The relationship between total prehospital time and outcome in hypotensive victims of penetrating injuries

Análise da implantação do sistema de atendimento pré-hospitalar móvel em cinco capitais brasileiras

“…O Committee on Trauma of American College of Surgeons 5 , dos Estados Unidos, estabelece o tempo de vinte minutos como intervalo máximo ideal para execução dos primeiros procedimentos, em casos graves 6,7 . A necessidade de presteza do atendimento se deve ao fato de que as primeiras horas pós-evento traumático têm sido apontadas por vários autores 7,8 como o perío-do de maior índice de mortalidade.…”

The Golden Hour: Scientific Fact or Medical “Urban Legend”?

“…Other published studies have disputed the ''shorter is better'' philosophy. 5,6,[27][28][29] Several of these studies had findings that were the result of a secondary analysis, while others had obvious selection bias, or looked only at patients with extremely long total out-of-hospital times.…”

Current management of penetrating torso trauma: nontherapeutic is not good enough anymore

“…8,[11][12][13] The time interval from injury to control of hemorrhage is the dominant variable defining patient survival. 8,[12][13][14][15] As a result, urban centres with advanced prehospital systems and experienced trauma surgeons (i.e., rapid decision-making) often show impressive survival characteristics despite major vascular injuries. [16][17][18][19] Given that patients with penetrating torso injuries behave much differently than those with blunt trauma, they should also be assessed using unique approaches.…”