Abstract
During the last three decades, the frequency of fatal motor vehicle accidents has been significantly reduced in most industrialised countries. Nevertheless, major trauma continues to be the most common cause of death between the ages of 1 to 44. Injury accounts for more lost years of life than either cancer or heart disease [1]. About 5 million people died worldwide in 1990 as a result of trauma [2]. Demographic projections suggest that deaths from trauma will probably increase to 8.4 million by 2020 [3], becoming a growing burden mainly on low-income countries [4].
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References
I. Stewart RM, Myers JG, Dent DL et al (2003) Seven hundred fifty-three consecutive deaths in a level 1 trauma center: the argument for injury prevention. J Trauma 54: 66–70
Murray CJL, Lopez AD (1996) Global health statistics: a compendium of incidence, prevalence and mortality estimates for over 200 conditions. Harvard University Press, Boston
Murray CJ, Lopez AD (1997) Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet 349: 1498–1504
Murray CJ, Lopez AD (1997) Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 349: 1269–1276
Morris JA, Jr., Sanchez AA, Bass SM et al (1991) Trauma patients return to productivity. J Trauma 31: 827–833
Frutiger A, Ryf C, Bilat C et al (1991) Five years’ follow-up of severely injured ICU patients. J Trauma 31: 1216–1225
Bissell RA, Eslinger DG, Zimmerman L (1998) The efficacy of advanced life support: a review of the literature. Prehosp Disast Med 13: 77–87
Spaite D, Benoit R, Brown D et al (1995) Uniform prehospital data elements and definitions: a report from the uniform prehospital emergency medical services data conference. Ann Emerg Med 25: 525–534
Sethi D, Kwan I, Kelly AM et al (2002) Advance trauma life support training for trauma crews. In The Cochrane Library, issue 2. WHO Pre-Hospital Trauma Care Steering Committee. Update Software, Oxford
Demetriades D, Chan L, Cornwell E et al (1996) Paramedic vs. private transportation of trauma patients. Effect on outcome. Arch Surg 131: 133–138
Dula DJ, Moyer B, Skiendzielewski J et al (2000) Outcome associated with private vehicle and ambulance transport of motor vehicle crash victims to trauma centers. Ann Emerg Med 36 Suppl 77: 297
American College of Surgeons Committee on Trauma (1993) Advanced Trauma Life Support (ATLS). Course for Physicians, 5th edn, Chicago, Ill
Hedges JR, Dronen SC, Feero Set al (1988) Succinylcholine-assisted intubations in prehospital care. Ann Emerg Med 17: 469–472
Syverud SA, Borron SW, Storer DL et al (1988) Prehospital use of neuromuscular blocking agents in a helicopter ambulance program. Ann Emerg Med 17: 236–242
Murphy-Macabobby M, Marshall WJ, Schneider C et al (1992) Neuromuscular blockade in aeromedical airway management. Ann Emerg Med 21: 664–668
Spaite D (1998) Intubation by basic EMTs: lifesaving advance or catastrophic complication? Ann Emerg Med 31: 276–277
Liberman M, Mulder D, Sampalis J (2000) Advanced or basic life support for trauma: meta-analysis and critical review of the literature. J Trauma 49: 584–599
Eckstein M, Chan L, Schneir A et al (2000) Effect of prehospital advanced life support on outcomes of major trauma patients. J Trauma 48: 643–648
Blostein PA, Koestner AI, Hoak S (1998) Failed rapid sequence intubation in trauma patients: esophageal tracheal combitube is a useful adjunct. J Trauma 44: 534–537
Pelucio M, Halligan L, Dhindsa H (1997) Out-of-hospital experience with the syringe esophageal detector device. Acad Emerg Med 4: 563–568
Gausche M, Lewis RJ (2000) Out-of-hospital endotracheal intubation of children. JAMA 283: 2790–2792
Gausche-Hill M (2003) Ensuring quality in prehospital airway management. Curr Opin Anesthesiol 16: 173–181
Hussain LM, Redmond AD (1994) Are pre-hospital deaths from accidental injury preventable? BMJ 308: 1077–1080
Winchell RJ, Hoyt DB (1997) Endotracheal intubation in the field improves survival in patients with severe head injury. Trauma Research and Education Foundation of San Diego. Arch Surg 132: 592–597
Lockey D, Davies G. Coats T (2001) Survival of trauma patients who have prehospital tracheal intubation without anaesthesia or muscle relaxants: observational study. BMJ 323: 141
Murray JA, Demetriades D, Berne TV et al (2000) Prehospital intubation in patients with severe head injury. J Trauma 49: 1065–1070
Gausche M, Lewis RJ, Stratton SJ et al (2000) Effect of out-of-hospital pediatric endotracheal intubation on survival and neurological outcome: a controlled clinical trial. JAMA 283: 783–790
Bochicchio GV, llahi O. Joshi M et al (2003) Endotracheal intubation in the field does not improve outcome in trauma patients who present without an acutely lethal traumatic brain injury. J Trauma 54: 307–311
Davis DP, Hoyt DB, Ochs M et al (2003) The effect of paramedic rapid sequence intubation on outcome in patients with severe traumatic brain injury. J Trauma 54: 444–453
Stewart RD, Paris PM, Winter PM et al (1984) Field endotracheal intubation by paramedical personnel. Success rates and complications. Chest 85: 341–345
Krisanda TJ, Eitel DR, Hess D et al (1992) An analysis of invasive airway management in a suburban emergency medical services system. Prehosp Disast Med 7: 121–126
Karch SB, Lewis T, Young S et al (1996) Field intubation of trauma patients: complications, indications, and outcomes. Am J Emerg Med 14: 617–619
Moulton C, Pennycook AG (1994) Relation between Glasgow Coma Score and cough reflex. Lancet 343: 1261–1262
Ampel L, Hott KA, Sielaff GW et al (1988) An approach to airway management in the acutely head-injured patient. J Emerg Med 6: 1–7
Walls RM (1993) Rapid-sequence intubation in head trauma. Ann Emerg Med 22: 1008–1013
Adnet F, Lapostolle F, Ricard-Hibon A et al (2001) Intubating trauma patients before reaching hospital: revisited. Crit Care 5: 290–291
Li J, Murphy-Lavoie H, Bugas C et al (1999) Complications of emergency intubation with and without paralysis. Am J Emerg Med 17: 141–143
Ma OJ, Atchley RB, Hatley T et al (1998) Intubation success rates improve for an air medical program after implementing the use of neuromuscular blocking agents. Am J Emerg Med 16: 125–127
Vijayakumar E, Bosscher H, Renzi FP et al (1998) The use of neuromuscular blocking agents in the emergency department to facilitate tracheal intubation in the trauma patient: help or hindrance? J Crit Care 13: 1–6
Wang HE, O’Connor RE, Domeier RM (2001) Prehospital rapid-sequence intubation. Prehosp Emerg Care 5: 40–48
Wang HE, O’Connor RE, Megargel RE et al (2000) The utilization of midazolam as a pharmacologic adjunct to endotracheal intubation by paramedics. Prehosp Emerg Care 4: 14–18
Wayne MA, Friedland E (1999) Prehospital use of succinylcholine: a 20-year review. Prehosp Emerg Care 3: 107–109
Wayne MA, Slovis CM, Pirrallo RG (1999) Management of difficult airways in the field. Prehosp Emerg Care 3: 290–296
Pace SA, Fuller FP (2000) Out-of-hospital succinylcholine-assisted endotracheal intubation by paramedics. Ann Emerg Med 35: 568–572
Ochs M, Davis D, Hoyt D et al (2002) Paramedic-performed rapid sequence intubation of patients with severe head injuries. Ann Emerg Med 40: 159–167
Stout J, Pepe PE, Mosesso VN Jr (2000) All-advanced life support vs tiered-response ambulance systems. Prehosp Emerg Care 4: 1–6
Pepe PE (2001) Current issues in resuscitative trauma management: an overview. Curr Opin Crit Care 7: 409–412
Omert L, Yeaney W, Mizikowski S et al (2001) Role of the emergency medicine physician in airway management of the trauma patient. J Trauma 51: 1065–1068
Mackay CA, Terris J, Coats TJ (2001) Prehospital rapid sequence induction by emergency physicians: is it safe? Emerg Med J 18: 20–24
Genzwuerker HV, Hilker T, Hohner E et al (2000) The laryngeal tube: a new adjunct for airway management. Prehosp Emerg Care 4: 168–172.
Doerges V, Ocker H, Wenzel V et al (2000) The laryngeal tube: a new simple airway device. Anesth Analg 90: 1220–1222
Katz SH, Falk JL (2001) Misplaced endotracheal tubes by paramedics in an urban emergency medical services system. Ann Emerg Med 37: 32–37
Lossius HM, Soreide E, Hotvedt R et al (2002) Prehospital advanced life support provided by specially trained physicians: is there a benefit in terms of life years gained? Acta Anaesthesiol Scand 46: 771–778
Regel G, Stalp M, Lehmann U et al (1997) Prehospital care, importance of early intervention on outcome. Acta Anaesthesiol Scand Suppl 110: 71–76
Miller TR (1994) Costs of head and neck injury and a cost-benefit analysis of bicycle helmets. In: Levine RS (ed) Head and neck injury. Society of Automotive Engineering, New York
Kwan I, Bunn F, Roberts I (2002) Spinal immobilisation for trauma patients. (The Cochrane Library, issue 2 ) WHO Pre-Hospital Trauma Care Steering Committee, Oxford (update software)
Burney RE, Maio RF, Maynard F et al (1993) Incidence, characteristics, and outcome of spinal cord injury at trauma centers in North America. Arch Surg 128: 596–599
De Lorenzo R, Olson J, Boska M et al (1996) Optimal positioning for cervical immobilisation. Ann Emerg Med 28: 301–308
Davis JW, Phreaner DL, Hoyt DB et al (1993) The etiology of missed cervical spine injuries. J Trauma 34: 342–346
Lamp L, Helm M, Winter M (1992) Zum Problem der präklinisch nicht erkannten Wirbelsäulenverletzung. Notarzt 8: 99–103
Hauswald M, Ong G. Tandberg D et al (1998) Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med 5: 214–219
Muckart D, Bhagwanjee S, Van der Merwe R (1997) Spinal cord injury as a result of endotracheal intubation in patients with undiagnosed cervical spine fractures. Anesthesiology 87: 418–420
National Spinal Cord Injury Statistical Center (1998) Spinal cord injury: facts and figures at a glance. University of Alabama, Birmingham, Ala
Orledge JD, Pepe PE (1998) Out-of-hospital spinal immobilization: is it really necessary? Acad Emerg Med 5: 203–204
Davies G, Deakin C, Wilson A (1996) The effect of a rigid collar on intracranial pressure. Injury 27: 647–649
Butman AM, Schelble DT, Vomacka RW (1996) The relevance of the occult cervical spine controversy and mechanism of injury to prehospital protocols: a review of the issues and literature. Prehosp Disast Med 11: 228–233
Totten VY, Sugarman DB (1999) Respiratory effects of spinal immobilization. Prehosp Emerg Care 3: 347–352
Houghton DJ. Curley JW (1996) Dysphagia caused by a hard cervical collar. Br J Neurosurg 10: 501–502
Hewitt S (1994) Skin necrosis caused by a semi-rigid cervical collar in a ventilated patient with multiple injuries. Injury 25: 323–324
Kim SH, Stezoski SW, Safar Petal (1997) Hypothermia and minimal fluid resuscitation increase survival after uncontrolled hemorrhagic shock in rats. J Trauma 42: 213–222
Stern SA, Dronen SC, Birrer P et al (1993) Effect of blood pressure on hemorrhage volume and survival in a near-fatal hemorrhage model incorporating a vascular injury. Ann Emerg Med 22: 155–163
Capone AC, Safar P. Stezoski Wet al (1995) Improved outcome with fluid restriction in treatment of uncontrolled hemorrhagic shock. J Am Coll Surg 180: 49–56
Bickell WH, Bruttig SP, Millnamow GA et al (1991) The detrimental effects of intravenous crystalloid after aortotomy in swine. Surgery 110: 529–536
Bickel W, Wall M. Pepe P et al (1994) Immediate versus delayed resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 331: 1105–1109
Tisherman SA (2003) Trauma fluid resuscitation in 2010. J Trauma 54: S231–234
Rizoli SB (2003) Crystalloids and colloids in trauma resuscitation: a brief overview of the current debate. J Trauma 54: S82–88
Kwan I, Bunn F, Roberts I (2002) Timing and volume of fluid administration for patients with bleeding following trauma. (The Cochrane Library, issue 2 ) WHO Pre-Hospital Trauma Care Steering Committee. Oxford (update software)
Roberts I, Evans P, Bunn F et al (2001) Is the normalisation of blood pressure in bleeding trauma patients harmful? Lancet 357: 385–387
Pepe P, Stewart R (1986) Role of the physician in the prehospital setting. Ann Emerg Med 15: 1480–1483
Marcin JP, Pollack MM (2002) Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med 30: S457–467
Ornato J, Mlinek EJ Jr. Craren EJ et al (1985) Ineffectiveness of the trauma score and the CRAMS scale for accurately triaging patients to trauma centers. Ann Emerg Med 14:1061–1064
van Wijngaarden M, Kortbeek J. Lafreniere R et al (1996) Air ambulance trauma transport: a quality review. J Trauma 41: 26–31
Baxt WG, Berry CC, Epperson MD et al (1989) The failure of prehospital trauma prediction rules to classify trauma patients accurately. Ann Emerg Med 18: 1–8
Norwood SH, McAuley CE, Berne JD et al (2002) A prehospital Glasgow Coma Scale score or 14 accurately predicts the need for full trauma team activation and patient hospitalization after motor vehicle collisions. J Trauma 53: 503–507
Coats TJ, Wilson AW, Cross FW (1993) On-scene medical decision making and overtriage. Br J Surg 80: 1291–1293
Anderson I, Woodford M, De Dombal F et al (1988) Retrospective study of 1000 deaths from injury in England and Wales. BMJ 296: 1305–1308
Longnecker D (1997) Navigation in uncharted waters: Is anesthesiology on course for the 21st century? Anesthesiology 86: 736–742
Sampalis J, Lavoie A, Williams J et al (1993) Impact of on-site care, prehospital time, and level of in-hospital care on survival in severely injured patients. J Trauma 34: 252–261
Ivatury R, Nallathambi M, Roberge Jet al (1987) Penetrating thoracic injuries: in-field stabilization vs. prompt transport. J Trauma 27: 1066–1073
Sampalis J, Lavoie A, Williams J et al (1992) Standardized mortality ratio analysis on a sample of severely injured patients from a large Canadian city without regionalized trauma care. J Trauma 33: 205–211
Spaite D, Criss E, Valenzuela T et al (1998) Prehospital Advanced Life Support for major trauma: critical need for clinical trials. Ann Emerg Med 32: 480–489
Pepe P, Wyatt C, Bickell W et al (1987) The relationship between total prehospital time and outcome in hypotensive victims of penetrating injuries. Ann Emerg Med 16: 293–297
Bulinski P, Bachulis B, Naylor DF Jr et al (2003) The changing face of trauma management and its impact on surgical resident training. J Trauma 54: 161–163
Gisvold SE (2002) Helicopter emergency medical service with specially trained physicians–does it make a difference? Acta Anaesthesiol Scand 46: 757–758
Scope A, Lynn M, Farkash U et al (2001) Military trauma life support: a comprehensive training program for military physicians. Mil Med 166: 385–388
Spaite D, Criss E, Valenzuela T et al (1995) Emergency medical service systems research: problems of the past, challenges of the future. Ann Emerg Med 26: 146–152
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Ummenhofer, W., Albrecht, R., Scheidegger, D. (2004). Pre-hospital care and triage in trauma. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2189-1_29
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DOI: https://doi.org/10.1007/978-88-470-2189-1_29
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