To get at the place as fast as it is needed is a chalenge...
To get all the gadgets that could help us to get there...
Is almost a chalenge...
Is a "endurance".
So, better do it fastly and in 3D/HQ.
"THE GOLDEN HOUR"
“Trauma” - expression comprising a spectrum of severity of mechanical violation of tissues, from a little scratch to a multiply injured patient. - also surgical intervention.
Trauma - the leading cause of death in the first four decades of life Death from trauma has a trimodal distribution: within
seconds to minutes minutes to hours GOLDEN HOUR several days or weeks
•Prehospital – control airway, external hemorrhage, rapid transport •Primary survey - initial assesement and resuscitation of vital functions, prioritization (based on ABCDEFG)
An organized consistent approach to the trauma patient à optimal outcome. The Advanced Trauma Life Support (ATLS) adopted by the American College of Surgeons in 1979. The primary focus of ATLS is on the first hour of trauma management - rapid assessment and resuscitation THE GOLDEN HOUR
In emergency medicine, the golden hour refers to a time period lasting from a few minutes to several hours following traumatic injury being sustained by a casualty, during which there is the highest likelihood that prompt medical treatment will prevent death. It is well established that the victim's chances of survival are greatest if they receive care within a short period of time after a severe injury; however, there is no evidence to suggest that survival rates drop off after 60 minutes. Some have come to use the term to refer to the core principle of rapid intervention in trauma cases, rather than the narrow meaning of a critical one-hour time period.
The term “golden hour” is commonly used to characterize the urgent need for the care of trauma patients. This term implies that morbidity and mortality are affected if care is not instituted within the first hour after injury. This concept justifies much of our current trauma system.
It appears in this trauma system, in which emergency physicians
often are deployed, that the ‘golden hour of shock’ can be extended
safely in many blunt polytrauma patients, since this was associated with better
survival figures than in those patients for whom the time was <1 hour.
It was concluded that a short overall out-of-hospital time interval may positively affect patient survival in selected urban major trauma patients.
A physician-staffed helicopter emergency medical
system (HEMS), called the Helicopter Mobile Medical Team (HMMT), provides prehospital
care for severely injured patients in addition to ambulance services. This HMMT
has proven to increase chances of survival and reduce morbidity.
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