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Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries ter Avest, E.; Carenzo, L.; Lendrum, R. A.; Christian, M. D.; Lyon, R. M.; Coniglio, C.; Rehn, M.; Lockey, D. J.; Perkins, Z. B.

Abstract

Early haemorrhage control and minimizing the time to definitive care have long been the cornerstones of therapy for patients exsanguinating from non-compressible haemorrhage (NCH) after penetrating injuries, as only basic treatment could be provided on scene. However, more recently, advanced on-scene treatments such as the transfusion of blood products, resuscitative thoracotomy (RT) and resuscitative endovascular balloon occlusion of the aorta (REBOA) have become available in a small number of pre-hospital critical care teams. Although these advanced techniques are included in the current traumatic cardiac arrest algorithm of the European Resuscitation Council (ERC), published in 2021, clear guidance on the practical application of these techniques in the pre-hospital setting is scarce. This paper provides a scoping review on how these advanced techniques can be incorporated into practice for the resuscitation of patients exsanguinating from NCH after penetrating injuries, based on available literature and the collective experience of several helicopter emergency medical services (HEMS) across Europe who have introduced these advanced resuscitation interventions into routine practice. Graphical Abstract

Item Metadata

Title
Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries
Creator
ter Avest, E.; Carenzo, L.; Lendrum, R. A.; Christian, M. D.; Lyon, R. M.; Coniglio, C.; Rehn, M.; Lockey, D. J.; Perkins, Z. B.
Contributor
Provincial Health Services Authority
Publisher
BioMed Central
Date Issued
2022-06-20
Description
Early haemorrhage control and minimizing the time to definitive care have long been the cornerstones of therapy for patients exsanguinating from non-compressible haemorrhage (NCH) after penetrating injuries, as only basic treatment could be provided on scene. However, more recently, advanced on-scene treatments such as the transfusion of blood products, resuscitative thoracotomy (RT) and resuscitative endovascular balloon occlusion of the aorta (REBOA) have become available in a small number of pre-hospital critical care teams. Although these advanced techniques are included in the current traumatic cardiac arrest algorithm of the European Resuscitation Council (ERC), published in 2021, clear guidance on the practical application of these techniques in the pre-hospital setting is scarce. This paper provides a scoping review on how these advanced techniques can be incorporated into practice for the resuscitation of patients exsanguinating from NCH after penetrating injuries, based on available literature and the collective experience of several helicopter emergency medical services (HEMS) across Europe who have introduced these advanced resuscitation interventions into routine practice. Graphical Abstract
Subject
Penetrating injuries; Pre-hospital; Helicopter emergency medical services (HEMS); Interventions
Genre
Article
Type
Text
Language
eng
Date Available
2022-10-07
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International (CC BY 4.0)
DOI
10.14288/1.0421247
URI
http://hdl.handle.net/2429/82838
Affiliation
Medicine, Faculty of; Non UBC; Medicine, Department of
Citation
Critical Care. 2022 Jun 20;26(1):184
Publisher DOI
10.1186/s13054-022-04052-7
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher; Other
Copyright Holder
The Author(s)
Rights URI
http://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
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Rights

Attribution 4.0 International (CC BY 4.0)