keyword
MENU ▼
Read by QxMD icon Read
search

Prehospital haemorrhage control

keyword
https://www.readbyqxmd.com/read/28601210/tranexamic-acid-use-in-prehospital-uncontrolled-hemorrhage
#1
REVIEW
Benjamin R Huebner, Warren C Dorlac, Chris Cribari
The use of tranexamic acid (TXA) in the treatment of trauma patients was relatively unexplored until the landmark Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage-2 (CRASH-2) trial in 2010 demonstrated a reduction in mortality with the use of TXA. Although this trial was a randomized, double-blinded, placebo-controlled study incorporating >20,000 patients, numerous limitations and weaknesses have been described. As a result, additional studies have followed, delineating the potential risks and benefits of TXA administration...
June 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28509774/the-role-of-the-anaesthesiologist-in-air-ambulance-medicine
#2
Stephen J M Sollid, Marius Rehn
PURPOSE OF REVIEW: The care administered on air ambulances has become increasing complex. This has led to a discussion among experts as to whether air ambulance travel should be manned by physicians. This review provides evidence in support of anaesthesiologists being the physician-leaders in air ambulance medicine, because of their training in advanced airway management, critical care, and resuscitation. RECENT FINDINGS: Successful prehospital care requires the ability to perform a complex set of advanced diagnostics and interventions...
August 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28509685/modelling-acute-traumatic-haemorrhagic-shock-injury-challenges-and-guidelines-for-preclinical-studies
#3
Jordi L Tremoleda, Sarah A Watts, Penny S Reynolds, Christoph Thiemermann, Karim Brohi
Trauma is responsible for a large proportion of the world's burden of disease, and is by far the biggest killer of young adults. Haemorrhage is the leading cause of preventable death and its effects are directly correlated with the incidence multi-organ failure in survivors. Trauma research is challenging due to patient heterogeneity, limited randomised controlled trials, and in vitro studies that fail to mimic the systemic injury response. Preclinical research remains essential for mechanistic and therapeutic discovery...
May 15, 2017: Shock
https://www.readbyqxmd.com/read/27623805/prehospital-control-of-life-threatening-truncal-and-junctional-haemorrhage-is%C3%A2-the-ultimate-challenge-in-optimizing-trauma-care-a-review-of-treatment-options-and-their-applicability-in-the-civilian-trauma-setting
#4
REVIEW
S E van Oostendorp, E C T H Tan, L M G Geeraedts
INTRODUCTION: Exsanguination following trauma is potentially preventable. Extremity tourniquets have been successfully implemented in military and civilian prehospital care. Prehospital control of bleeding from the torso and junctional area's remains challenging but offers a great potential to improve survival rates. This review aims to provide an overview of potential treatment options in both clinical as preclinical state of research on truncal and junctional bleeding. Since many options have been developed for application in the military primarily, translation to the civilian situation is discussed...
September 13, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27294481/-recommendations-for-releasing-the-pelvic-binder-after-a-non-invasive-pelvic-stabilisation-procedure-under-emergency-room-conditions
#5
U Schweigkofler, B Wohlrath, T Paffrath, S Flohé, D Wincheringer, R Hoffmann, H Trentzsch
Severe brain, thoracic and intrapelvic injuries, as well as heavy bleeding, are the main causes of death in patients with major trauma. Unstable pelvic ring fractures can cause this bleeding and the so-called "C problem". This is usually due to haemorrhagic shock caused by the loss of large volumes of blood from the presacral venous plexus, iliac vessels and the fracture surfaces. Many clinical studies have shown that, in the preclinical setting, unstable pelvic ring injuries are often underestimated. The application of a non-invasive external pelvic ring stabilisation (pelvic binder) is therefore recommended if a pelvic fracture is possible...
October 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27199140/bet-1-give-prehospital-blood-and-save-a-life
#6
REVIEW
Nicholas Scott, Sarah Sutton
A short cut review was carried out to establish whether prehospital blood transfusion in the trauma patient with active haemorrhage can reduce mortality. 11 directly relevant papers were found using the reported search strategy. Of these two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. It is concluded that prehospital blood transfusion may reduce short-term mortality in these patients, but that the evidence level is low and further definitive randomised controlled trials are needed to prove benefit...
June 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26830121/prehospital-use-of-hemostatic-dressings-in-emergency-medical-services-in-the-netherlands-a-prospective-study-of-66-cases
#7
Ruben Te Grotenhuis, Pierre M van Grunsven, Wim M J M Heutz, Edward C T H Tan
BACKGROUND: Uncontrolled haemorrhage is the leading cause of potentially preventable death in both civilian and military trauma patients. Animal studies and several case series have shown that hemostatic dressings reduce haemorrhage and might improve survival. One of these products is HemCon ChitoGauze(®). The objective of this study was to determine the effectiveness and safety of ChitoGauze in achieving hemostasis in massive traumatic bleeding in civilian emergency medical services...
May 2016: Injury
https://www.readbyqxmd.com/read/26772450/the-itclamp-in-the-management-of-prehospital-haemorrhage
#8
Edward C T H Tan, Joost H Peters, Jessica L Mckee, Michael J R Edwards
INTRODUCTION: Bleeding remains a leading cause of death in trauma patients. The iTClamp is a temporary wound closure device designed to control external bleeding within seconds of injury. We describe our experience using this device on 10 patients in the prehospital environment. METHODS: We have implemented the iTClamp for prehospital use through our physician-staffed helicopter emergency medical service (HEMS). Indications were massive bleeding that could not be controlled with an ordinary compressive bandage or a haemostatic bandage...
May 2016: Injury
https://www.readbyqxmd.com/read/26220293/prehospital-use-of-plasma-in-traumatic-hemorrhage-the-pupth-trial-study-protocol-for-a-randomised-controlled-trial
#9
RANDOMIZED CONTROLLED TRIAL
Penny S Reynolds, Mary Jane Michael, Emily D Cochran, Jacob A Wegelin, Bruce D Spiess
BACKGROUND: Severe traumatic injury and haemorrhagic shock are frequently associated with disruptions of coagulation function (such as trauma-induced coagulopathy TIC) and activation of inflammatory cascades. These pathologies may be exacerbated by current standard of care resuscitation protocols. Observational studies suggest early administration of plasma to severely-injured haemorrhaging patients may correct TIC, minimise inflammation, and improve survival. The proposed randomised clinical trial will evaluate the clinical effectiveness of pre-hospital plasma administration compared with standard- of-care crystalloid resuscitation in severely-injured patients with major traumatic haemorrhage...
July 30, 2015: Trials
https://www.readbyqxmd.com/read/26143820/-wounded-in-action-the-platinum-ten-minutes-and-the-golden-hour
#10
Jean-Louis Daban, Elisabeth Falzone, Mathieu Boutonnet, Vincent Peigne, Bernard Lenoir
In the battlefield, the majority of casualties die within ten minutes of the trauma. Most injuries result from an explosion and haemorrhage plays a central role. To improve survival rates, the French Army Health Service has developed a chain of survival from the battlefield to France based on prehospital combat casualty care, forward medical support during the first hour and damage control surgery.
September 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/25508259/-wounded-in-action-the-platinum-ten-minutes-and-the-golden-hour
#11
Jean-louis Daban, Elisabeth Falzone, Mathieu Boutonnet, Vincent Peigne, Bernard Lenoir
In the battlefield, the majority of casualties die within ten minutes of the trauma. Most injuries result from an explosion and haemorrhage plays a central role. To improve survival rates, the French Army Health Service has developed a chain of survival from the battlefield to France based on prehospital combat casualty care, forward medical support during the first hour and damage control surgery.
September 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/25464628/-wounded-in-action-the-platinum-ten-minutes-and-the-golden-hour
#12
Jean-louis Daban, Elisabeth Falzone, Mathieu Boutonnet, Vincent Peigne, Bernard Lenoir
In the battlefield, the majority of casualties die within ten minutes of the trauma. Most injuries result from an explosion and haemorrhage plays a central role. To improve survival rates, the French Army Health Service has developed a chain of survival from the battlefield to France based on prehospital combat casualty care, forward medical support during the first hour and damage control surgery.
September 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/24360668/fractures-of-the-pelvic-ring
#13
James Min-Leong Wong, Andrew Bucknill
Traumatic disruptions of the pelvic ring are high energy life threatening injuries. Management represents a significant challenge, particularly in the acute setting in the presence of severe haemorrhage. Initial management is focused on preserving life by controlling haemorrhage and associated injuries. Advances in prehospital care, surgery, interventional radiology and the introduction of treatment algorithms to streamline decision making have improved patient survival. As more patients with unstable pelvic injuries survive, the poor results associated with nonoperative management and increasing patient expectations of outcome are making surgical management of these fractures increasingly common...
April 2017: Injury
https://www.readbyqxmd.com/read/23906957/identifying-future-unexpected-survivors-a-retrospective-cohort-study-of-fatal-injury-patterns-in-victims-of-improvised-explosive-devices
#14
James A G Singleton, Iain E Gibb, Nicholas C A Hunt, Anthony M J Bull, Jonathan C Clasper
OBJECTIVES: To identify potentially fatal injury patterns in explosive blast fatalities in order to focus research and mitigation strategies, to further improve survival rates from blast trauma. DESIGN: Retrospective cohort study. PARTICIPANTS: UK military personnel killed by improvised explosive device (IED) blasts in Afghanistan, November 2007-August 2010. SETTING: UK military deployment, through NATO, in support of the International Security Assistance Force (ISAF) mission in Afghanistan...
2013: BMJ Open
https://www.readbyqxmd.com/read/23896213/haemorrhagic-shock-therapeutic-management
#15
REVIEW
J-S David, C Spann, G Marcotte, B Reynaud, O Fontaine, M Lefèvre, V Piriou
The management of a patient in post-traumatic haemorrhagic shock will meet different logics that will apply from the prehospital setting. This implies that the patient has beneficiated from a "Play and Run" prehospital strategy and was sent to a centre adapted to his clinical condition capable of treating all haemorrhagic lesions. The therapeutic goals will be to control the bleeding by early use of tourniquet, pelvic girdle, haemostatic dressing, and after admission to the hospital, the implementation of surgical and/or radiological techniques, but also to address all the factors that will exacerbate bleeding...
July 2013: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/23243045/hypothermia-in-trauma
#16
REVIEW
Samuel Edwin Moffatt
Hypovolaemic shock that results through traumatically inflicted haemorrhage can have disastrous consequences for the victim. Initially the body can compensate for lost circulating volume, but as haemorrhage continues compensatory mechanisms fail and the patient's condition worsens significantly. Hypovolaemia results in the lethal triad, a combination of hypothermia, acidosis and coagulopathy, three factors that are interlinked and serve to worsen each other. The lethal triad is a form of vicious cycle, which unless broken will result in death...
December 2013: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/23164651/-prehospital-use-of-haemostatic-dressing-quikclot-acs-%C3%A2-for-hemorrhage-control-of-a-perineal-trauma
#17
S Travers, O Dubourg, L Ribeiro Parenti, H Lefort, S Albarello, L Domanski
First responders are sometimes confronted with external uncontrolled haemorrhage despite compression, bandages, and tourniquets. Several topical haemostatic agents were developed to try to face these situations. Their application was mainly described and studied in military environment. We report the case of a worker victim of an accident of construction site with hemorrhagic perineal trauma for whom the use of a haemostatic bandage QuikClot ACS+™ (Z-Medica) seemed to us particularly useful in prehospital setting...
December 2012: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/23161808/haemostatic-dressings-in-prehospital-care
#18
REVIEW
Adam Hewitt Smith, Colville Laird, Keith Porter, Mark Bloch
Massive haemorrhage still accounts for up to 40% of mortality after traumatic injury. The importance of limiting blood loss after injury in order to prevent its associated complications has led to rapid advances in the development of dressings for haemostatic control. Driven by recent military conflicts, there is increasing evidence to support their role in the civilian prehospital care environment. This review aims to summarise the key characteristics of the haemostatic dressings currently available on the market and provide an educational review of the published literature that supports their use...
October 2013: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/22362649/major-trauma-and-urban-cyclists-physiological-status-and-injury-profile
#19
Joanna Manson, Sian Cooper, Anita West, Elizabeth Foster, Elaine Cole, Nigel R M Tai
INTRODUCTION: Pedal cycling in cities has the potential to deliver significant health and economic benefits for individuals and society. Safety is the main concern for potential cyclists although the statistical risk of death is low. Little is known about the severity of injuries sustained by city cyclists and their outcome. AIM: The aim of this study was to characterise the physiological status and injury profile of cyclists admitted to our urban major trauma centre (MTC)...
January 2013: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/20603900/the-emergency-control-of-traumatic-maxillofacial-haemorrhage
#20
Tim Harris, Scott Rice, Beverley Watts, Gareth Davies
Maxillofacial trauma is common and may lead to haemorrhage that is associated with actual or impending airway compromise. This study briefly discusses the aetiology of midfacial haemorrhage and describes a simple effective technique of midface splintage for haemorrhage control, which may be applied in the prehospital and emergency environments. This technique has been used successfully by the London Helicopter Emergency Medical Service.
August 2010: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
keyword
keyword
23218
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"