Scand J Trauma Resus
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Scand J Trauma Resus · May 2016
Multicenter Study Observational StudyComparison of risk-adjusted survival in two Scandinavian Level-I trauma centres.
Assessment of trauma-system performance is important for improving the care of injured patients. The aim of the study was to compare risk-adjusted survival in two Scandinavian Level-I trauma centres. ⋯ Adjustments for age as a continuous variable and comorbidity should be made when comparing risk-adjusted survival between hospitals, but this is not possible with the TRISS model. A survival prediction model that takes this into account may be a better choice for Scandinavian trauma populations. The current study could not rule out the influence of the system differences between the centres on risk-adjusted survival.
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Scand J Trauma Resus · May 2016
Four ways to ventilate during cardiopulmonary resuscitation in a porcine model: a randomized study.
The optimal method for out-of-hospital ventilation during cardiopulmonary rescue (CPR) is controversial. The aim of this study was to test different modes of ventilation during CPR for a prolonged period of 60 min. ⋯ Constant oxgen flow and apnoeic oxygenation seemed to be useable alternatives to ventilator treatment.
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Scand J Trauma Resus · May 2016
Observational StudyDoes the Norwegian emergency medical dispatch classification as non-urgent predict no need for pre-hospital medical treatment? An observational study.
The number of ambulance call-outs in Norway is increasing owing to societal changes and increased demand from the public. Together with improved but more expensive education of ambulance staff, this leads to increased costs and staffing shortages. We wanted to study whether the current dispatch triage tools could reliably identify patients who only required transport, and not pre-hospital medical care. This could allow selection of such patients for designated transport units, freeing up highly trained ambulance staff to attend patients in greater need. ⋯ This study validates the Norwegian dispatch tool (Norwegian index) as a predictor of patients who do not need pre-hospital interventions.
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Scand J Trauma Resus · Apr 2016
Letter Case ReportsArterial blood pressure differences between AutoPulse™ and Lucas2™during mechanic cardiopulmonary resuscitation.
We present a 39-year-old patient under constant mechanical CPR with an arterial line in place. The use of AutoPulse™ resulted in higher arterial pressures than the use of LUCAS2™.
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Scand J Trauma Resus · Apr 2016
Editorial ReviewThe development and features of the Spanish prehospital advanced triage method (META) for mass casualty incidents.
This text describes the process of development of the new Spanish Prehospital Advanced Triage Method (META) and explain its main features and contribution to prehospital triage systems in mass casualty incidents. The triage META is based in the Advanced Trauma Life Support (ATLS) protocols, patient's anatomical injuries and mechanism of injury. ⋯ The stages of triage META are: I) Stabilization triage that classifies patients according to severity to set priorities for initial emergency treatment; II) Identifying patients requiring urgent surgical treatment, this is done at the same time than stage I and creates a new flow of patients with high priority for evacuation; III) Implementation of Advanced Trauma Life Support protocols to patients previously classified according to stablished priority; and IV) Evacuation triage, stablishing evacuation priorities in case of lacks of appropriate transport resources. The triage META is to be applied only by prehospital providers with advanced knowledge and training in advanced trauma life support care and has been designed to be implemented as prehospital procedure in mass casualty incidents (MCI).