Prehospital Emergency Care - Related Resources

Cochrane reviews

Early treatment with tranexamic acid (≤3 hours from injury) reduces mortality in bleeding trauma patients. For trauma patients admitted late after injury, tranexamic acid is less effective and could be harmful Tranexamic Acid for Acute Traumatic Injury.
Resuscitation with colloids appears not to reduce the risk of death, compared to resuscitation with crystalloids. Furthermore, the use of hydroxyethyl starch appears to increase mortality Colloids Versus Crystalloids for Fluid Resuscitation in Critically Ill Patients.
Advanced trauma life support courses for hospital staff might possibly not be effective in improving patient outcome in trauma patients, but the evidence is insufficient Effectiveness of Advanced Trauma Life Support Courses for Hospital Staff.
Helicopter emergency medical services used to transfer adults with major trauma to higher level trauma centers may be beneficial Helicopter Emergency Medical Services for Adults with Major Trauma
Albumin administration appears not to reduce mortality in patients with hypovolaemia or in critically ill patients with burns and hypoalbuminaemia Albumin for Resuscitation and Volume Expansion in Critically Ill Patients.
There seems to be no evidence of the effectiveness of advanced life support training for ambulance crews on injury mortality or morbidity, although the evidence is insufficientAdvanced Life Support Training in Trauma Life Support for Ambulance Crews.
There is no evidence to support a particular vasopressor to be superior to other agents in states of shock Vasopressors for Shock.

Other evidence summaries

In acute blood loss a large postural pulse change (greater or equal to 30 beats per minute) or severe postural dizziness appear to suggest hypovolaemia Diagnosis of Hypovolemia.

Literature

Berlac P, Hyldmo PK, Kongstad P, Kurola J, Nakstad AR, Sandberg M, Scandinavian Society for Anesthesiology and Intensive Care Medicine. Pre-hospital airway management: guidelines from a task force from the Scandinavian Society for Anaesthesiology and Intensive Care Medicine. Acta Anaesthesiol Scand 2008 Aug;52(7):897-907. [PubMed]

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References

Prehospital Emergency Care - Related Resources

Cochrane reviews

Other evidence summaries

Literature