Prehospital supplemental oxygen in trauma patients: its efficacy and implications for military medical care

Military Medicine
Zsolt T Stockinger, Norman E Mcswain

Abstract

Despite its near-universal use, few data exist to support the efficacy of prehospital supplemental oxygen (PH O2) in trauma patients. Data were reviewed from 5,090 patients not requiring assisted ventilation who were transported to our level I trauma center. Of these, 2,203 (43.3%) received PH O2 and 2,887 (56.7%) did not. Patients who received PH O2 had higher mortality than those without PH O2 (2.3% vs. 1.1%, p = 0.011). When corrected for Injury Severity Score, mechanism of injury, and age, those receiving PH O2 fared worse or no better than those who did not receive it. This suggests that supplemental oxygen does not improve survival in traumatized patients who are not in respiratory distress. This has implications for the management of casualties in combat or austere environments.

Citations

Jun 5, 2019·The Journal of Trauma and Acute Care Surgery·David J DouinAdit A Ginde
Jul 10, 2018·BMJ Open·Trine Grodum EskesenLars S Rasmussen
Dec 7, 2018·Acta Anaesthesiologica Scandinavica·Trine G EskesenLars S Rasmussen
Feb 23, 2018·Nature Communications·Kyle BrubakerAaron P Esser-Kahn
May 16, 2018·The Western Journal of Emergency Medicine·Ashley SanelloGregory H Gilbert
Jul 2, 2014·Prehospital and Disaster Medicine·Nichole BossonWilliam Koenig
Jan 29, 2019·World Journal of Emergency Medicine·Amairah Fahad AloushanNawfal Abdullah Aljerian
Apr 12, 2021·Acta Anaesthesiologica Scandinavica·Mathias A ChristensenLars S Rasmussen
May 27, 2021·Critical Care Explorations·David J DouinAdit A Ginde

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