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dc.contributor.authorCowley, Alan
dc.contributor.authorDurham, Mark
dc.contributor.authorAldred, Duncan
dc.contributor.authorCrabb, Richard
dc.contributor.authorCrouch, Paul
dc.contributor.authorHeywood, Adam
dc.contributor.authorMcBride, Andy
dc.contributor.authorWilliams, Julia
dc.contributor.authorLyon, Richard
dc.date.accessioned2020-02-05T01:09:24Z
dc.date.available2020-02-05T01:09:24Z
dc.date.issued2019-09-06
dc.identifier.citationCowley , A , Durham , M , Aldred , D , Crabb , R , Crouch , P , Heywood , A , McBride , A , Williams , J & Lyon , R 2019 , ' Presence of a pre-hospital enhanced care team reduces on scene time and improves triage compliance for stab trauma ' , Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , vol. 27 , no. 1 , 86 , pp. 1-6 . https://doi.org/10.1186/s13049-019-0661-z
dc.identifier.issn1757-7241
dc.identifier.otherPURE: 18701581
dc.identifier.otherPURE UUID: 5157ef26-8822-4c07-90b0-4dab242444fb
dc.identifier.otherPubMed: 31492193
dc.identifier.otherPubMedCentral: PMC6731599
dc.identifier.otherScopus: 85071896209
dc.identifier.otherORCID: /0000-0003-0796-5465/work/67136469
dc.identifier.urihttp://hdl.handle.net/2299/22155
dc.description© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.abstractBackground: A reduction in pre-hospital scene time for patients with penetrating trauma is associated with reduced mortality, when combined with appropriate hospital triage. This study investigated the relationship between presence of pre-hospital enhanced care teams (ECT) (Critical Care Paramedics (CCPS) or Helicopter Emergency Medical Service (HEMS)), on the scene time and triage compliance, of penetrating trauma patients in a UK ambulance service. The primary outcome was whether scene time reduces when an ECT is present. A secondary outcome was whether the presence of an ECT improved compliance with the trust's Major Trauma Decision Tree (MTDT). Methods: All suspected penetrating trauma incidents involving a patient's torso were identified from the Trust's computer-aided dispatch (CAD) system between 31st March 2017 and 1st April 2018. Only patients who sustained central penetrating trauma were included. Any incidents involving firearms were excluded due to the prolonged times that can be involved when waiting for specialist police units. Data relevant to scene time for each eligible incident were retrieved, along with the presence or absence of an ECT. The results were analysed to identify trends in the scene times and compliance with the MTDT. Results: One hundred seventy-one patients met the inclusion criteria, with 165 having complete data. The presence of an ECT improved the median on-scene time in central stabbing by 38% (29m50s vs. 19m0s, p = 0.03). The compliance with the trust's MTDT increased dramatically when an ECT is present (81% vs. 37%, odds ratio 7.59, 95% CI, 3.70-15.37, p < 0.0001). Conclusions: The presence of an ECT at a central stabbing incident significantly improved the scene time and triage compliance with a MTDT. Ambulance services should consider routine activation of ECTs to such incidents, with subsequent service evaluation to monitor patient outcomes. Ambulance services should continue to strive to reduce scene times in the context of central penetrating trauma.en
dc.format.extent6
dc.language.isoeng
dc.relation.ispartofScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
dc.subjectCritical care
dc.subjectParamedic
dc.subjectPrehospital
dc.subjectScene time
dc.subjectStabbing
dc.subjectTrauma
dc.subjectEmergency Medicine
dc.subjectCritical Care and Intensive Care Medicine
dc.titlePresence of a pre-hospital enhanced care team reduces on scene time and improves triage compliance for stab traumaen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionAllied Health Professions
dc.contributor.institutionParamedic Science
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85071896209&partnerID=8YFLogxK
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s13049-019-0661-z
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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