Advertisement

Prehospital Care

  • Will Barker
Chapter

Abstract

You are a first responder doctor to a car accident in the UK. There is one casualty who is unconscious, trapped in the wreckage of her car. You manage the safety of the scene and then attend to the casualty, managing her airway, breathing, and circulation. The extraction is delayed and so you are forced to deal with some life threatening injuries on scene and plan extraction. After the patient is successfully taken to definitive care by air ambulance you discuss with colleagues contrasting approaches towards pre-hospital care.

Keywords

Glasgow Coma Score Radial Pulse Advance Trauma Life Support Prehospital Care Definitive Care 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    BASICS.org.uk [Internet]. Ipswich; British Association of Intermediate Care; c2008 [updated 2012 Feb 18; cited 2012 Feb 28]. Available from: http://www.basics.org.uk/.
  2. 2.
    Johnson C, Anderson S, Dallimore J, Winser S, Warrell D. Handbook of expedition and wilderness medicine (Oxford medical handbooks). Oxford: OUP; 2008.Google Scholar
  3. 3.
    Atanassova V [Internet]. Tongue-blocking-airways.png; c2008 [updated 2008 Apr 26; cited 2012 Feb 28]. Available from: http://en.wikipedia.org/wiki/File:Tongue-blocking-airways.png.
  4. 4.
    Huber-Wagner S, Lefering R, Qvick L, Körner M, Kay M, Pfeifer K. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet. 2009;373(9673):1455–61. doi: 10.1016/S0140-6736(09)60232-4.PubMedCrossRefGoogle Scholar
  5. 5.
    Bjerke S, Geibel J. [Internet] Emedicine: Flail chest; c2011 [updated 2012 Jan 20; cited 2012 Feb 28]. Available from: http://emedicine.medscape.com/article/433779-overview.
  6. 6.
    Kolecki P, Brown D. [Internet] Emedicine: Hypovolemic Shock Clinical Presentation; c2011 [updated 2010 Mar 11; cited 2012 Feb 28]. Available from: http://emedicine.medscape.com/article/760145-clinical#a0217.
  7. 7.
    Ivatury R, Nallathambi M, Roberge R, Rohman M, Stahl W. Penetrating thoracic injuries: in-field stabilization vs. prompt transport. J Trauma. 1987;27:1066.PubMedCrossRefGoogle Scholar
  8. 8.
    NICE. Pre-hospital initiation of fluid replacement therapy in trauma. c2004 [updated 2004 Jan; cited 2012 Feb 28]. Available from: http://www.nice.org.uk/nicemedia/live/11526/32820/32820.pdf.
  9. 9.
    Cowley R. The resuscitation and stabilization of major multiple trauma patients in a trauma center environment. Clin Med. 1976;83:14–22.Google Scholar
  10. 10.
    Lerner E, Moscati R. The golden hour: scientific fact or medical “urban legend”? Acad Emerg Med. 2001;8(7):758–60.PubMedCrossRefGoogle Scholar
  11. 11.
    Demetriades D, Kimbrell B, Salim A, Velmahos G, Rhee P, Preston C, et al. Trauma deaths in a mature urban trauma system: is “trimodal” distribution a valid concept? J Am Coll Surg. 2005;201(3):343–8.PubMedCrossRefGoogle Scholar
  12. 12.
    Pepe P, Mosesso V, Falk J. Prehospital fluid resuscitation of the patient with major trauma. Prehosp Emerg Care. 2002;6(1):81–91.PubMedCrossRefGoogle Scholar
  13. 13.
    Bickell WH, Wall MJ, Pepe PE, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994;331(17):1105–9.PubMedCrossRefGoogle Scholar
  14. 14.
    Apprahamion C, Darin J, Thompson B, Mateer J, Tucker J. Traumatic cardiac arrest: scope of paramedic services. Ann Emerg Med. 1985;14:583.CrossRefGoogle Scholar
  15. 15.
    Driscoll P, Wardrope J. ATLS: past, present, and future. Emerg Med J. 2005;22:2–3. doi: 10.1136/emj.2004.021212 l.PubMedCrossRefGoogle Scholar
  16. 16.
    TEAM. [Internet]. Chicago; American College of Surgeons; c2008-11 [updated 2011 Jan 31; cited 2012 Feb 28]. Available from: http://www.facs.org/trauma/atls/team.html.
  17. 17.
    Anaesthesia, Trauma and Critical Care. [Internet]. Warrington; ATACC c2012 [ cited 2012 Feb 28]. Available from: http://www.atacc.net/index.asp.

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.St Thomas’ HospitalLondonUK

Personalised recommendations