Pre-hospital Trauma Guidelines and Access to Lifesaving Interventions in Australia and Aotearoa/New Zealand

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aut.relation.endpage205
aut.relation.issue2
aut.relation.journalEmergency Medicine Australasia
aut.relation.startpage197
aut.relation.volume36
dc.contributor.authorAndrews, Tim
dc.contributor.authorMeadley, Ben
dc.contributor.authorGabbe, Belinda
dc.contributor.authorBeck, Ben
dc.contributor.authorDicker, Bridget
dc.contributor.authorCameron, Peter
dc.date.accessioned2024-04-23T04:37:48Z
dc.date.available2024-04-23T04:37:48Z
dc.date.issued2024-01-22
dc.description.abstractThe centralisation of trauma services in western countries has led to an improvement in patient outcomes. Effective trauma systems include a pre-hospital trauma system. Delivery of high-level pre-hospital trauma care must include identification of potential major trauma patients, access and correct application of lifesaving interventions (LSIs) and timely transport to definitive care. Globally, many nations endorse nationwide pre-hospital major trauma triage guidelines, to ensure a universal approach to patient care. This paper examined clinical guidelines from all 10 EMS in Australia and Aotearoa/New Zealand. All relevant trauma guidelines were included, and key information was extracted. Authors compared major trauma triage criteria, all LSI included in guidelines, and guidelines for transport to definitive care. The identification of major trauma patients varied between all 10 EMS, with no universal criteria. The most common approach to trauma triage included a three-step assessment process: physiological criteria, identified injuries and mechanism of injury. Disparity between physiological criteria, injuries and mechanism was found when comparing guidelines. All 10 EMS had fundamental LSI included in their trauma guidelines. Fundamental LSI included haemorrhage control (arterial tourniquets, pelvic binders), non-invasive airway management (face mask ventilation, supraglottic airway devices) and pleural wall needle decompression. Variation in more advanced LSI was evident between EMS. Optimising trauma triage guidelines is an important aspect of a robust and evidence driven trauma system. The lack of consensus in trauma triage identified in the present study makes benchmarking and comparison of trauma systems difficult.
dc.identifier.citationEmergency Medicine Australasia, ISSN: 1742-6731 (Print); 1742-6723 (Online), Wiley, 36(2), 197-205. doi: 10.1111/1742-6723.14373
dc.identifier.doi10.1111/1742-6723.14373
dc.identifier.issn1742-6731
dc.identifier.issn1742-6723
dc.identifier.urihttp://hdl.handle.net/10292/17464
dc.languageeng
dc.publisherWiley
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1111/1742-6723.14373
dc.rights© 2024 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectlifesaving intervention
dc.subjectmajor trauma
dc.subjectpre-hospital
dc.subjectlifesaving intervention
dc.subjectmajor trauma
dc.subjectpre-hospital
dc.subject32 Biomedical and Clinical Sciences
dc.subject3202 Clinical Sciences
dc.subjectPhysical Injury - Accidents and Adverse Effects
dc.subject3 Good Health and Well Being
dc.subject1103 Clinical Sciences
dc.subject1117 Public Health and Health Services
dc.subjectEmergency & Critical Care Medicine
dc.subject3202 Clinical sciences
dc.subject.meshHumans
dc.subject.meshNew Zealand
dc.subject.meshRetrospective Studies
dc.subject.meshTriage
dc.subject.meshAustralia
dc.subject.meshHospitals
dc.subject.meshWounds and Injuries
dc.subject.meshTrauma Centers
dc.subject.meshEmergency Medical Services
dc.subject.meshHumans
dc.subject.meshWounds and Injuries
dc.subject.meshRetrospective Studies
dc.subject.meshTrauma Centers
dc.subject.meshHospitals
dc.subject.meshEmergency Medical Services
dc.subject.meshTriage
dc.subject.meshAustralia
dc.subject.meshNew Zealand
dc.subject.meshHumans
dc.subject.meshNew Zealand
dc.subject.meshRetrospective Studies
dc.subject.meshTriage
dc.subject.meshAustralia
dc.subject.meshHospitals
dc.subject.meshWounds and Injuries
dc.subject.meshTrauma Centers
dc.subject.meshEmergency Medical Services
dc.titlePre-hospital Trauma Guidelines and Access to Lifesaving Interventions in Australia and Aotearoa/New Zealand
dc.typeJournal Article
pubs.elements-id535972
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