The Trauma Golden Hour
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The Trauma Golden Hour
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Author : Adonis Nasr
language : en
Publisher: Springer Nature
Release Date : 2019-11-27
The Trauma Golden Hour written by Adonis Nasr and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-11-27 with Medical categories.
The Golden Hour is a well-established concept in emergency medicine, related to the critical period of one hour after an injury, accident or trauma. This term implies that the mortality rates increase substantially if efficient care is not provided within 60 minutes after the trauma. This book is intended as a practical manual in Trauma Care within the context of the golden hour, addressing all trauma types and all body parts. Readers will find essential decision-making algorithms and protocols with commentary for traumas, along with easily accessible information on how to treat patients in a very practical and handy fashion. Furthermore, the content is presented in a didactic way suitable for a wide audience, from medical students who want to learn about the basics of trauma care to experienced surgeons seeking a comprehensive guide to trauma-related interventions.The book combines contributions from experts at two renowned Trauma Centers, the Hospital do Trabalhador at Curitiba, Brazil, and the Ryder Trauma Center in Miami, USA. Therefore, considering the different local environments and resources, the book provides distinct perspectives for several injuries, presenting the state of the art in Trauma Care. The diversity of perspectives in this book contributes to a global health care approach suitable for trauma-related events from developed countries to remote areas. The Trauma Golden Hour – A Practical Guide celebrates the Centennial Anniversary of the Federal University of Parana (Brazil), the 25th Anniversary of the Ryder Trauma Center (USA) and the 20th Anniversary of the Hospital do Trabalhador (Brazil).
Trauma Care
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Author : Peter A. Driscoll
language : en
Publisher: BMJ Books
Release Date : 1998-10-23
Trauma Care written by Peter A. Driscoll and has been published by BMJ Books this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998-10-23 with Medical categories.
Standards in emergency care have improved dramatically over the past ten years and the trauma team is now seen as a vital component of care of seriously ill patients. Each chapter of this highly-illustrated book is written by a specialist and concentrates on care after the golden hour. The initial resuscitation of the trauma vicim by the trauma team is described and the management of patients in the early post-resuscitation phase is then dealt with in detail. Advice is given on communication and transfer of patients to trauma centres, and separate chapters discuss variations when dealing with special population groups and conditions.
The Origins Of The Golden Hour Of Medical Care And Its Applicability To Combat Medicine
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Author :
language : en
Publisher:
Release Date : 2017
The Origins Of The Golden Hour Of Medical Care And Its Applicability To Combat Medicine written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
This excellent report has been professionally converted for accurate flowing-text e-book format reproduction. The Golden Hour standard is used in emergency medicine and trauma care and states a person must receive definitive care within one hour to ensure optimal outcomes. The medical community accepted this standard without supporting evidence. It is a cornerstone of modern trauma systems. Secretary of Defense Gates endorsed this standard for military medicine (Gates 2009). His stance, combined with strong opinions from the trauma community, resulted in a requirement for units to operate within one hour of ROLE III care during deployments. A review of the association between evacuation time and outcomes fails to support the Golden Hour. The evidence suggests if combat injury is properly treated in the first several minutes, focusing on hemorrhage, airway management, and treatment of tension pneumothorax, combined with high quality en route care during evacuation, there is significantly more time available to reach ROLE III care before outcomes suffer. Therefore, the Golden Hour is an improper standard for combat medicine resulting in increased resource requirements and unnecessary restrictions on units. A more appropriate approach is enhanced individual soldier training on the management of the major immediate causes of combat death as well as positioning advanced resuscitative care as far forward as possible.CHAPTER 1 - INTRODUCTION AND OVERVIEW * Primary Research Question * Secondary Research Questions * Assumptions * Definitions * Limitations * Delimitations * Significance of Study * CHAPTER 2 - LITERATURE REVIEW * The Origin of the Golden Hour * World War I Medical Care * World War II Medical Care * Korean War Medical Care * Vietnam War Medical Care * Scientific Evaluation of the Golden Hour since the Vietnam War * Mechanism of Injury and Causes of Death in a Combat Setting * Approaches other than Reducing Evacuation Time for Improving Outcome * Current Doctrine Regarding the Golden Hour * CHAPTER 3 - METHODOLOGY * CHAPTER 4 - ANALYSIS * The Evidence behind the Initial Golden Hour Standard * The Golden Hour in Practice * Doctrine * CHAPTER 5 - CONCLUSIONS AND RECOMMENDATIONS * Doctrine * Organizational * Training * Materiel * Leadership and Education * Personnel and Facilities * PolicyDespite the absence of doctrine and a significant lack of high quality medical research, the "Golden Hour ring" is now a major limiting factor in planning combat operations. This time ring not only restricts operational reach with respect to distance from advanced trauma and initial surgical care, but it also creates a significant vulnerability by providing both a source of information to the enemy as well as a relatively soft target for irregular warfare. Enemy forces can now plan on no major US action outside this one hour ring which significantly shrinks in size when atmospheric conditions prevent rotary wing medical evacuation flight. Additionally, they can anticipate major future action by the relocation of ROLE III medical as well as rotary wing medical evacuation assets. They can correctly assume there will be no major combat action initiated by the United States in an area until these assets are within adequate proximity. Finally, denying access to ROLE III care through irregular warfare measures can severely limit combat operations in an area. These issues raise the question of whether the Golden Hour is the appropriate standard form medical coverage planning. Additionally, it questions what doctrine should be regarding operational reach with respect to medical evacuation assets in an austere or hostile environment.
The Origins Of The Golden Hour Of Medical Care And Its Applicability To Combat Medicine History Of Casualty Care From World War I Through Vietnam Injury And Death In Combat Evacuation Doctrine
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Author : U. S. Military
language : en
Publisher:
Release Date : 2017-04-05
The Origins Of The Golden Hour Of Medical Care And Its Applicability To Combat Medicine History Of Casualty Care From World War I Through Vietnam Injury And Death In Combat Evacuation Doctrine written by U. S. Military and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-05 with categories.
This excellent report has been professionally converted for accurate flowing-text e-book format reproduction. The Golden Hour standard is used in emergency medicine and trauma care and states a person must receive definitive care within one hour to ensure optimal outcomes. The medical community accepted this standard without supporting evidence. It is a cornerstone of modern trauma systems. Secretary of Defense Gates endorsed this standard for military medicine (Gates 2009). His stance, combined with strong opinions from the trauma community, resulted in a requirement for units to operate within one hour of ROLE III care during deployments. A review of the association between evacuation time and outcomes fails to support the Golden Hour. The evidence suggests if combat injury is properly treated in the first several minutes, focusing on hemorrhage, airway management, and treatment of tension pneumothorax, combined with high quality en route care during evacuation, there is significantly more time available to reach ROLE III care before outcomes suffer. Therefore, the Golden Hour is an improper standard for combat medicine resulting in increased resource requirements and unnecessary restrictions on units. A more appropriate approach is enhanced individual soldier training on the management of the major immediate causes of combat death as well as positioning advanced resuscitative care as far forward as possible. CHAPTER 1 - INTRODUCTION AND OVERVIEW * Primary Research Question * Secondary Research Questions * Assumptions * Definitions * Limitations * Delimitations * Significance of Study * CHAPTER 2 - LITERATURE REVIEW * The Origin of the Golden Hour * World War I Medical Care * World War II Medical Care * Korean War Medical Care * Vietnam War Medical Care * Scientific Evaluation of the Golden Hour since the Vietnam War * Mechanism of Injury and Causes of Death in a Combat Setting * Approaches other than Reducing Evacuation Time for Improving Outcome * Current Doctrine Regarding the Golden Hour * CHAPTER 3 - METHODOLOGY * CHAPTER 4 - ANALYSIS * The Evidence behind the Initial Golden Hour Standard * The Golden Hour in Practice * Doctrine * CHAPTER 5 - CONCLUSIONS AND RECOMMENDATIONS * Doctrine * Organizational * Training * Materiel * Leadership and Education * Personnel and Facilities * Policy Despite the absence of doctrine and a significant lack of high quality medical research, the "Golden Hour ring" is now a major limiting factor in planning combat operations. This time ring not only restricts operational reach with respect to distance from advanced trauma and initial surgical care, but it also creates a significant vulnerability by providing both a source of information to the enemy as well as a relatively soft target for irregular warfare. Enemy forces can now plan on no major US action outside this one hour ring which significantly shrinks in size when atmospheric conditions prevent rotary wing medical evacuation flight. Additionally, they can anticipate major future action by the relocation of ROLE III medical as well as rotary wing medical evacuation assets. They can correctly assume there will be no major combat action initiated by the United States in an area until these assets are within adequate proximity. Finally, denying access to ROLE III care through irregular warfare measures can severely limit combat operations in an area. These issues raise the question of whether the Golden Hour is the appropriate standard form medical coverage planning. Additionally, it questions what doctrine should be regarding operational reach with respect to medical evacuation assets in an austere or hostile environment.
The Golden Hour
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Author : Niki Smith
language : en
Publisher:
Release Date : 2021
The Golden Hour written by Niki Smith and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Graphic novels categories.
From the author of The Deep & Dark Blue comes a tender graphic novel that explores themes of self-discovery, friendship, and the importance of mental health in a rural setting, perfect for fans of Raina Telgemeier, Jerry Craft, and Kayla Miller. Struggling with anxiety after witnessing a harrowing instance of gun violence, Manuel Soto copes through photography, using his cellphone camera to find anchors that keep him grounded. His days are a lonely, latchkey monotony until he's teamed with his classmates, Sebastian and Cayshia, for a group project. Sebastian lives on a grass-fed cattle farm outside of town, and Manuel finds solace in the open fields and in the antics of the newborn calf Sebastian is hand-raising. As he aides his new friends in their preparations for the local 4-H fair, Manuel learns to open up to his friends and family, confronts his deepest fears, and even finds first love. This title will be simultaneously available in hardcover.
The Golden Hour
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Author : Patricia Dianne Pintar
language : en
Publisher: Outskirts Press
Release Date : 2022-05-30
The Golden Hour written by Patricia Dianne Pintar and has been published by Outskirts Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-05-30 with Fiction categories.
Judith’s Story The story begins in the University of Wisconsin Hospital Emergency Room on a stormy November evening as doctors and nurses struggle to save Judith Von Trier’s life. Twenty minutes earlier Judith had crashed across the center line into oncoming headlights. Critically injured, under the brilliant operating lamp, Judith lifts and floats near the ceiling of the trauma room, looking down at herself in the scene below. Defibrillator paddles slapped in place jolt her like a blast of lightning sending her into an oppressive black void. In that moment, she realizes she is in "The Tunnel" looking to the far-off white light at the end of it. A small object begins to materialize out of the light and draws closer. Moments later, a newborn infant girl drops into her arms. Judith is struck with immediate understanding that she holds her future life, her next incarnation in her arms and she knows what she must do to survive. First, she must travel back forty-seven years to watch her life relived. It is April of 1954 again. Judith views her own birth through the eyes of a newborn. Her life revealed before her just as it happened; a happy early childhood, tragic losses, first love and heartbreak. She is driven to avoid any future pain and takes harsh control of her life and everyone in it until she reaches the moment of the crash again. "Baby’s" Story Then, more frightening, Judith must see into her possible future life as “Baby” should she die. Judith, wraithlike, is compelled to watch as surreal scenes unfold before her. For the second time in the span of one hour of her life, she sees the moment of her own birth. Judith must wait until Baby’s story is finished, knowing all this will happen if she dies, and the terrifying white light tries to claim her. She must stand by helplessly while trying to find her one chance to survive.
The Golden Hour
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Author :
language : en
Publisher:
Release Date : 1990
The Golden Hour written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with First aid in illness and injury categories.
Essentials Of Trauma Anesthesia
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Author : Albert J. Varon
language : en
Publisher: Cambridge University Press
Release Date : 2012-06-07
Essentials Of Trauma Anesthesia written by Albert J. Varon and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-06-07 with Medical categories.
A concise review of the essential elements in the anesthetic care of the severely injured trauma patient.
The Death Of The Golden Hour And The Return Of The Future Guerrilla Hospital
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Author : Joint Special Operations
language : en
Publisher:
Release Date : 2019-11-28
The Death Of The Golden Hour And The Return Of The Future Guerrilla Hospital written by Joint Special Operations and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-11-28 with categories.
The Death of the Golden Hourand the Return of the FutureGuerrilla Hospital
Shock Trauma
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Author : Jon Franklin
language : en
Publisher:
Release Date : 1980
Shock Trauma written by Jon Franklin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1980 with categories.