Outcomes with advanced versus basic life support in blunt trauma

The role of advanced life support (ALS) versus basic life support (BLS) in blunt trauma is controversial. Previous studies have shown no mortality benefit with ALS for penetrating trauma but the blunt population has mostly remained unaddressed. A retrospective cohort study was conducted at a Level 1...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2020-09, Vol.220 (3), p.783-786
Main Authors: Farrell, Michael S., Emery, Benjamin, Caplan, Richard, Getchell, John, Cipolle, Mark, Bradley, Kevin M.
Format: Article
Language:English
Subjects:
Abbreviated injury score
Abdomen
Adult
Advanced Trauma Life Support Care
Age
Aged
Blunt trauma
Cardiopulmonary resuscitation
Cohort Studies
Complications
CPR
Emergency communications systems
Emergency medical system
Emergency services
Female
Hospitals
Humans
Injuries
Injury Severity Score
Intervention
Intubation
Life Support Care
Male
Middle Aged
Mortality
Patients
Population
Prehospital emergency care
Retrospective Studies
Thorax
Trauma
Trauma centers
Trauma severity indices
Trauma systems
Treatment Outcome
Wounds, Nonpenetrating - therapy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The role of advanced life support (ALS) versus basic life support (BLS) in blunt trauma is controversial. Previous studies have shown no mortality benefit with ALS for penetrating trauma but the blunt population has mostly remained unaddressed. A retrospective cohort study was conducted at a Level 1 trauma center comparing outcomes in blunt trauma patients managed by ALS versus BLS from July 1, 2014 to December 31, 2014. Both Injury Severity Score (ISS) and select Abbreviated Injury Score (AIS) were used to determine differences in mortality, length of stay (LOS) and complications based on mode of transportation, prehospital time, and number of prehospital interventions. 698 total patients were identified. Mortality and complications were grossly higher in ALS patients (p = 0.01 and 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2020.01.012