Emergency medical services (EMS), including ground and air transportation, significantly extend the reach of tertiary care facilities, leading to rapid transport of critically ill patients. EMS providers are the first link to a trauma care system, and trauma triage made by EMS personnel is a very important factor in a good outcome of trauma patients and has a large impact over the clinical evolution. Recent review of the literature on helicopter emergency medical services (HEMS) showed an overall benefit of 2.7 additional lives saved per 100 HEMS activations. Therefore, it is necessary to apply a systematic approach in this pathology, guided by clear and simple-to-follow recommendations applied on the scene.
One of the general principles for trauma patient management is to be aware that time is very important –Trauma patients’ golden hour, which emphasizes the importance of rapid sequences of diagnosis and treatment. One of crucial steps in the assessment and management is to identify and quickly control hemorrhage and initiate fluid resuscitation to manage blood circulation. Moreover, before transporting the patient EMS personnel should restore blood volume losses using crystalloid fluid and blood and continue replacement during transfer.
All the life-threatening injuries should be recognized during primary assessment and the required treatment should be applied as soon as possible without any delay. Obtaining intravenous access and beginning fluid resuscitation along with applying oxygen from the first moments could be lifesaving measures.
Click here and read the full version of this systematic approach recommended to be applied in case of trauma patients. https://www.intechopen.com/books/emergency-medicine-and-trauma/prehospital-emergency-care-in-acute-trauma-conditions