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SHR Neuro Cancer Cardio Lipid Metab Microb

Roudsari, BS; Nathens, AB; Arreola-Risa, C; Cameron, P; Civil, I; Grigoriou, G; Gruen, RL; Koepsell, TD; Lecky, FE; Lefering, RL; Liberman, M; Mock, CN; Oestern, HJ; Petridou, E; Schildhauer, TA; Waydhas, C; Zargar, M; Rivara, FP.
Emergency Medical Service (EMS) systems in developed and developing countries.
Injury. 2007; 38(9):1001-1013 Doi: 10.1016/j.injury.2007.04.008
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Co-authors Med Uni Graz: Schildhauer Thomas Armin
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Abstract:: OBJECTIVES: To compare patient- and injury-related characteristics of trauma victims and pre-hospital trauma care systems among different developed and developing countries. METHOD: We collated de-identified patient-level data from national or local trauma registries in Australia, Austria, Canada, Greece, Germany, Iran, Mexico, New Zealand, the Netherlands, the United Kingdom and the United States. Patient and injury-related characteristics of trauma victims with injury severity score (ISS) >15 and the pre-hospital trauma care provided to these patients were compared among different countries. RESULTS: A total of 30,339 subjects from one or several regions in 11 countries were included in this analysis. Austria (51%), Germany (41%) and Australia (30%) reported the highest proportion of air ambulance use. Monterrey, Mexico (median 10.1min) and Montreal, Canada (median 16.1min) reported the shortest and Germany (median: 30min) and Austria (median: 26min) reported the longest scene time. Use of intravenous fluid therapy among advanced EMS systems without physicians as pre-hospital care providers, varied from 30% (in the Netherlands) to 55% (in the US). The corresponding percentages in advanced EMS systems with physicians actively involved in pre-hospital trauma care, excluding Montreal in Canada, ranged from 63% (in London, in the UK) to 75% in Germany and Austria. Austria and Germany also reported the highest percentage of pre-hospital intubation (61% and 56%, respectively). CONCLUSION: This study provides an early look at international variability in patient mix, process of care, and performance of different pre-hospital trauma care systems worldwide. International efforts should be devoted to developing a minimum standard data set for trauma patients.
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Adult -; Aged -; Aged, 80 and over -; Cross-Cultural Comparison -; Delivery of Health Care - standards; Developed Countries -; Developing Countries -; Emergency Medical Services - methodsEmergency Medical Services - standards; Emergency Service, Hospital - standards; Female -; Humans -; Life Support Care - methodsLife Support Care - standards; Male -; Middle Aged -; Quality of Health Care - standards; Transportation of Patients - methods; Trauma Centers - standards; Trauma Severity Indices -
Find related publications in this database (Keywords): pre-hospital trauma care; emergency medical service (EMS) systems; developed and developing countries; advanced life support; basic life support; intravenous fluid therapy; endotracheal intubation