Scoop and run versus stay and play: strategies in pre-hospital care

  • C. D. Deakin
Conference paper


As our understanding of the pathophysiology of trauma has improved, so too have the interventions available to treat these conditions. Civilian pre-hospital care before the 1960s was generally limited to first aid with little more than oxygen and wound dressings delivered by a basic ambulance system. In most European trauma systems, the 1970s saw the introduction of paramedic ambulance crew who were able to carry out more-advanced procedures such as intubation, infusion, and defibrillation, and also administer limited drugs. With the involvement of doctors in pre-hospital care, the range of procedures that are theoretically possible at the roadside is even wider, with some European pre-hospital systems regularly performing thoracotomy and limited repair of penetrating cardiac wounds at the roadside [1].


Head Injury Airway Obstruction Blunt Trauma Tension Pneumothorax Secondary Brain Injury 
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© Springer-Verlag Italia 2003

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  • C. D. Deakin

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