International comparison of prehospital trauma care systems

Bahman S Roudsari, Avery B Nathens, Peter A Cameron, Ian Civil, Russel L Gruen, Thomas D Koepsell, Fiona Lecky, Rolf L Lefering, Moishe Liberman, Charles N Mock, Hans-Jorg Oestern, Thomas A Schildhauer, Christian Waydhas, Frederick P Rivara

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Abstract

OBJECTIVE: Given the recent emphasis on developing prehospital trauma care globally, we embarked upon a multicentre study to compare trauma patients outcome within and between countries with technician-operated advanced life support (ALS) and physician-operated (Doc-ALS) emergency medical service (EMS) systems. These environments represent the continuum of prehospital care in high income countries with more advanced prehospital trauma care systems. METHODS: Five countries with ALS-EMS system and four countries with Doc-ALS EMS system provided us with de-identified patient-level data from their national or local trauma registries. Generalised linear latent and mixed models was used in order to compare emergency department (ED) shock rate (systolic blood pressure (SBP)
Original languageEnglish
Pages (from-to)993-1000
Number of pages8
JournalInjury Extra
Volume38
Issue number9
Publication statusPublished - 2007

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