Advanced trauma life support training for ambulance crews.

Abstract:

BACKGROUND:There is an increasing global burden of disease from injuries. Models of trauma care initially developed in high-income countries are also being adopted in low and middle-income countries (LMIC). Amongst these ambulance crews with Advanced Life Support (ALS) training are being promoted in LMIC as a strategy for improving outcomes for victims of trauma. However there is controversy as to the effectiveness of this health service intervention, and the evidence has yet to be rigorously appraised. OBJECTIVES:To quantify the effectiveness of ambulance crews with ALS training versus crews with any other level of training in reducing mortality and morbidity in trauma patients. SEARCH STRATEGY:We searched the Cochrane Controlled Trial Register (CCTR), the specialised register of the Cochrane Injuries Group, MEDLINE, EMBASE, CINAHL, PubMed and the National Research Register. We checked references of background papers and contacted authors to identify additional published or unpublished data. SELECTION CRITERIA:Randomised controlled trials, quasi-randomised controlled trials and controlled before-and-after studies comparing effectiveness of ambulance crews with ALS training versus crews with any other levels of training in reducing mortality and morbidity in trauma patients. Studies which compared crews staffed by physicians versus others were excluded. DATA COLLECTION AND ANALYSIS:Two reviewers independently applied eligibility criteria to trial reports for inclusion and extracted data. MAIN RESULTS:We found one randomised controlled trial, which included 16 trauma cases. However, outcome data were added to the main non-randomised cohort in the analysis, and data on these 16 cases are not yet available. REVIEWER'S CONCLUSIONS:In the absence of evidence of the effectiveness of advanced life support, strong argument could be made that it should not be promoted outside the context of a properly concealed and otherwise rigorously conducted randomised controlled trial.

authors

Sethi D,Kwan I,Kelly AM,Roberts I,Bunn F

doi

10.1002/14651858.CD003109

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

CD003109

issue

2

issn

1469-493X

pii

CD003109

pub_type

杂志文章,评审
  • Pharmacotherapies for sleep disturbances in Alzheimer's disease.

    abstract:BACKGROUND:Sleep disturbances, including reduced nocturnal sleep time, sleep fragmentation, nocturnal wandering and daytime sleepiness are common clinical problems in dementia due to Alzheimer's disease (AD), and are associated with significant caregiver distress, increased healthcare costs and institutionalisation. Dr...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009178.pub2

    authors: McCleery J,Cohen DA,Sharpley AL

    更新日期:2014-03-21 00:00:00

  • Alemtuzumab for multiple sclerosis.

    abstract:BACKGROUND:Multiple sclerosis (MS) is an autoimmune, T-cell-dependent, inflammatory, demyelinating disease of the central nervous system, with an unpredictable course. Current MS therapies focus on treating exacerbations, preventing new exacerbations and avoiding the progression of disability. However, at present there...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD011203.pub2

    authors: Riera R,Porfírio GJ,Torloni MR

    更新日期:2016-04-15 00:00:00

  • Topical antifungal treatments for tinea cruris and tinea corporis.

    abstract:BACKGROUND:Tinea infections are fungal infections of the skin caused by dermatophytes. It is estimated that 10% to 20% of the world population is affected by fungal skin infections. Sites of infection vary according to geographical location, the organism involved, and environmental and cultural differences. Both tinea ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009992.pub2

    authors: El-Gohary M,van Zuuren EJ,Fedorowicz Z,Burgess H,Doney L,Stuart B,Moore M,Little P

    更新日期:2014-08-04 00:00:00

  • Anticholinergic therapy for chronic asthma in children over two years of age.

    abstract:BACKGROUND:In the intrinsic system of controlling airway calibre, the cholinergic (muscarinic) sympathetic nervous system has an important role. Anticholinergic, anti muscarinic bronchodilators such as ipratropium bromide are frequently used in the management of childhood airway disease. In asthma, ipratropium is a les...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003535

    authors: McDonald NJ,Bara AI

    更新日期:2003-01-01 00:00:00

  • Interventions for increasing fruit and vegetable consumption in children aged five years and under.

    abstract:BACKGROUND:Insufficient consumption of fruits and vegetables in childhood increases the risk of future non-communicable diseases, including cardiovascular disease. Interventions to increase consumption of fruit and vegetables, such as those focused on specific child-feeding strategies and parent nutrition education int...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD008552.pub5

    authors: Hodder RK,O'Brien KM,Stacey FG,Wyse RJ,Clinton-McHarg T,Tzelepis F,James EL,Bartlem KM,Nathan NK,Sutherland R,Robson E,Yoong SL,Wolfenden L

    更新日期:2018-05-17 00:00:00

  • Psychological interventions for needle-related procedural pain and distress in children and adolescents.

    abstract:BACKGROUND:This is the second update of a Cochrane Review (Issue 4, 2006). Pain and distress from needle-related procedures are common during childhood and can be reduced through use of psychological interventions (cognitive or behavioral strategies, or both). Our first review update (Issue 10, 2013) showed efficacy of...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD005179.pub4

    authors: Birnie KA,Noel M,Chambers CT,Uman LS,Parker JA

    更新日期:2018-10-04 00:00:00

  • Domiciliary oxygen for interstitial lung disease.

    abstract:BACKGROUND:Retrospective survival data have suggested poor effectiveness of oxygen therapy in patients with interstitial lung disease (ILD). OBJECTIVES:To determine the effect of domiciliary oxygen therapy on survival and quality of life in patients with a diagnosis of ILD and hypoxaemia. SEARCH STRATEGY:Randomized C...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD002883

    authors: Crockett AJ,Cranston JM,Antic N

    更新日期:2001-01-01 00:00:00

  • Trimetazidine for stable angina.

    abstract:BACKGROUND:Patients with stable angina not controlled by monotherapy with nitrates, beta blockers, or calcium channel blockers are often treated with combinations of these drugs. There may be adverse effects from, or contraindications to, the use of combinations. In low risk groups, medical treatment appears to be as g...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003614.pub2

    authors: Ciapponi A,Pizarro R,Harrison J

    更新日期:2005-10-19 00:00:00

  • Street lighting for preventing road traffic injuries.

    abstract:BACKGROUND:Road traffic crashes are a major cause of death and injury, especially in low and middle-income countries. It is estimated that road traffic injuries will have risen from ninth to third in world disease burden rankings by 2020, accounting for 2.3 million deaths globally. Street lighting has been suggested as...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004728.pub2

    authors: Beyer FR,Ker K

    更新日期:2009-01-21 00:00:00

  • Cervical assessment by ultrasound for preventing preterm delivery.

    abstract:BACKGROUND:Measurement of cervical length by ultrasound is predictive of preterm birth (PTB). There are three methods of ultrasound cervical assessment: transvaginal (TVU), transabdominal (TAU), and transperineal (TPU, also called translabial). Cervical length measured by TVU is a relatively new screening test, and has...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD007235.pub4

    authors: Berghella V,Saccone G

    更新日期:2019-09-25 00:00:00

  • Methods of preventing bacterial sepsis and wound complications after liver transplantation.

    abstract:BACKGROUND:Bacterial sepsis and wound complications after liver transplantation increase mortality, morbidity, or hospital stay and are likely to increase overall transplant costs. All liver transplantation patients receive antibiotic prophylaxis. This is an update of our 2008 Cochrane systematic review on the same top...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006660.pub3

    authors: Gurusamy KS,Nagendran M,Davidson BR

    更新日期:2014-03-05 00:00:00

  • 20 mcg versus >20 mcg estrogen combined oral contraceptives for contraception.

    abstract:BACKGROUND:Concern about estrogen-related adverse effects has led to progressive reductions in the estrogen dose in combination oral contraceptives (COCs). However, reducing the amount of estrogen to improve safety also could result in decreased contraceptive effectiveness and unacceptable changes in bleeding patterns....

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003989.pub2

    authors: Gallo MF,Nanda K,Grimes DA,Schulz KF

    更新日期:2005-04-18 00:00:00

  • Supplemental oxygen for the treatment of prethreshold retinopathy of prematurity.

    abstract:BACKGROUND:Oxygen has long been implicated in the pathogenesis of retinopathy of prematurity (ROP) and is rigorously monitored in today's neonatal intensive care units. Recent research using a feline model has shown an improvement in ROP outcome of kittens treated with supplemental oxygen. Current treatment for ROP by ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003482

    authors: Lloyd J,Askie L,Smith J,Tarnow-Mordi W

    更新日期:2003-01-01 00:00:00

  • Exercise-based rehabilitation for coronary heart disease.

    abstract:BACKGROUND:The burden of cardiovascular disease world-wide is one of great concern to patients and health care agencies alike. Cardiac rehabilitation aims to restore patients with heart disease to health through exercise only based rehabilitation or comprehensive cardiac rehabilitation. OBJECTIVES:To determine the eff...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001800

    authors: Jolliffe JA,Rees K,Taylor RS,Thompson D,Oldridge N,Ebrahim S

    更新日期:2001-01-01 00:00:00

  • Hospital at home: home-based end of life care.

    abstract:BACKGROUND:The policy in a number of countries is to provide people with a terminal illness the choice of dying at home. This policy is supported by surveys indicating that the general public and patients with a terminal illness would prefer to receive end of life care at home. OBJECTIVES:To determine if providing hom...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009231

    authors: Shepperd S,Wee B,Straus SE

    更新日期:2011-07-06 00:00:00

  • Elective delivery of women with a twin pregnancy from 37 weeks' gestation.

    abstract:BACKGROUND:The optimal timing of birth for women with an otherwise uncomplicated twin pregnancy at term is uncertain, with clinical support for both elective delivery at 37 weeks, as well as expectant management (awaiting the spontaneous onset of labour). OBJECTIVES:To assess a policy of elective delivery from 37 week...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003582

    authors: Dodd JM,Crowther CA

    更新日期:2003-01-01 00:00:00

  • Losigamone add-on therapy for focal epilepsy.

    abstract:BACKGROUND:Epilepsy is a common neurologic disorder, affecting approximately 50 million people worldwide; nearly a third of these people have epilepsy that is not well controlled by a single antiepileptic drug (AED) and they usually require treatment with a combination of two or more AEDs. In recent years, many newer A...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD009324.pub5

    authors: Chen H,He H,Xiao Y,Luo M,Luo H,Wang J

    更新日期:2019-12-11 00:00:00

  • Cycling infrastructure for reducing cycling injuries in cyclists.

    abstract:BACKGROUND:Cycling is an attractive form of transport. It is beneficial to the individual as a form of physical activity that may fit more readily into an individual's daily routine, such as for cycling to work and to the shops, than other physical activities such as visiting a gym. Cycling is also beneficial to the wi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD010415.pub2

    authors: Mulvaney CA,Smith S,Watson MC,Parkin J,Coupland C,Miller P,Kendrick D,McClintock H

    更新日期:2015-12-10 00:00:00

  • Hyperbaric oxygen therapy for chronic wounds.

    abstract:BACKGROUND:Chronic wounds are common and present a health problem with significant effect on quality of life. Various pathologies may cause tissue breakdown, including poor blood supply resulting in inadequate oxygenation of the wound bed. Hyperbaric oxygen therapy (HBOT) has been suggested to improve oxygen supply to ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004123.pub3

    authors: Kranke P,Bennett MH,Martyn-St James M,Schnabel A,Debus SE

    更新日期:2012-04-18 00:00:00

  • Elective repeat caesarean section versus induction of labour for women with a previous caesarean birth.

    abstract:BACKGROUND:When a woman has had a previous caesarean birth and requires induction of labour in a subsequent pregnancy there are two options for her care, an elective repeat caesarean or planned induction of labour. While there are risks and benefits for both elective repeat caesarean birth and planned induction of labo...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004906.pub4

    authors: Dodd JM,Crowther CA,Grivell RM,Deussen AR

    更新日期:2014-12-19 00:00:00

  • Balneotherapy for osteoarthritis.

    abstract:BACKGROUND:Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well. In this update we included one extra study. OBJECTIVES:To asses...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006864

    authors: Verhagen AP,Bierma-Zeinstra SM,Boers M,Cardoso JR,Lambeck J,de Bie RA,de Vet HC

    更新日期:2007-10-17 00:00:00

  • Deferasirox for managing iron overload in people with myelodysplastic syndrome.

    abstract:BACKGROUND:The myelodysplastic syndrome (MDS) comprises a diverse group of haematopoietic stem cell disorders. Due to symptomatic anaemia, most people with MDS require supportive therapy including repeated red blood cell (RBC) transfusions. In combination with increased iron absorption, this contributes to the accumula...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007461.pub3

    authors: Meerpohl JJ,Schell LK,Rücker G,Fleeman N,Motschall E,Niemeyer CM,Bassler D

    更新日期:2014-10-28 00:00:00

  • Vasectomy occlusion techniques for male sterilization.

    abstract:BACKGROUND:Vasectomy is an increasingly popular and effective family planning method. A variety of vasectomy techniques are used worldwide, including vas occlusion techniques (excision and ligation, thermal or electrocautery, and mechanical and chemical occlusion methods), as well as vasectomy with vas irrigation or wi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003991.pub4

    authors: Cook LA,Van Vliet HA,Lopez LM,Pun A,Gallo MF

    更新日期:2014-03-30 00:00:00

  • Neuropsychological rehabilitation for multiple sclerosis.

    abstract:BACKGROUND:This is an update of the Cochrane review 'Neuropsychological rehabilitation for multiple sclerosis' (first published in The Cochrane Library 2011, Issue 11).Cognitive deficits are a common manifestation of multiple sclerosis (MS) and have a significant effect on the patient's quality of life. Alleviation of ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009131.pub3

    authors: Rosti-Otajärvi EM,Hämäläinen PI

    更新日期:2014-02-11 00:00:00

  • Interventions for treating scabies.

    abstract:BACKGROUND:Scabies is an intensely itchy parasitic infection of the skin caused by the Sarcoptes scabiei mite. It is a common public health problem with an estimated global prevalence of 300 million cases. Serious adverse effects have been reported for some drugs used to treat scabies. OBJECTIVES:To evaluate topical a...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000320.pub2

    authors: Strong M,Johnstone P

    更新日期:2007-07-18 00:00:00

  • Rivastigmine for vascular cognitive impairment.

    abstract:BACKGROUND:Vascular dementia represents the second most common type of dementia. The classification of vascular dementia broadly follows three clinico-pathological processes: multi-infarct dementia, single strategic infarct dementia and subcortical dementia. As not all victims fulfil strict criteria for dementia and ma...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004744.pub2

    authors: Craig D,Birks J

    更新日期:2005-04-18 00:00:00

  • Anticoagulation for heart failure in sinus rhythm.

    abstract:BACKGROUND:Patients with chronic heart failure (heart failure) are at risk of thromboembolic events, including stroke, pulmonary embolism and peripheral arterial embolism, whilst coronary ischaemic events also contribute to the progression of heart failure. Long-term oral anticoagulation is established in certain group...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003336

    authors: Lip GY,Gibbs CR

    更新日期:2001-01-01 00:00:00

  • Risk of postoperative infectious complications from medical therapies in inflammatory bowel disease.

    abstract:BACKGROUND:Medications used to treat inflammatory bowel disease (IBD) have significantly improved patient outcomes and delayed time to surgery. However, some of these therapies are recognized to increase the general risk of infection and have an unclear impact on postoperative infection risk. OBJECTIVES:To assess the ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD013256.pub2

    authors: Law CC,Bell C,Koh D,Bao Y,Jairath V,Narula N

    更新日期:2020-10-24 00:00:00

  • Vitamin K for upper gastrointestinal bleeding in patients with liver diseases.

    abstract:BACKGROUND:Upper gastrointestinal bleeding is one of the most frequent causes of morbidity and mortality in the course of liver cirrhosis. Several treatments are used for upper gastrointestinal bleeding in patients with liver diseases. However, supplementary interventions are often used as well. One of them is vitamin ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004792.pub2

    authors: Martí-Carvajal AJ,Martí-Peña AJ

    更新日期:2005-07-20 00:00:00

  • Hydrogel dressings for healing diabetic foot ulcers.

    abstract:BACKGROUND:Foot ulcers in people with diabetes are a prevalent and serious global health issue. Dressings form a key part of ulcer treatment, with clinicians and patients having many different types to choose from including hydrogel dressings. A clear and current overview of current evidence is required to facilitate d...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009101.pub2

    authors: Dumville JC,O'Meara S,Deshpande S,Speak K

    更新日期:2011-09-07 00:00:00