Air medical journal
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Our objective was to study the accuracy of the American College of Surgeons Trauma Triage Scheme in trauma patients transported by helicopter from the scene of injury. ⋯ Physiologic triage criteria alone identify only half of trauma patients with injury Severity Score > 15. Situational criteria are needed to identify most patients with injury Severity Score > 15, but this also captures many patients with minor injury. If the Trauma Triage Scheme situational criteria could be improved, trauma overtriage might be reduced with resultant health care cost savings.
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Air medical journal · Oct 1996
Emergency scene endotracheal intubation before and after the introduction of a rapid sequence induction protocol.
A change in airway management protocol provided the opportunity to evaluate scene airway management by air medical crew before and after the introduction of a rapid sequence induction protocol. ⋯ Rapid sequence induction added significantly to ground time without significantly increasing intubation success rate or decreasing cricothyrotomy rate. Its use at the scene of injury may not be appropriate.