The Challenges of Delivering Acute Medical Services to Trauma Patients in Remote Locations

  • D. J. Penney
  • A. Flabouris
  • M. J. A. Parr
Conference paper


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 [1]. 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.


Trauma Patient Emergency Medical Service Remote Location Trauma Care Trauma System 
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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • D. J. Penney
    • 1
  • A. Flabouris
    • 1
  • M. J. A. Parr
    • 1
  1. 1.Intensive Care Unit, Liverpool HospitalUniversity of New South WalesSydneyAustralia

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