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The Time Cost of Prehospital Intubation and Intravenous Access in Trauma Patients.
- Source :
- Prehospital Emergency Care; Jul2008, Vol. 12 Issue 3, p327-332, 6p, 1 Diagram, 3 Charts
- Publication Year :
- 2008
-
Abstract
- Objectives. The prehospital management of trauma patients remains controversial. Little is known about the time each procedure contributes to the on-scene duration, and this information would be helpful in prioritizing which procedures to perform in the prehospital setting. We sought to estimate the contribution of procedures to on-scene duration focusing on intubation and establishment of intravenous (IV) access. Methods. Data were provided by the Office of Emergency Planning and Response at the Mississippi Department of Health. Real-time prehospital patient-level data are collected by emergency medical services (EMS) providers for all 9-1-1 calls statewide. Linear regression was performed to determine the overall additional time for an average procedure and to calculate marginal increases in on-scene time associated with the establishment of IV access and with endotracheal intubation. Analyses were performed using Stata 9. Results. During 2001-2005, 192,055 prehospital runs were made for trauma patients. 121,495 (63%) included prehospital procedures. Average on-scene duration for those runs was 15:24 (minutes:seconds). On average, each procedure was associated with an addition of 1 minute to the on-scene duration (95% confidence interval [CI]: 58-62 seconds). A scene involving the establishment of IV access was 5:04 longer, while one involving tracheal intubation was 2:36 longer. Conclusions. We estimate the marginal increase in on-scene duration associated with the performance of an average procedure, establishment of IV access, and endotracheal intubation. There are policy and planning implications for the time trade-off of prehospital procedures, especially discretionary ones. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10903127
- Volume :
- 12
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Prehospital Emergency Care
- Publication Type :
- Academic Journal
- Accession number :
- 32794420
- Full Text :
- https://doi.org/10.1080/10903120802096928