A prospective observational analysis of ambulation after motor vehicle collisions.

Abstract:

OBJECTIVES:Predicting injury patterns of patients based only on mechanism of injury is difficult and is well described in the literature. Characteristics of patients on-scene immediately following injury(ies) may lead to predicting injury patterns. Although reported frequently, the significance of victim ambulation after a motor vehicle crash is poorly understood. It was hypothesized that ambulation at the scene is not predictive of injury severity following a motor vehicle crash (MVC). METHODS:A prospective, cohort study of 117 consecutive injured patients who were ambulatory after MVCs were enrolled. Paramedics in a large urban Emergency Medical Services (EMS) system were mandated to document "ambulatory" or "nonambulatory" for motor vehicle collisions in order to complete their prehospital electronic medical records. This assured accuracy and completeness in the data collection. All charts were abstracted for trauma-induced injury and imaging results. RESULTS:A total of 608 (10.9%) persons were ambulatory at the scene, of which 284 had an injury pattern documented in the prehospital or emergency department record. The average age was 35.9 (SD = 16.8) years, and 158 (55.6%) were male. A total of 707 injuries were identified in the 284 patients who had sustained injuries. CONCLUSIONS:Ambulation after motor vehicle collisions appears to be only infrequently associated with major injuries, although this population still may present with significant injuries. A larger, prospective study is warranted.

journal_name

Prehosp Disaster Med

authors

Merlin MA,Ciccosanti C,Saybolt MD,Bockoff O,Mazzei M,Shiroff A

doi

10.1017/S1049023X12001501

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

76-8

issue

1

eissn

1049-023X

issn

1945-1938

pii

S1049023X12001501

journal_volume

28

pub_type

杂志文章
  • Safety and Efficacy of an On-Site Intensive Treatment Protocol for Mild and Moderate Sympathomimetic Toxicity at Australian Music Festivals.

    abstract:INTRODUCTION:Serotonin and sympathomimetic toxicity (SST) after ingestion of amphetamine-based drugs can lead to severe morbidity and death. There have been evaluations of the safety and efficacy of on-site treatment protocols for SST at music festivals. PROBLEM:The study aimed to examine the safety and efficacy of tr...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X19005089

    authors: Douglas N,Carew J,Johnson D,Green M,Wilson N,Donovan J,Mulherin T,Holbery-Morgan L,Bourke E,Smith E

    更新日期:2020-02-01 00:00:00

  • The Ethics of Real-Time EMS Direction: Suggested Curricular Content.

    abstract::Ethical dilemmas can create moral distress in even the most experienced emergency physicians (EPs). Following reasonable and justified approaches can help alleviate such distress. The purpose of this article is to guide EPs providing Emergency Medical Services (EMS) direction to navigate through common ethical issues ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000110

    authors: Brenner JM,Aswegan AL,Vearrier LE,Basford JB,Iserson KV

    更新日期:2018-04-01 00:00:00

  • Earthquake-Related Orthopedic Injuries in Adult Population: A Systematic Review.

    abstract::Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X16001515

    authors: Bortolin M,Morelli I,Voskanyan A,Joyce NR,Ciottone GR

    更新日期:2017-04-01 00:00:00

  • A redundant resource: a pre-planned casualty clearing station for a FIFA 2010 Stadium in Durban.

    abstract::This report details the background, planning, and establishment of a mass-casualty management area for the Durban Moses Mabhida Stadium at the Natal Mounted Rifles base, by the Department of Health and the eThekwini Fire and Rescue Service, for the Fédération Internationale de Football Association (FIFA) 2010 Soccer W...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000453

    authors: Hardcastle TC,Samlal S,Naidoo R,Hendrikse S,Gloster A,Ramlal M,Ngema S,Rowe M

    更新日期:2012-10-01 00:00:00

  • Predictive effect of out-of-hospital time in outcomes of severely injured young adult and elderly patients.

    abstract:INTRODUCTION:The importance of accessing care within the first hour after injury has been a fundamental tenet of trauma system planning for 30 years. However, the scientific basis for this belief either has been missing or largely derived from case series from trauma centers. This study sought to determine the correlat...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004143

    authors: Báez AA,Lane PL,Sorondo B,Giráldez EM

    更新日期:2006-11-01 00:00:00

  • Peer evaluation of the professional behaviors of emergency medical technicians.

    abstract:INTRODUCTION:Professional behavior is one of the cornerstones of effective emergency medical services (EMS) practice and is a required part of the National Standard Curricula for advanced levels of EMS education. However, peer rating of emergency medical technicians with respect to the 11 categories of professional beh...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002284

    authors: Brown WE Jr,Margolis G,Levine R

    更新日期:2005-03-01 00:00:00

  • The Effect of Older Age on EMS Use for Transportation to an Emergency Department.

    abstract::Introduction Previous studies have found that older adults are more likely to use Emergency Medical Services (EMS) than younger adults, but the reasons for this remain understudied. Hypothesis/Problem This study aimed to determine if older age is associated with using EMS for transportation to an emergency department ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000036

    authors: Jones CMC,Wasserman EB,Li T,Amidon A,Abbott M,Shah MN

    更新日期:2017-06-01 00:00:00

  • Reliability of telecommunications systems following a major disaster: survey of secondary and tertiary emergency institutions in Miyagi Prefecture during the acute phase of the 2011 Great East Japan Earthquake.

    abstract:INTRODUCTION:Telecommunication systems are important for sharing information among health institutions to successfully provide medical response following disasters. HYPOTHESIS/PROBLEM:The aim of this study was to clarify the problems associated with telecommunication systems in the acute phase of the Great East Japan ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14000119

    authors: Kudo D,Furukawa H,Nakagawa A,Abe Y,Washio T,Arafune T,Sato D,Yamanouchi S,Ochi S,Tominaga T,Kushimoto S

    更新日期:2014-04-01 00:00:00

  • Mental health needs assessment after the Gulf Coast oil spill-Alabama and Mississippi, 2010.

    abstract:INTRODUCTION:Previous oil spills and disasters from other human-made events have shown that mental health effects to the affected population are widespread and can be significant. HYPOTHESIS/PROBLEM:There has been concern regarding the likelihood that existing public health surveillance was not capturing the mental he...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12001100

    authors: Buttke D,Vagi S,Bayleyegn T,Sircar K,Strine T,Morrison M,Allen M,Wolkin A

    更新日期:2012-10-01 00:00:00

  • Anaphylactoid reaction to adenosine.

    abstract::Adenosine (Adenocard) is an endogenous purine nucleoside that has been approved recently for intravenous treatment of paroxysmal supraventricular tachycardia. With a serum half-life of 10 seconds, reported side effects including facial flushing, dyspnea, and chest pressure are common, but very transient. An elderly wo...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00042849

    authors: Fata JG,Roth RN,Carpenter L

    更新日期:1996-04-01 00:00:00

  • Does the Implementation of an Advanced Life Support Quick Response Vehicle (QRV) in an Integrated Fire/EMS System Improve Patient Contact Response Time?

    abstract:BACKGROUND:The current Fire/Emergency Medical Services (EMS) model throughout the United States involves emergency vehicles which respond from a primary location (ie, firehouse or municipal facility) to emergency calls. Quick response vehicles (QRVs) have been used in various Fire/EMS systems; however, their effectiven...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004732

    authors: Anderson DW,Dhindsa HS,Wan W,Salot D

    更新日期:2015-08-01 00:00:00

  • Misconception as a barrier to teaching about disasters.

    abstract:INTRODUCTION:This paper is a report on an exercise designed to reveal the extent of belief in the common myths about disasters held by members of four groups of students from the University of Massachusetts and three groups of trainee emergency workers from Italy. METHODS:A questionnaire was administered in which stud...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004441

    authors: Alexander DE

    更新日期:2007-03-01 00:00:00

  • Effects on local emergency departments of large-scale urban chemical fire with hazardous materials spill.

    abstract:INTRODUCTION:On 18 July 2001, a train hauling hazardous materials, including hydrochloric acid, hydrofluoric acid, and acetic acid, derailed in the city of Baltimore, Maryland, resulting in a fire that burned under a downtown street for five days. Firefighters were stymied in their efforts to extinguish the fire, and t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00000492

    authors: Hsu EB,Grabowski JG,Chotani RA,Winslow JA,Alves DW,VanRooyen MJ

    更新日期:2002-10-01 00:00:00

  • Disaster metrics: a proposed quantitative model for benchmarking prehospital medical response in trauma-related multiple casualty events.

    abstract:INTRODUCTION:Quantitative benchmarking of trauma-related prehospital response for Multiple Casualty Events (MCE) is complicated by major difficulties due to the simultaneous occurrences of multiple prehospital activities. HYPOTHESIS/PROBLEM:Attempts to quantify the various components of prehospital medical response in...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000416

    authors: Bayram JD,Zuabi S

    更新日期:2012-04-01 00:00:00

  • Panel 2.10: reproductive, mental, and child health.

    abstract::This is a summary of the presentations and discussion of Panel 2.10, Reproductive, Mental, and Child Health of the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed included issues related to reproductiv...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003058

    authors: Sahu S,Musani A,Schaller J,Pairojkul S,Senanayake MP,Brenny P,Rosati MJ,Dakkak H

    更新日期:2005-11-01 00:00:00

  • A Descriptive Analysis of Prehospital Response to Hazardous Materials Events.

    abstract:OBJECTIVE:Little is known about the overall frequency of hazardous materials (HazMat) events in the United States and the nature of prehospital care for those exposed. The purpose of the current study was to perform a descriptive analysis of Emergency Medical Services (EMS) activations reported to a national EMS databa...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1500504X

    authors: Martin AJ,Lohse CM,Sztajnkrycer MD

    更新日期:2015-10-01 00:00:00

  • Analysis of collaboration in crisis management: Swedish study report.

    abstract::This report is a summary of a study 1 conducted at the Royal Swedish Academy of War Sciences to evaluate collaboration during crisis management. The study includes relevant legal and regulatory dynamics, as well as conclusions and recommendations. Rules and regulations of international interest are presented in the Ap...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000532

    authors: Kulling P

    更新日期:2012-04-01 00:00:00

  • Sensation seeking as it relates to burnout among emergency medical personnel: a Texas study.

    abstract:INTRODUCTION:Burnout among emergency medical personnel (EMP) is suspected, but largely unsupported in the literature. An investigation of the phenomenon of burnout and factors contributing to its existence are essential steps in designing effective interventions. RESEARCH QUESTIONS:Three research questions were propos...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Chng CL,Eaddy S

    更新日期:1999-10-01 00:00:00

  • Simulation of a hospital disaster plan: a virtual, live exercise.

    abstract:INTRODUCTION:Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. PURPOSE:A virtual, live exe...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005999

    authors: Franc-Law JM,Bullard M,Della Corte F

    更新日期:2008-07-01 00:00:00

  • Prehospital management and fluid resuscitation in hypotensive trauma patients admitted to Karolinska University Hospital in Stockholm.

    abstract:INTRODUCTION:Few previous studies have been conducted on the prehospital management of hypotensive trauma patients in Stockholm County. The aim of this study was to describe the prehospital management of hypotensive trauma patients admitted to the largest trauma center in Sweden, and to assess whether prehospital traum...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002582

    authors: Talving P,Pålstedt J,Riddez L

    更新日期:2005-07-01 00:00:00

  • Adverse events during interfacility transfers by ground advanced life support services.

    abstract:OBJECTIVE:To identify risk factors for adverse events that occur during interfacility transfers by advanced life support (ALS). DESIGN:A four-year, retrospective, case series. SETTING:Three ALS units in a rural/suburban emergency medical services (EMS) system. PARTICIPANTS:351 transports to or from twelve acute care...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0004084x

    authors: Wuerz R,Meador S

    更新日期:1994-01-01 00:00:00

  • Development of a mass-gathering medical resource matrix for a developing world scenario.

    abstract::Mass gatherings have a higher patient presentation rate than is found within the general population. Despite this fact, many mass gatherings are occurring without suitable medical coverage. South Africa has had no standard approach or model to determine the number of medical personnel needed to deploy to an event. The...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00008748

    authors: Smith WP,Wessels V,Naicker D,Leuenberger E,Fuhri P,Wallis LA

    更新日期:2010-11-01 00:00:00

  • Can the "golden hour of shock" safely be extended in blunt polytrauma patients? Prospective cohort study at a level I hospital in eastern Switzerland.

    abstract:BACKGROUND:The objective was to test, in this trauma system, the North American hypothesis that exceeding the 60-minute limit for the entire prehospital time ("golden hour of shock") increases mortality of blunt polytrauma patients. METHODS:In a prospective, observational, cohort study conducted between 1990 and 1996,...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00000212

    authors: Osterwalder JJ

    更新日期:2002-04-01 00:00:00

  • Mobile Versus Fixed Deployment of Automated External Defibrillators in Rural EMS.

    abstract:INTRODUCTION:There is no consensus on where automated external defibrillators (AEDs) should be placed in rural communities to maximize impact on survival from cardiac arrest. In the community of Stokes County, North Carolina (USA) the Emergency Medical Services (EMS) system promotes cardiopulmonary resuscitation (CPR) ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1500014X

    authors: Nelson RD,Bozeman W,Collins G,Booe B,Baker T,Alson R

    更新日期:2015-04-01 00:00:00

  • Comparison of rescue and relief activities within 72 hours of the atomic bombings in Hiroshima and Nagasaki.

    abstract:PURPOSE:To clarify the factors and reasons for the differences in the outcomes of rescue and relief efforts in Hiroshima and Nagasaki, mainly focusing on the numbers of rescue/relief staffs and casualties in the period within 72 hours of the atomic bombings in August 1945. METHODS:By retrieving the data and informatio...

    journal_title:Prehospital and disaster medicine

    pub_type: 历史文章,杂志文章

    doi:10.1017/S1049023X13008832

    authors: Matsunari Y,Yoshimoto N

    更新日期:2013-12-01 00:00:00

  • Management of traumatic liver injuries without a valid trauma system.

    abstract:INTRODUCTION:Despite a global increase in conservative treatment of blunt liver injuries, the number of surgically treated traumas in one major trauma center in Iran has increased. The aim of this study was to unveil the reasons behind this increase in operative management by studying 228 consecutive patients at this r...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00007081

    authors: Khorram-Manesh A,Pourseidi B

    更新日期:2009-07-01 00:00:00

  • Profile of Chest Injuries and Oxygen Therapy in Trauma Patients with Acute Respiratory Failure after the Jiangsu Tornado in China: A Retrospective Study.

    abstract:BACKGROUND:The aim of this study was to analyze the profile of chest injuries, oxygen therapy for respiratory failure, and the outcomes of victims after the Jiangsu tornado, which occurred on June 23, 2016 in Yancheng City, Jiangsu Province, China. METHODS:The clinical records of 144 patients referred to Yancheng City...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20000345

    authors: Mu GH,Lu ZQ,Li X,Chen PF,He L,Sun YH,Hou SS,Deng YJ

    更新日期:2020-06-01 00:00:00

  • External factors impacting hospital evacuations caused by Hurricane Rita: the role of situational awareness.

    abstract:INTRODUCTION:The 2005 Gulf Coast hurricane season was one of the most costly and deadly in US history. Hurricane Rita stressed hospitals and led to multiple, simultaneous evacuations. This study systematically identified community factors associated with patient movement out of seven hospitals evacuated during Hurrican...

    journal_title:Prehospital and disaster medicine

    pub_type: 历史文章,杂志文章

    doi:10.1017/S1049023X13000125

    authors: Downey EL,Andress K,Schultz CH

    更新日期:2013-06-01 00:00:00

  • The National Emergency Medical Service Role During the COVID-19 Pandemic in Sierra Leone.

    abstract::This report describes the main adaptive and transformative changes adopted by the brand-new National Emergency Medical Service (NEMS) to face the novel coronavirus disease 2019 (COVID-19) in Sierra Leone, including ambulance re-distribution, improvements in communication flow, implementation of ad-hoc procedures and t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001211

    authors: Caviglia M,Buson R,Pini S,Jambai A,Vandy MJ,Venturini F,Rosi P,Barone-Adesi F,Della Corte F,Ragazzoni L,Putoto G

    更新日期:2020-12-01 00:00:00

  • What have we learned? Coordination.

    abstract::This paper outlines each aspect of coordination as it relates to the responses made by various organizations in the disaster-affected areas. It is a synthesis of the presentations and discussions pertaining to coordination during the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Hea...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003150

    authors: Oyegbite K

    更新日期:2005-11-01 00:00:00