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

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

Abstract

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.

Keywords

Trauma Patient Emergency Medical Service Remote Location Trauma Care Trauma System 
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.

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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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