallones
Apr 24, 2013·The Journal of Trauma and Acute Care Surgery·Joshua B BrownUNKNOWN Inflammation and the Host Response to Injury Investigators
Jan 7, 2014·Annals of Emergency Medicine·Roger A BandBrendan G Carr
Sep 25, 2012·The American Journal of Emergency Medicine·Nicholas J JohnsonRoger A Band
Aug 14, 2012·The Journal of Emergency Medicine·Russell Griffin, Gerald McGwin
Nov 28, 2006·The Surgical Clinics of North America·Eileen M Bulger, Ronald V Maier
Dec 21, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Roger A BandBrendan G Carr
Jun 3, 2004·Resuscitation·Linda E PelinkaWalter Mauritz
Mar 13, 1998·Emergency Medicine Clinics of North America·F R Melio
Feb 26, 2004·Critical Care Clinics·Christopher F Richards, John C Mayberry
Jul 23, 2014·Air Medical Journal·Mark SheilsNicholas D Caputo
Jul 9, 2016·Anaesthesia Critical Care & Pain Medicine·Mathias Rossignol
Jan 28, 2020·International Journal of Injury Control and Safety Promotion·Mathew Varghese
Oct 4, 2006·Current Opinion in Anaesthesiology·W F Dick, W Mauritz
Nov 28, 2002·Current Opinion in Critical Care·Wolfgang Ummenhofer, Daniel Scheidegger
Oct 4, 2006·Current Opinion in Anaesthesiology·M J Davis, M J Parr
Aug 20, 2019·The Journal of Trauma and Acute Care Surgery·Anna GoldenbergJoshua P Hazelton
Jul 29, 2015·The Journal of Trauma and Acute Care Surgery·Jonathan P MeizosoKenneth G Proctor
Aug 27, 2015·The Journal of Trauma and Acute Care Surgery·Joseph F RappoldAmy J Goldberg
Nov 26, 2003·Current Opinion in Critical Care·Grant V Bochicchio, Thomas M Scalea
Jun 11, 2002·International Anesthesiology Clinics·Richard P Dutton
Aug 26, 1998·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M J PollockK A Dunn
Mar 12, 2003·Prehospital and Disaster Medicine·Hans O Birk, Lars O Henriksen
Nov 3, 2007·Current Opinion in Critical Care·Moishe Liberman, Bahman S Roudsari
Oct 11, 2015·International Journal of Emergency Medicine·Mahmoudreza PeyraviAmir Khorram-Manesh
Feb 26, 2016·International Journal of Environmental Research and Public Health·Chun-Ying HuangChing-Hua Hsieh
Feb 3, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R E O'ConnorS J Davidson
Mar 5, 2003·Clinical Orthopaedics and Related Research·Edward E Cornwell

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