BACKGROUND To date, the benefit of prehospital advanced life-support programs on trauma-related mortality and morbidity has not been established METHODS The Ontario Prehospital Advanced Life Support (OPALS) Major Trauma Study was a before-after systemwide controlled clinical trial conducted in 17 cities. We enrolled adult patients who had experienced major trauma in a basic life-support phase...

In this prospective study, we used two full-scale prehospital trauma scenarios (severe chest injury and severe head injury) and checklists of specific actions, reflecting essential actions for a safe treatment and successful outcome, were used to assess performance of postinternship physician graduates of the Advanced Trauma Life Support (ATLS) course. In the first 36 participants, simulated tr...

A 46-year-old woman presented to the trauma unit with a history of being trapped in a house fire. The trauma team, composed of a trauma surgery (TS) attending, an emergency medicine (EM) attending, four EM and surgery residents, and two trauma nurses, met the patient at arrival. The patient had a Glasgow Coma Scale (GCS) score of 15 and complained of shortness of breath, severe eye pain, and ho...

A ppropriate management of a polytrauma patient begins at the scene of the accident. Early initiation of Advanced Trauma Life Support (ATLS) protocols by emergency medical personnel and rapid transport to an appropriate facility is essential to maximize a patient’s chance of survival. Fifty percent of trauma deaths occur within minutes of the accident, usually due to hemorrhage or head injuries...

INTRODUCTION The use of a noninvasive pelvic circumferential compression device (PCCD) to achieve pelvic stabilization by both decreasing pelvic volume and limiting inter-fragmentary motion has become commonplace, and is a well-established component of Advanced Trauma Life Support (ATLS) protocol in the treatment of pelvic ring injuries. The purpose of this study was to evaluate the following: ...

To the Editor: We read with interest the comprehensive review by Ford et al.,1 which was published in August 2016 issue of the Western Journal of Emergency Medicine. The authors aimed to review the best available evidence regarding the effect of leadership and teamwork in trauma and resuscitation on patient care and how effective leadership can be measured. Presence of a trauma team leader (TTL...

BACKGROUND The pre-hospital triage process aims at identifying and prioritizing patients in the need of prompt intervention and/or evacuation. The objective of the present study was to evaluate triage decision skills in a Mass Casualty Incident drill. The study compares two groups of participants in Advanced Trauma Life Support and Pre-Hospital Trauma Life Support courses. METHODS A questionn...

introduction this study determines the effect of prehospital time and advanced trauma life support interventions for trauma patients transported to an our trauma center. materials and methods this study was a retrospective study of trauma victims presenting to a trauma center in central iran by emergency medical services (ems) and hospitalized for more than 24 hours. demographic and injury char...