List Archives

Sun Apr 4 16:39:14 BST 2010

Here the EMS services are all different.  Some communicate to our hospital, some have their own protocols, and some do things in a non-standard way, and are out of control.   Dr. McSwain, we talked a little bit about this in Las Vegas.   How do you standardize the EMS services of a region?   Who and how do you address those EMS services which are out of control?

Mohammed al Malik, MD

Los Angeles

Subject: RE: EMS impact on trauma survival
Date: Sat, 3 Apr 2010 11:45:49 -0500
From: nmcswai at tulane.edu
To: trauma-list at trauma.org

Jameel Ali published two studies pre and post PHTLS showing improvement is use of techniques and in survival

Ali J, et al, Trauma patient outcomes after the PreHospital Trauma Life Support Program, J Trauma 42:1-18,1997 is one of them

Norman

Norman McSwain MD
Trauma Director, Spirit of Charity Trauma Center
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu

From: trauma-list-bounces at trauma.org on behalf of Charles Brault
Sent: Sat 4/3/2010 11:36 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: EMS impact on trauma survival

Some pre-post PHTLS data (Jamaica ?)

Some prolonged Trauma MD EMS on scene times and impact (Montreal)

Many comparative Trauma transport survival models (Priv. Vehicule, BLS, ALS)

And Much on "Trauma system" impacts

There exist a not strong, but recurrent scene time corelation to survival
Logicaly there<s an argument to be made supporting some medical interventions on scene
But statisticaly these are so rare and so many patients die anyway
That
Statisticaly
It has been difficult to give any scientific support to it

Charles

________________________________
From: Marykay Pasnick <topas at fidalgo.net>
To: trauma-list at trauma.org
Sent: Fri, April 2, 2010 10:22:00 PM
Subject:

I'm in the North Caucasus trying to do an assessment of the ambulance
service/EMS service in one of the small republics here. Does anyone know of
information or studies linking pre-hospital care in general with improved
mortality/morbidity - particularly level of training of EMS personnel. I
know it sounds kind of obvious that better training would improve outcome,
but is there data saying this is true?

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Variable EMS services & impact on trauma survival