Journal ArticleDOI
An Evidence-based Prehospital Guideline for External Hemorrhage Control: American College of Surgeons Committee on Trauma
Eileen M. Bulger,David Snyder,Karen M Schoelles,Cathy Gotschall,Drew E. Dawson,Eddy Lang,Nels D. Sanddal,Frank K. Butler,Mary E. Fallat,Peter Taillac,Lynn J. White,Jeffrey P. Salomone,William Seifarth,Michael J. Betzner,Jay A. Johannigman,Norman E. McSwain +15 more
TLDR
The development of an evidence-based guideline for external hemorrhage control in the prehospital setting is described and a clinical care guideline is proposed for adoption by EMS systems.About:
This article is published in Prehospital Emergency Care.The article was published on 2014-03-18. It has received 197 citations till now. The article focuses on the topics: Guideline.read more
Citations
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The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition
Rolf Rossaint,Bertil Bouillon,Vladimir Cerny,Timothy J Coats,Jacques Duranteau,Enrique Fernández-Mondéjar,Daniela Filipescu,Beverley J. Hunt,Radko Komadina,Giuseppe Nardi,Edmund Neugebauer,Yves Ozier,Louis Riddez,Arthur Schultz,Jean Louis Vincent,Donat R. Spahn +15 more
TL;DR: The guideline now recommends that patients be transferred directly to an appropriate trauma treatment centre and encourages use of a restricted volume replacement strategy during initial resuscitation, and may also serve as a basis for local implementation.
Journal ArticleDOI
Tourniquet use at the Boston Marathon bombing: Lost in translation.
TL;DR: An effective, prehospital extremity hemorrhage control posture should be translated to all civilian first responders in the United States and should mirror the military’s posture toward extremity bleeding control.
Journal ArticleDOI
Tourniquet use for civilian extremity trauma.
Kenji Inaba,Stefano Siboni,Shelby Resnick,Jay Zhu,Monica Darlene Wong,Tobias Haltmeier,Elizabeth Benjamin,Demetrios Demetriades +7 more
TL;DR: Tourniquet use in the civilian sector is associated with a low rate of complications and with the low complication rate and high potential for benefit, aggressive use of this potentially lifesaving intervention is justified.
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Survival With Emergency Tourniquet Use to Stop Bleeding in Major Limb Trauma
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Prehospital control of life-threatening truncal and junctional haemorrhage is the ultimate challenge in optimizing trauma care; a review of treatment options and their applicability in the civilian trauma setting
TL;DR: Options to stop truncal and junctional traumatic haemorrhage in the prehospital arena are evolving and may offer a potentially great survival advantage.
References
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GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables
Gordon H. Guyatt,Andrew D Oxman,Elie A. Akl,Regina Kunz,Gunn Elisabeth Vist,Jan Brozek,Susan L Norris,Yngve Falck-Ytter,Paul Glasziou,Hans deBeer,Roman Jaeschke,David Rind,Joerg J Meerpohl,Philipp Dahm,Holger J. Schünemann +14 more
TL;DR: The GRADE process begins with asking an explicit question, including specification of all important outcomes, and provides explicit criteria for rating the quality of evidence that include study design, risk of bias, imprecision, inconsistency, indirectness, and magnitude of effect.
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GRADE guidelines: 3. Rating the quality of evidence
Howard Balshem,Mark Helfand,Mark Helfand,Holger J. Schünemann,Andrew D Oxman,Regina Kunz,Jan Brozek,Gunn Elisabeth Vist,Yngve Falck-Ytter,Joerg J Meerpohl,Susan L Norris,Gordon H. Guyatt +11 more
TL;DR: The approach of GRADE to rating quality of evidence specifies four categories-high, moderate, low, and very low-that are applied to a body of evidence, not to individual studies.
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Death on the battlefield (2001-2011): Implications for the future of combat casualty care
Brian J. Eastridge,Robert L. Mabry,Peter Seguin,Joyce Cantrell,Terrill Tops,Paul Uribe,Olga Mallett,Tamara Zubko,Lynne Oetjen-Gerdes,Todd E. Rasmussen,Frank K. Butler,Russ S Kotwal,John B. Holcomb,Charles E. Wade,Howard R. Champion,Mimi Lawnick,Leon E. Moores,Lorne H. Blackbourne +17 more
TL;DR: To significantly impact the outcome of combat casualties with PS injury, strategies must be developed to mitigate hemorrhage and optimize airway management or reduce the time interval between the battlefield point of injury and surgical intervention.
Journal ArticleDOI
GRADE guidelines: 2. Framing the question and deciding on important outcomes
Gordon H. Guyatt,Andrew D Oxman,Regina Kunz,David C. Atkins,Jan Brozek,Gunn Elisabeth Vist,Philip Alderson,Paul Glasziou,Yngve Falck-Ytter,Holger J. Schünemann +9 more
TL;DR: In considering the importance of a surrogate outcome, authors should rate the importanceof the patient-important outcome for which the surrogate is a substitute and subsequently rate down the quality of evidence for indirectness of outcome.
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GRADE guidelines: 14. Going from evidence to recommendations: the significance and presentation of recommendations
Jeffrey C Andrews,Gordon H. Guyatt,Andrew D Oxman,Phil Alderson,Philipp Dahm,Yngve Falck-Ytter,Mona Nasser,Joerg J Meerpohl,Piet N. Post,Regina Kunz,Jan Brozek,Gunn Elisabeth Vist,David Rind,Elie A. Akl,Holger J. Schünemann +14 more
TL;DR: The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to classifying the direction and strength of recommendations is described, separated into strong and weak.