What question did this study set out to answer?

To determine how prehospital field time and rapid transport policies affect resuscitation success and survival in moribund trauma patients undergoing resuscitative thoracotomy.

April 1, 1988Journal of Trauma and Acute Care Surgery

Resuscitative Thoracotomy: The Effect of Field Time on Outcome

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Authors

FCFrederick W. ClevengerUniversity of New Mexico DYDabney R. YarbroughMedical University of South Carolina HRH. David ReinesVirginia Commonwealth University

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Implication

Cohort study reveals reduced prehospital field time improves survival following resuscitative thoracotomy in moribund trauma patients, indicating the critical value of rapid transport.

Key Points

To determine how prehospital field time and rapid transport policies affect resuscitation success and survival in moribund trauma patients undergoing resuscitative thoracotomy.
Evaluated 72 moribund patients undergoing resuscitative thoracotomy at a single trauma center over a 5-year period.
Compared outcomes between 62 patients managed before mandatory rapid transport (Group I) and 10 patients managed after adopting a rapid 'scoop and run' EMS protocol (Group II).
Adoption of the rapid transport policy reduced mean prehospital field time from 50 minutes, 30 seconds in Group I to 22 minutes, 30 seconds in Group II.
Successful resuscitation occurred in 4.8% (3/62) of Group I versus 20% (2/10) of Group II, with survival to hospital discharge of 3.2% (2/62) versus 10% (1/10), respectively.
Survival was 0% across both groups for patients arriving in traumatic arrest or losing vitals en route, whereas patients arresting after hospital arrival had survival rates of 11% (2/18) in Group I and 25% (1/4) in Group II.

Cite This Study

Clevenger et al. (1988) studied this question.

synapsesocial.com/papers/6a6f90045671bbf00bc29619 https://doi.org/10.1097/00005373-198804000-00004

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Implication

Cohort study reveals reduced prehospital field time improves survival following resuscitative thoracotomy in moribund trauma patients, indicating the critical value of rapid transport.

Resuscitative Thoracotomy: The Effect of Field Time on Outcome

Discussion

Member takes

Implication

Key Points

Cite This Study

Resuscitative Thoracotomy: The Effect of Field Time on Outcome

Discussion

Member takes

Implication

Key Points

Cite This Study

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