Abstract
The mortality for trauma is still dramatically high despite the continuous developments in the organisation of the Emergency Medical Services (EMS), of emergency departments, and the continuous efforts in the research field relating to this matter. A good paper by Trunkey showed a trimodal distribution of deaths from traumatic injury, the first peak being the nonsurvivable injuries, and the second occurring within the first few hours from the event, and that are due mostly to cerebral injury and haemorrhage [1]. Our resuscitative efforts in the pre-hospital setting are focused on reducing this second peak of mortality, and the use of an appropriate pharmacological approach may help us in this task.
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References
Trunkey D (1983) Trauma. Sci Am 249:20–27.
Cummins R, Chamberlain D, Abramson N et al (1991) Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. Task Force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Ann Emerg Med 20:861–874.
Pons P, Moore E, Cusick J (1988) Pre-hospital venous access in an urban paramedic system: a prospective on-scene analysis. J Trauma 28:1460–1463.
Kaweski S, Sise M, Virgilio R (1990) The effect of pre-hospital fluids on survival in trauma patients. J Trauma 30:1215–1219.
Maio R, Burney R, Gregor M et al (1996) A study of preventable trauma mortality in rural Michigan. J Trauma 41:83–90.
Jacobs L, Sinclair A, Beiser A et al (1984) Pre-hospital advanced life support: benefits in trauma. J Trauma 24:8–13
American College of Surgeons Committee on Trauma (1993) Advanced trauma life support course for physicians. American College of Surgeons
Nardi G, Massarutti D, Muzzi R et al (1994) Impact of emergency medical helicopter service on mortality for trauma in north-east Italy. A regional prospective audit. European Journal of Emergency Medicine 1:69–77.
Dalton A (1995) Pre-hospital intravenous fluid replacement in trauma: an outmoded concept? J R Soc Med 88:213–216.
Bickell W, Wall M, Pepe P (1994) Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 331:1105–1109
The Brain Trauma Foundation, The American Association of Neurological Surgeons, The Joint Section of Neurotrauma and Critical Care (1996) The integration of brain-specific treatments into the initial resuscitation of the severe head injury patient. J Neurotrauma 13:653–659
The Brain Trauma Foundation, The American Association of Neurological Surgeons, The Joint Section of Neurotrauma and Critical Care (1996) Resuscitation of blood pressure and oxygenation. J Neurotrauma 13:661–666
The Brain Trauma Foundation, The American Association of Neurological Surgeons, The Joint Section of Neurotrauma and Critical Care (1996) The use of hyperventilation in the acute management of severe traumatic brain injury. J Neurotrauma 13:699–703.
The Brain Trauma Foundation, The American Association of Neurological Surgeons, The Joint Section of Neurotrauma and Critical Care (1996) The use of mannitol in severe head injury. J Neurotrauma 13:705–709.
The Brain Trauma Foundation, The American Association of Neurological Surgeons, The Joint Section of Neurotrauma and Critical Care (1996) The role of glucocorticoids in the treatmen of severe head injury. J Neurotrauma 13:715–718.
Murphy-Macabobby M, Marshall WJ, Schneider C et al (1992) Neuromuscular blockade in aeromedical airway management. Ann Emerg Med 21:664–668.
Bracken MB, Collins WF, Freeman DF et al (1984) Efficacy of methylprednisolone in acute spinal cord injury. JAMA 251:45–52.
Bracken MB, Shepard MJ, Collins WF et al (1990) A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal cord injury. Results of the Second National Acute Spinal Cord Injury Study. N Engl J Med 322:1405–1411
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Trillò, G., Berlot, G. (1999). A pre-hospital pharmacological review. In: Berlot, G., Delooz, H., Gullo, A. (eds) Trauma Operative Procedures. Topics in Anaesthesia and Critical Care. Springer, Milano. https://doi.org/10.1007/978-88-470-2151-8_5
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DOI: https://doi.org/10.1007/978-88-470-2151-8_5
Publisher Name: Springer, Milano
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