The golden hour in trauma: Dogma or medical folklore?

Rogers, Frederick B.; Rittenhouse, Katelyn J.; Gross, Brian W.

doi:10.1016/j.injury.2014.08.043

Cited by 140 publications

(108 citation statements)

References 31 publications

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“…6 Little is known about the causal pathway for this disparity. Time to treatment is presumed to be a significant factor in trauma outcomes, 41 and would disparately impact rural populations, 5,6 but evidence for the relationship between pre-hospital time and mortality is widely variable. 30,32,[42][43][44][45][46][47][48][49][50][51][52] Other factors, such as community-level wealth and insurance coverage, [53][54][55] may also contribute to geographic disparities in injury mortality.…”

Section: Discussionmentioning

confidence: 99%

Rural risk: Geographic disparities in trauma mortality

Jarman

Castillo

Carlini

et al. 2016

Surgery

126

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Section: Discussionmentioning

confidence: 99%

Rural risk: Geographic disparities in trauma mortality

Jarman

Castillo

Carlini

et al. 2016

Surgery

126

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“…In 1975, Cowley (founder of the Maryland Institute for Emergency Medical Services Systems, also known as “shock‐trauma”) stated that the first hour after injury will largely determine a critically injured person's chances for survival, which has become known as the “golden hour of trauma” . Despite the fact that this concept is well‐regarded, studies to establish its validity have not been conclusive …”

Section: Advanced Trauma Operative Management (Atom)mentioning

confidence: 99%

Trauma surgery simulation education in Japan: the Advanced Trauma Operative Management course

Lefor

2018

Acute Medicine & Surgery

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Simulation has become an important teaching tool, in part because of changes mandated by restrictions in resident work hours. Simulation models include life‐like mannequins, ex vivo tissue, cadavers, and live animal models. The Advanced Trauma Operative Management (ATOM) course teaches a standard approach for the treatment of traumatic injuries. The 1‐day course includes six lectures in the morning and a live animal surgery laboratory in the afternoon. The animal laboratory includes five standard injury scenarios. Advanced Trauma Operative Management was brought to Japan in 2008 and has carried out 60 courses, training more than 250 surgeons and 70 instructors at six training sites throughout Japan. There have been a number of innovations initiated by ATOM Japan including Nurse Participation Certificates and a course for Trauma Nurses that runs concurrently with the ATOM course. There are other trauma courses given throughout the world, which are scenario‐based and include concurrent nurse training. It is difficult to quantitatively assess the benefits of trauma training to patients. There are a number of documented cases in Japan of surgeons who have had good operative outcomes in the care of traumatically injured patients who attribute the successful management of these patients to participation in the ATOM course. Training in trauma surgery using simulation models and the ATOM course have had a positive impact on surgical training and patient care in Japan. These courses will continue to be modified and refined, resulting in better education and clinical outcomes. Education research is essential to determine the optimum use of the available models.

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“…Emergency physicians and trauma surgeons are classically taught that trauma patients presenting within the "golden hour", the first hour after an injury, are associated with better outcomes. Although there is some controversy regarding the dogma of the "golden hour" with no specific time interval associated with improved outcomes studies have demonstrated decreased mortality with decreased time to presentation [5][6][7][8][9][10]. Prehospital Trauma Life Support training also stresses the importance of rapid transport to a trauma center for definitive treatment after initial stabilization [11].…”

Section: Introductionmentioning

confidence: 99%

590 Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil

Patel

Vissoci

Staton

2016

Trauma Care and Rehabilitation

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Background: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low-and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport of RTI patients to trauma centers in LMICs. The objective of this study is to determine specific causes of delays in prehospital transport of road traffic injury patients to designated trauma centers in Maringá, Brazil.

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The golden hour in trauma: Dogma or medical folklore?

Cited by 140 publications

References 31 publications

Rural risk: Geographic disparities in trauma mortality

Rural risk: Geographic disparities in trauma mortality

Trauma surgery simulation education in Japan: the Advanced Trauma Operative Management course

590 Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil

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