Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients

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Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients.

OBJECTIVES To systematically review the evidence on the effectiveness (in terms of mortality and morbidity) of prehospital intravenous (i.v.) fluid replacement, compared with no i.v. fluid replacement or delayed fluid replacement, in trauma patients with no head injury who have haemorrhage-induced hypotension due to trauma. DATA SOURCES Electronic databases, relevant websites, handsearching, ...

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Effectiveness of intravenous lidocaine versus intravenous morphine in reducing acute extremity trauma-induced pain: A triple-blind randomized clinical trial

Introduction: The present study aimed to compare analgesic effects of IV lidocaine vs. IV morphine on the management and relief of acute pain caused by the extremity trauma. Materials and Methods: The present study was a triple-blind randomized clinical trial that was conducted in the emergency department of Peymanieh Hospital of Jahrom. Patients aged 16 to 65 with acute extremity traumas and t...

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Cost-effectiveness and benefit of alternatives to improve training for prehospital trauma care in Mexico.

INTRODUCTION In Latin America, there is a preponderance of prehospital trauma deaths. However, scarce resources mandate that any improvements in prehospital medical care must be cost-effective. This study sought to evaluate the cost-effectiveness of several approaches to improving training for personnel in three ambulance services in Mexico. METHODS In Monterrey, training was augmented with P...

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The time cost of prehospital intubation and intravenous access in trauma patients.

OBJECTIVES The prehospital management of trauma patients remains controversial. Little is known about the time each procedure contributes to the on-scene duration, and this information would be helpful in prioritizing which procedures to perform in the prehospital setting. We sought to estimate the contribution of procedures to on-scene duration focusing on intubation and establishment of intra...

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ژورنال

عنوان ژورنال: Health Technology Assessment

سال: 2004

ISSN: 1366-5278,2046-4924

DOI: 10.3310/hta8230