Field Triage of the Pulseless Trauma Patient
Archives of SurgeryPublished 1 July 1999
Felix D. Battistella
Citations203
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Trauma victims who are pulseless and have asystole or agonal electrical cardiac activity (heart rate <40 beats/min) should be pronounced dead at the scene of injury.
Abstract
Trauma victims who are pulseless and have asystole or agonal electrical cardiac activity (heart rate <40 beats/min) should be pronounced dead at the scene of injury.
Keywords
MedicineHealth Professions
New England Journal of MedicineCardiopulmonary Resuscitation on Television — Miracles and Misinformation
546 Citations1996Susan J. Diem, John D. Lantos +1 more
The Survival rates in this study are significantly higher than the most optimistic survival rates in the medical literature, and the portrayal of CPR on television may lead the viewing public to have an unrealistic impression of CPR and its chances for success.
PubMedPrehospital traumatic cardiac arrest: the cost of futility.
222 Citations1993Alexander S. Rosemurgy, Petra Norris +3 more
Critical Analysis of Two Decades of Experience with Postinjury Emergency Department Thoracotomy in a Regional Trauma Center
137 Citations1998Scott W. Branney, Ernest E. Moore +2 more
A key clinical pathway is suggested for the use of EDT that would reduce the number of procedures by at least 32% without changing the numberOf neurologically intact survivors and cost-effectiveness for select patient populations.
The Journal of Trauma: Injury, Infection, and Critical CareThe Role of Emergency Room Thoracotomy in Trauma
137 Citations1980Christopher C. Baker, Arthur N. Thomas +1 more
Performing early thoracotomy in the ER is a life-saving measure for a substantial number of trauma patients who present to the ER in extremis and total benefits were 2.4 times greater than total costs.
The Journal of Trauma: Injury, Infection, and Critical CareEmergency Thoracotomy: Survival Correlates with Physiologic Status
128 Citations1992H. Peter Lorenz, Barry Steinmetz +3 more
No emergency thoracotomy should be performed if no signs of life are present on the initial prehospital field assessment and blunt traumatic cardiac arrest is a relative contraindication to emergency thorACotomy.
Archives of SurgeryOutcome of a Strict Policy on Emergency Department Thoracotomies
110 Citations1995George C. Velmahos
Emergency department thoracotomies have a definite role in the management of trauma patients and the best results are obtained in patients with penetrating chest injuries.
Prehospital and Disaster MedicineAmbulance Collisions in an Urban Environment
104 Citations1994Charles Saunders, Constance J. Heye
There is some elevated risk for collision and added injury during lights and siren travel compared to travel without LS, and interventions designed to improve driver skills and increase citizen awareness of an approaching ambulance could help reduce the number of collisions.
Prehospital Pulseless, Unconscious Penetrating Trauma Victims
80 Citations1998Samuel J. Stratton, Karen Brickett +1 more
Although the presence of a pulseless sinus rhythm or tachycardia and stabbing as a mechanism seemed to indicate better survival rates, this study failed to identify reliable out-of-hospital criteria to separate salvageable penetrating trauma victims from those who are nonsalvageable.
PubMedLimited utility of emergency department thoracotomy.
74 Citations1994Mazzorana, R. Stephen Smith +2 more
To assess the therapeutic role and cost effectiveness of resuscitative thoracotomy in an urban trauma center, a retrospective review of thoracotomies performed in a trauma unit between 1986 and 1992 was undertaken.
The Journal of Trauma: Injury, Infection, and Critical CareSURVIVAL DETERMINANTS IN PATIENTS UNDERGOING EMERGENCY ROOM THORACOTOMY FOR PENETRATING CHEST INJURY
70 Citations1993Frederick H. Millham, Gene A. Grindlinger
Evidence of mentation in the field or on arrival may predict ultimate neurologic outcome of survivors, as in patients undergoing ERT-PCI who were admitted to the SICU between January 1, 1982 and August 1, 1991.
PubMedPenetrating chest trauma: should indications for emergency room thoracotomy be limited?
64 Citations1996Brown Se, Gomez Ga +3 more
This study confirms a previous report that ERT should be abandoned in patients sustaining blunt trauma, and should probably be limited to patients sustaining penetrating chest injuries who fall into the physiologic Classes III or IV at the scene.
Annals of Emergency MedicineEmergency department thoracotomy
46 Citations1982Timothy C. Flynn, Richard E. Ward +1 more
In patients with penetrating wounds above the diaphragm, emergency thoracotomy may be considerable benefit as demonstrated in this study by a 66.6% salvage rate.
Annals of Emergency MedicineViral hepatitis risk in urban emergency medical services personnel
40 Citations1986Paul E. Pepe, F. Blaine Hollinger +2 more
A strong correlation (P less than .004) was observed between HBV infection and years of work exposure in EMS regardless of job description (paramedic versus emergency medical technician).
Archives of SurgeryUse of Cardiopulmonary Bypass to Salvage Patients With Multiple-Chamber Heart Wounds
26 Citations1998Jon M. Baker
Cardiopulmonary bypass was ineffective in salvaging patients with cardiogenic shock but was essential in some patients with complex multiple-chamber cardiac injuries that could not be exposed and repaired by other means.