Prehospital Care Post-Road-Crash: A Systematic Review of the Literature

道路交通事故后院前急救:文献系统综述

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Abstract

OBJECTIVE: The aim of this study was to systematically review evidence that supports best practice post-crash response emergency care. STUDY DESIGN: The research questions to achieve the study objective were developed using the Patient, Intervention, Control, Outcome standard following which a systematic literature review (SLR) of research related to prehospital post-road-crash was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS: A total of 89 papers were included in the analysis, presented according to the PRISMA guidelines. CONCLUSIONS: This research explored and identified key insights related to emergency care post-road-crash response. The findings showed that interservice coordination and shared understanding of roles was recommended. Application of traditional practice of the "Golden Hour" has been explored and contested as a standard for all care. Notwithstanding this, timeliness of provision of care remains important to certain patient groups suffering certain injury types and is supported as part of a trauma system approach for patient care.

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