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Prehospital Doctors Add Little Value In Trauma
Dr Anthony HolleyEmergency Physician and Intensivist
Acknowledgements & Conflict
#MakePrehospitalCareGreatAgain
Prehospital Doctors Add Little Value In Trauma
Themes…..
This is my clinical realm
Call for Consensus on Methodology and Terminology to
Improve Comparability in the Study of Preventable Prehospital
Trauma Deaths: A Systematic Literature Review.
Acad Emerg Med. Oliver et al. 2016 Apr;23(4):503-10
Aggressive control of external haemorrhage
Airway - emergency anaesthesiaThoracostomies/ThoracotomyWarmed blood products
Experience/“Clinical judgement”
Critical Interventions
Event Frequency?
For anaesthesiologists, the Task Force commissioned by the Scandinavian Society of Anaesthesia and Intensive Care Medicine recommends endotracheal intubation.
Other physicians, as well as paramedics and other EMS personnel, are recommended the lateral trauma recovery position as a basic intervention combined with assisted mask-ventilation in trauma patients.
Proficiency of obtaining Grade I view at laryngoscopy was similar for physicians
(74.70%) and CCPs (77.36%).
After Dr Steve Rashford
With thanks from Dr Steve Rashford
The Hard Facts…..
• n = 25647• 701 (2.7%) “Life saving treatment”• 596 (2.3%) exceeded the
competencies of EMT• 225 (0.9%) ultimately discharged
home
0.09%