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dc.contributor.authorMurad, Mudhafar Karim
dc.contributor.authorLarsen, Stig
dc.contributor.authorHusum, Hans
dc.date.accessioned2012-12-17T09:20:57Z
dc.date.available2012-12-17T09:20:57Z
dc.date.issued2012
dc.description.abstractBackground Blunt implementation of Western trauma system models is not feasible in low-resource communities with long prehospital transit times. The aims of the study were to evaluate to which extent a low-cost prehospital trauma system reduces trauma deaths where prehospital transit times are long, and to identify specific life support interventions that contributed to survival. Methods In the study period from 1997 to 2006, 2,788 patients injured by land mines, war, and traffic accidents were managed by a chain-of-survival trauma system where non-graduate paramedics were the key care providers. The study was conducted with a time-period cohort design. Results 37% of the study patients had serious injuries with Injury Severity Score ≥ 9. The mean prehospital transport time was 2.5 hours (95% CI 1.9 - 3.2). During the ten-year study period trauma mortality was reduced from 17% (95% CI 15 -19) to 4% (95% CI 3.5 - 5), survival especially improving in major trauma victims. In most patients with airway problems, in chest injured, and in patients with external hemorrhage, simple life support measures were sufficient to improve physiological severity indicators. Conclusion In case of long prehospital transit times simple life support measures by paramedics and lay first responders reduce trauma mortality in major injuries. Delegating life-saving skills to paramedics and lay people is a key factor for efficient prehospital trauma systems in low-resource communities.en
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2012) vol. 20, no.13en
dc.identifier.issn1757-7241
dc.identifier.otherFRIDAID 924612
dc.identifier.otherdoi: 10.1186/1757-7241-20-13
dc.identifier.urihttp://hdl.handle.net/10037/4680
dc.identifier.urnURN:NBN:no-uit_munin_4396
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783en
dc.titlePrehospital trauma care reduces mortality : ten-year results from a time-cohort and trauma audit study in Iraqen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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