Selective Prehospital Advanced Resuscitative Care – Developing a Strategy to Prevent Prehospital Deaths From Noncompressible Torso Hemorrhage
Zaffer Qasim, Frank K. Butler, John B. Holcomb, Joseph G. Kotora, Brian J. Eastridge, Karim Brohi, Thomas M. Scalea, C. William Schwab, Brendon Drew, Jennifer M. Gurney, Jan O. Jansen, Lewis J. Kaplan, Matthew J. Martin, Todd E. Rasmussen, Stacy Shackelford, Eric A. Bank, Darren Braude, Megan Brenner, Francis X. Guyette, Bellal Joseph, William R. Hinckley, Jason L. Sperry, Juan Duchesne
Abstract
ABSTRACT Hemorrhage, and particularly noncompressible torso hemorrhage remains a leading cause of potentially preventable prehospital death from trauma in the United States and globally. A subset of severely injured patients either die in the field or develop irreversible hemorrhagic shock before they can receive hospital definitive care, resulting in poor outcomes. The focus of this opinion paper is to delineate