Prehospital Trauma Compendium: Management of the Entrapped Patient - a Position Statement and Resource Document of NAEMSP

• 2024

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• Nichole Bosson; Benjamin Abo; Troy Litchfield; Zaffer Qasim; Matthew Steenberg; Jake Toy
PMID: 39387678DOI: https://doi.org/10.1080/10903127.2024.2413876

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This article is about how to help patients trapped in accidents before they reach the hospital. It describes that these patients are at higher risk of serious injury and need special care. Emergency workers should be trained to handle such situations, including preventing hypothermia and managing airways. For those at risk of crush syndrome, early fluid resuscitation and medication are important. Communication with rescue teams is crucial for a coordinated approach. The article suggests having an EMS physician on scene for complex cases to improve patient outcomes during extrication efforts.

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Tags

Focus Area: Trauma

Audiences: EMS Clinicians; Nurses; Physicians

Emergency Management Stages: Response; Recovery

Keywords: Airway Obstruction; Crush Syndrome; Disaster Planning; Emergency Medical Services; Wounds and Injuries; Airway Management; Crush Injuries; Disaster Medicine

Institutions: Emergency Medical Services Agency Los Angeles County; Harbor-UCLA Medical Center; University of California, Los Angeles; Florida State University; County of Los Angeles; University of Pennsylvania

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