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Call for Consensus on Methodology and Terminology to Improve Comparability in
the Study of Preventable Prehospital Trauma Deaths: A Systematic Literature
Review.
Acad Emerg Med. Oliver et al. 2016 Apr;23(4):503-10
Aggressive control of external haemorrhage
Airway - emergency anaesthesia
Thoracostomies/Thoracotomy
Warmed blood products
Experience/“Clinical judgement”
Critical Interventions
For anaesthesiologists, the Task Force commissioned by the Scandinavian Society of Anaesthesia and Intensive Care Medicine recommends endotracheal intubation.
Other physicians, as well as paramedics and other EMS personnel, are recommended the lateral trauma recovery position as a basic intervention combined with assisted mask-ventilation in trauma patients.
Proficiency of obtaining Grade I view at laryngoscopy was similar for physicians
(74.70%) and CCPs (77.36%).
The Hard Facts…..
• n = 25647• 701 (2.7%) “Life saving treatment”• 596 (2.3%) exceeded the competencies
of EMT• 225 (0.9%) ultimately discharged home
Letsfaceit…
(most)(current)prehostpial EBMisB.S.
- Bias- Notoriouslydifficult- Methodologicallyflawed…
*BitScanty….Brilliantlysubjective....