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Chapter 13 - Advances in Pre-Hospital Care

from Section 2 - Clinical Aspects of Traumatic Injuries, Epidemics, and Pandemics

Published online by Cambridge University Press:  11 January 2024

Richard Williams
Affiliation:
University of South Wales
Verity Kemp
Affiliation:
Independent Health Emergency Planning Consultant
Keith Porter
Affiliation:
University of Birmingham
Tim Healing
Affiliation:
Worshipful Society of Apothecaries of London
John Drury
Affiliation:
University of Sussex
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Summary

This chapter looks through the earliest establishment of immediate care, from historical records and the beginnings of some of the longest running pre-hospital services, especially those in the UK. It outlines an understanding of the foundations from which the advances in technology and clinical practice for modern pre-hospital emergency medicine are built. It outlines trauma care, and the evolution of treatments, equipment, and resources. It examines each facet of immediate care to encompass the range of triage and dispatch, lifesaving interventions, medicines, cardiac arrest management, and training and non-technical skills. Also examined are the potential developments in the equipment and strategies for resuscitation, along with aspects of what may be on the horizon for research and service development in the near future. It provides the most up-to-date overview of immediate care, which forms a vitally important component of each trauma patient’s journey from injury to recovery.

Type
Chapter
Information
Major Incidents, Pandemics and Mental Health
The Psychosocial Aspects of Health Emergencies, Incidents, Disasters and Disease Outbreaks
, pp. 79 - 88
Publisher: Cambridge University Press
Print publication year: 2024

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References

Ristagno, G, Tang, W, Weil, MH. Cardiopulmonary resuscitation: from the beginning to the present day. Crit Care Clin 2009; 25: 133–51.Google Scholar
Dadmehr, M, Bahrami, M, Eftekhar, B, Ashraf, H, Ahangar, H. Chest compression for syncope in medieval Persia. Eur Heart J 2018; 39: 2700–701.Google Scholar
Oliver, GJ, Walter, DP, Redmond, AD. Prehospital deaths from trauma: are injuries survivable and do bystanders help? Injury 2017; 48: 985–91.Google Scholar
Moon, S, Ryoo, HW, Ahn, JY, Lee, DE, Do Shin, S, Park, JH. Association of response time interval with neurological outcomes after out-of-hospital cardiac arrest according to bystander CPR. Am J Emerg Med 2020; 38: 1760–66.CrossRefGoogle ScholarPubMed
von Vopelius-Feldt, J, Morris, RW, Benger, J. The effect of prehospital critical care on survival following out-of-hospital cardiac arrest: a prospective observational study. Resuscitation 2020; 146: 178–87.CrossRefGoogle ScholarPubMed
Hepple, DJ, Durrand, JW, Bouamra, O, Godfrey, P. Impact of a physician‐led pre‐hospital critical care team on outcomes after major trauma. Anaesthesia 2019; 74: 473–9.Google Scholar
Michalsen, KS, Rognås, L, Vandborg, M, Erikstrup, C, Fenger-Eriksen, C. Prehospital transfusion of red blood cells and plasma by an urban ground-based critical care team. Prehosp Disaster Med 2021; 36: 170–74.CrossRefGoogle ScholarPubMed
Sharma, B, Sahai, C, Sood, J. Extraglottic airway devices: technology update. Med Devices 2017; 10: 189.Google Scholar
Benger, JR, Kirby, K, Black, S, Brett, SJ, Clout, M, Lazaroo, MJ, et al. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome: the AIRWAYS-2 randomized clinical trial. JAMA 2018; 320: 779–91.Google Scholar
Dalal, PG, Murray, D, Messner, AH, Feng, A, McAllister, J, Molter, D. Pediatric laryngeal dimensions: an age-based analysis. Anesth Analg 2009; 108: 1475–9.CrossRefGoogle ScholarPubMed
Marquez, AM, Morgan, RW, Ross, CE, Berg, RA, Sutton, RM. Physiology-directed cardiopulmonary resuscitation: advances in precision monitoring during cardiac arrest. Curr Opin Crit Care 2018; 24: 143–50.CrossRefGoogle ScholarPubMed
Savino, PB, Reichelderfer, S, Mercer, MP, Wang, RC, Sporer, KA. Direct versus video laryngoscopy for prehospital intubation: a systematic review and meta‐analysis. Acad Emerg Med 2017; 24: 1018–26.CrossRefGoogle ScholarPubMed
Häske, D, Schier, L, Weerts, JO, Groß, B, Rittmann, A, Grützner, PA, et al. An explorative, biomechanical analysis of spine motion during out-of-hospital extrication procedures. Injury 2020; 51: 185–92.Google Scholar
Maschmann, C, Jeppesen, E, Rubin, MA, Barfod, C. New clinical guidelines on the spinal stabilisation of adult trauma patients – consensus and evidence based. Scand J Trauma Resusc Emerg Med 2019; 27: 77.CrossRefGoogle ScholarPubMed
van der Weide, L, Popal, Z, Terra, M, Schwarte, LA, Ket, JC, Kooij, FO, et al. Prehospital ultrasound in the management of trauma patients: systematic review of the literature. Injury 2019; 50: 2167–75.Google Scholar
Lesperance, RN, Carroll, CM, Aden, JK, Young, JB, Nunez, TC. Failure rate of prehospital needle decompression for tension pneumothorax in trauma patients. Am Surg 2018; 84: 1750–55.Google Scholar
Lubin, D, Tang, AL, Friese, RS, Martin, M, Green, DJ, Jones, T, et al. Modified Veress needle decompression of tension pneumothorax: a randomized crossover animal study. J Trauma Acute Care Surg 2013; 75: 1071–5.Google Scholar
Jodie, P, Kerstin, H. BET 2: pre-hospital finger thoracostomy in patients with chest trauma. Emerg Med J 2017; 34: 419.Google Scholar
Hannon, L, St Clair, T, Smith, K, Fitzgerald, M, Mitra, B, Olaussen, A, et al. Finger thoracostomy in patients with chest trauma performed by paramedics on a helicopter emergency medical service. Emerg Med Australas 2020; 32: 650–56.CrossRefGoogle ScholarPubMed
Kotora Jr, JG, Henao, J, Littlejohn, LF, Kircher, S. Vented chest seals for prevention of tension pneumothorax in a communicating pneumothorax. J Emerg Med 2013; 45: 686–94.CrossRefGoogle Scholar
Kuhlwilm, V. The use of chest seals in treating sucking chest wounds: a comparison of existing evidence and guideline recommendations. J Spec Oper Med 2021; 21: 94101.Google Scholar
Axtman, BC, Stewart, KE, Robbins, JM, Garwe, T, Sarwar, Z, Gonzalez, RA, et al. Prehospital needle thoracostomy: what are the indications and is a post-trauma center arrival chest tube required? Am J Surg 2019; 218: 1138–42.CrossRefGoogle ScholarPubMed
Lockey, DJ, Brohi, K. Pre-hospital thoracotomy and the evolution of pre-hospital critical care for victims of trauma. Injury 2017; 48: 1863–4.Google Scholar
Schauer, SG, April, MD, Fisher, AD, Cunningham, CW, Gurney, J. Junctional tourniquet use during combat operations in Afghanistan: the prehospital trauma registry experience. J Spec Oper Med 2018; 18: 71–4.Google Scholar
Schechtman, DW, Kauvar, DS, De Guzman, R, Polykratis, IA, Prince, MD, Kheirabadi, BS, et al. Abdominal aortic and junctional tourniquet versus zone III resuscitative endovascular balloon occlusion of the aorta in a swine junctional hemorrhage model. J Trauma Acute Care Surg 2020; 88: 292–7.Google Scholar
Welch, M, Barratt, J, Peters, A, Wright, C. Systematic review of prehospital haemostatic dressings. BMJ Mil Health 2020; 166: 194200.CrossRefGoogle ScholarPubMed
Tran, A, Yates, J, Lau, A, Lampron, J, Matar, M. Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: a systematic review and meta-analysis of randomized controlled trials. J Trauma Acute Care Surg 2018; 84: 802–8.Google Scholar
Midwinter, M. Fundamentals of Frontline Surgery. CRC Press, 2021.Google Scholar
CRASH-3 Trial Collaborators. Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. Lancet 2019; 394: 1713–23.Google Scholar
Roberts, I, Shakur-Still, H, Afolabi, A, Akere, A, Arribas, M, Brenner, A, et al. Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial. Lancet 2020; 395: 1927–36.CrossRefGoogle Scholar
Lendrum, R, Perkins, Z, Chana, M, Marsden, M, Davenport, R, Grier, G, et al. Pre-hospital resuscitative endovascular balloon occlusion of the aorta (REBOA) for exsanguinating pelvic haemorrhage. Resuscitation 2019; 135: 613.CrossRefGoogle ScholarPubMed
Wilson, MH, Hinds, J, Grier, G, Burns, B, Carley, S, Davies, G. Impact brain apnoea: a forgotten cause of cardiovascular collapse in trauma. Resuscitation 2016; 105: 52–8.Google Scholar
Ter Avest, E, Taylor, S, Wilson, M, Lyon, RL. Prehospital clinical signs are a poor predictor of raised intracranial pressure following traumatic brain injury. Emerg Med J 2021; 38: 21–6.Google Scholar
Miyoshi, Y, Kondo, Y, Suzuki, H, Fukuda, T, Yasuda, H, Yokobori, S. Effects of hypertonic saline versus mannitol in patients with traumatic brain injury in prehospital, emergency department, and intensive care unit settings: a systematic review and meta-analysis. J Intensive Care 2020; 8: 61.CrossRefGoogle ScholarPubMed
Picetti, E, Iaccarino, C, Servadei, F. Letter: Guidelines for the Management of Severe Traumatic Brain Injury fourth edition. Neurosurgery 2017; 81: E2.CrossRefGoogle ScholarPubMed
Lott, C, Truhlář, A, Alfonzo, A, Barelli, A, González-Salvado, V, Hinkelbein, J, et al. European Resuscitation Council Guidelines 2021: cardiac arrest in special circumstances. Resuscitation 2021; 161: 152219.CrossRefGoogle ScholarPubMed
Zhang, Z, Brazil, J, Ozkaynak, M, Desanto, K. Evaluative research of technologies for prehospital communication and coordination: a systematic review. J Med Syst 2020; 44: 100.CrossRefGoogle ScholarPubMed
Moran, CG, Lecky, F, Bouamra, O, Lawrence, T, Edwards, A, Woodford, M, et al. Changing the system – major trauma patients and their outcomes in the NHS (England) 2008–17. EClinicalMedicine 2018; 2: 1321.CrossRefGoogle ScholarPubMed
Moore, L, Champion, H, Tardif, PA, Kuimi, BL, O’Reilly, G, Leppaniemi, A, et al. Impact of trauma system structure on injury outcomes: a systematic review and meta-analysis. World J Surg 2018; 42: 1327–39.CrossRefGoogle ScholarPubMed
Farshid, A, Allada, C, Chandrasekhar, J, Marley, P, McGill, D, O’Connor, S, et al. Shorter ischaemic time and improved survival with pre-hospital STEMI diagnosis and direct transfer for primary PCI. Heart Lung Circ 2015; 24: 234–40.CrossRefGoogle ScholarPubMed

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