The Challenges of Delivering Acute Medical Services to Trauma Patients in Remote Locations
Trunkey in 1983 proposed the concept of the’ trimodal distribution of trauma deaths’, with 50% of deaths occurring immediately following an accident, 30% of deaths in the first 4 h, and 20% of deaths beyond 4 h . The concept of the ’Golden Hour’ of trauma stresses the importance of early medical intervention within the 1st hour to prevent the organ damage that may result in later in-hospital deaths. The applicability and accuracy of these concepts has been questioned, but prompt resuscitation and delivery of the severely injured patient to definitive care is a crucial determinant of improved patient outcome.
KeywordsTrauma Patient Emergency Medical Service Remote Location Trauma Care Trauma System
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