Identification of major hemorrhage in trauma patients in the prehospital setting: diagnostic accuracy and impact on outcome.

ABSTRACT:

Background

Hemorrhage is the most common cause of potentially preventable death after injury. Early identification of patients with major hemorrhage (MH) is important as treatments are time-critical. However, diagnosis can be difficult, even for expert clinicians. This study aimed to determine how accurate clinicians are at identifying patients with MH in the prehospital setting. A second aim was to analyze factors associated with missed and overdiagnosis of MH, and the impact on mortality.

Methods

Retrospective evaluation of consecutive adult (≥16 years) patients injured in 2019-2020, assessed by expert trauma clinicians in a mature prehospital trauma system, and admitted to a major trauma center (MTC). Clinicians decided to activate the major hemorrhage protocol (MHPA) or

SUBMITTER: Wohlgemut JM 

PROVIDER: S-EPMC10806521 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature