Joseph Ritondale, Mark Piehl, Sydney Caputo, Jacob Broome, Bryant McLafferty, Augustus Anderson, Cameron Belding, Danielle Tatum, Sharven Taghavi, Patrick McGrew, Kevin Harrell, Olan Jackson-Weaver, Alison Smith, Meg Marino, Tom Dransfield, Juan Duchesne
BACKGROUND: At the 2023 global ATLS symposium the priority of circulation was emphasized through the "x-ABC" sequence, where "x" stands for exsanguinating hemorrhage control. With growing evidence from military and civilian studies supporting an "x-ABC" approach to trauma care, a prehospital advanced resuscitative care (ARC) bundle emphasizing early transfusion was developed in our EMS system for patients with severe traumatic injury. We hypothesized that prioritization of prehospital x-ABC through introduction of ARC would reduce in-hospital mortality...
January 10, 2024: Journal of the American College of Surgeons