The “Golden Hour” Paradigm

Tallon, Jo

doi:10.1197/aemj.9.7.760

Cited by 7 publications

(5 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 Despite general agreement that prompt access to appropriate care is essential for the critically injured, evidence-based validation of the golden hour has remained elusive. [15][16][17][18][19][20][21] In addition to speed, helicopters provided opportunity for earlier advanced care. Although small helicopters used during the Korean conflict could carry only patients, larger helicopters used in the Vietnam conflict also carried flight medics with basic training.…”

mentioning

confidence: 99%

The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties

et al. 2016

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties

et al. 2016

View full text Add to dashboard Cite

show abstract

“…It is clear that approximately 56 minutes can be saved by using HEMS when the injury points are located on an average of 120 km (or 116 minutes) far from the hospital. Beyond controversies, the “golden hour” is a well-known lexicon among trauma surgeons and EMS providers, and the underlying tenet of this adage suggests an injured patient has 60 minutes to receive definitive care from time of injury, after which chances of morbidity and mortality significantly increase [4,24,25] . In our results, HEMS can enable the injured patients who are in over one-hour distances from hospital to arrive at the emergency centers within the “golden hour.”…”

Section: Discussionmentioning

confidence: 75%

Time-saving effects using helicopter transportation: comparison to a ground transportation time predicted using a social navigation software

et al. 2021

View full text Add to dashboard Cite

BackgroundPrevious comparison studies regarding two types of transportation, helicopter (HEMS) versus ground emergency medical services (GEMS), have shown underlying heterogeneity as these options have completely different routes and consequent times with reference to one patient. To compare the two types of transportation on a case-by-case basis, we analyzed the retrospectively reviewed HEMS and predicted GEMS data using an open-source navigation software. MethodsPatients transferred by military HEMS from 2016 to 2019 were retrospectively enrolled. The HEMS records on the time of noti cation, injury point and destination addresses, and time required were reviewed. The GEMS data on distance and the predicted time required were acquired using open-source social navigation systems. Comparison analyses between the two types of transportation were conducted. Further, linear logistic regression analyses were performed on the distance and time of the two options. ResultsA total of 183 patients were enrolled. There was no statistical difference (p=0.3021) in the distance between the two types of transportation, and the HEMS time was signi cantly shorter than that of GEMS (61.31 vs. 116.92 minutes, p<0.001). The simple linear curves for HEMS and GEMS were separately secured, and two graphs presented the statistical signi cance (p) as well as reasonable goodness-of-t (R 2 ). In general, the HEMS graph demonstrates a more gradual slope and narrow distribution compared to that of GEMS. ConclusionIdeally, HEMS is identi ed as a better transportation modality because it has a shorter transportation time (56 minutes saved) and a low possibility of potential time delays (larger R 2 ). With a strict patient selection, HEMS can rescue injured or emergent patients who are "out of the golden hour."

show abstract

“…The 'Golden Hour' concept of trauma care generated in the 1960s emphasized the importance of rapid diagnostic and therapeutic efforts [46]. Current management emphasizes the most rapid possible movement of bleeding trauma patients to definitive care and hemostasis.…”

Section: The Need For Rapid Treatmentmentioning

confidence: 99%

Scientific and logistical challenges in designing the CONTROL trial: recombinant factor VIIa in severe trauma patients with refractory bleeding

et al. 2009

View full text Add to dashboard Cite

show abstract

The “Golden Hour” Paradigm

Cited by 7 publications

References 2 publications

The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties

The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties

Time-saving effects using helicopter transportation: comparison to a ground transportation time predicted using a social navigation software

Scientific and logistical challenges in designing the CONTROL trial: recombinant factor VIIa in severe trauma patients with refractory bleeding

Contact Info

Product

Resources

About