Clinical impact of a prehospital trauma shock bundle of care in South Africa.

ABSTRACT:

Introduction

Patients experiencing traumatic shock are at a higher risk for death and complications. We previously designed a bundle of emergency medical services traumatic shock care ("EMS-TruShoC") for prehospital providers in resource-limited settings. We assess how EMS-TruShoC changes clinical outcomes of critically injured prehospital patients.

Methods

This is a quasi-experimental educational implementation of a simplified bundle of care using a pre-post design with a control group. The intervention was delivered to EMS providers in Western Cape, South Africa. Delta shock index (heart rate divided by systolic blood pressure, reported as change from the scene to facility arrival) from the 13 months preceding intervention were compared to the 13 months post-implementation

SUBMITTER: Mould-Millman NK 

PROVIDER: S-EPMC8718736 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature