The Effect of Physician-Led Enhanced Care Teams in Prehospital Trauma Resuscitation.
emergency medical service
enhanced care teams
hemorrhagic shock
major trauma
prehospital emergency medicine
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
12 Sep 2020
12 Sep 2020
Historique:
entrez:
18
9
2020
pubmed:
19
9
2020
medline:
19
9
2020
Statut:
epublish
Résumé
Trauma is the leading cause of morbidity and mortality for those under 45 years of age in the United States with half of the deaths in trauma being attributed to hemorrhagic shock. The use of enhanced care teams (ECTs) that include physicians in selective prehospital settings has allowed the delivery of advanced critical care interventions in the field. We present a unique case where a young driver involved in a motor vehicle accident was trapped under the weight of his vehicle, causing extended extrication time. An ECT from the closest trauma center was able to deliver massive transfusion and definitive airway care while the patient was being extricated. While previous literature regarding the benefit of ECTs has been debated, this case suggests a unique niche where rapid deployment of an ECT to the scene made a pronounced difference in survival of the patient.
Identifiants
pubmed: 32944485
doi: 10.7759/cureus.10405
pmc: PMC7489765
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e10405Informations de copyright
Copyright © 2020, Chiapuzio et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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