Potentially preventable trauma deaths

A retrospective review

Ben Beck, Karen Smith, Eric Mercier, Stephen Bernard, Colin Jones, Ben Meadley, Toby St Clair, Paul A. Jennings, Ziad Nehme, Michael Burke, Richard Bassed, Mark Fitzgerald, Rodney Judson, Warwick Teague, Biswadev Mitra, Joseph Mathew, Andrew Buck, Dinesh Varma, Belinda Gabbe, Janet Bray & 4 others Susan McLellan, Jane Ford, Josine Siedenburg, Peter Cameron

Research output: Contribution to journalReview ArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Background: Reviewing prehospital trauma deaths provides an opportunity to identify system improvements that may reduce trauma mortality. The objective of this study was to identify the number and rate of potentially preventable trauma deaths through expert panel reviews of prehospital and early in-hospital trauma deaths. Methods: We conducted a retrospective review of prehospital and early in-hospital (<24 h) trauma deaths following a traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria (AV) in the state of Victoria, Australia, between 2008 and 2014. Expert panels were used to review cases that had resuscitation attempted by paramedics and underwent a full autopsy. Patients with a mechanism of hanging, drowning or those with anatomical injuries deemed to be unsurvivable were excluded. Results: Of the 1183 cases that underwent full autopsies, resuscitation was attempted by paramedics in 336 (28%) cases. Of these, 113 cases (34%) were deemed to have potentially survivable injuries and underwent expert panel review. There were 90 (80%) deaths that were not preventable, 19 (17%) potentially preventable deaths and 4 (3%) preventable deaths. Potentially preventable or preventable deaths represented 20% of those cases that underwent review and 7% of cases that had attempted resuscitation. Conclusions: The number of potentially preventable or preventable trauma deaths in the pre-hospital and early in-hospital resuscitation phase was low. Specific circumstances were identified in which the trauma system could be further improved.

Original languageEnglish
Pages (from-to)1009-1016
Number of pages8
JournalInjury
Volume50
Issue number5
DOIs
Publication statusPublished - 1 May 2019

Keywords

  • Emergency medical services
  • Mortality
  • Pre-hospital care
  • Preventable
  • Trauma
  • Trauma systems

Cite this

Beck, Ben ; Smith, Karen ; Mercier, Eric ; Bernard, Stephen ; Jones, Colin ; Meadley, Ben ; Clair, Toby St ; Jennings, Paul A. ; Nehme, Ziad ; Burke, Michael ; Bassed, Richard ; Fitzgerald, Mark ; Judson, Rodney ; Teague, Warwick ; Mitra, Biswadev ; Mathew, Joseph ; Buck, Andrew ; Varma, Dinesh ; Gabbe, Belinda ; Bray, Janet ; McLellan, Susan ; Ford, Jane ; Siedenburg, Josine ; Cameron, Peter. / Potentially preventable trauma deaths : A retrospective review. In: Injury. 2019 ; Vol. 50, No. 5. pp. 1009-1016.
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abstract = "Background: Reviewing prehospital trauma deaths provides an opportunity to identify system improvements that may reduce trauma mortality. The objective of this study was to identify the number and rate of potentially preventable trauma deaths through expert panel reviews of prehospital and early in-hospital trauma deaths. Methods: We conducted a retrospective review of prehospital and early in-hospital (<24 h) trauma deaths following a traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria (AV) in the state of Victoria, Australia, between 2008 and 2014. Expert panels were used to review cases that had resuscitation attempted by paramedics and underwent a full autopsy. Patients with a mechanism of hanging, drowning or those with anatomical injuries deemed to be unsurvivable were excluded. Results: Of the 1183 cases that underwent full autopsies, resuscitation was attempted by paramedics in 336 (28{\%}) cases. Of these, 113 cases (34{\%}) were deemed to have potentially survivable injuries and underwent expert panel review. There were 90 (80{\%}) deaths that were not preventable, 19 (17{\%}) potentially preventable deaths and 4 (3{\%}) preventable deaths. Potentially preventable or preventable deaths represented 20{\%} of those cases that underwent review and 7{\%} of cases that had attempted resuscitation. Conclusions: The number of potentially preventable or preventable trauma deaths in the pre-hospital and early in-hospital resuscitation phase was low. Specific circumstances were identified in which the trauma system could be further improved.",
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Potentially preventable trauma deaths : A retrospective review. / Beck, Ben; Smith, Karen; Mercier, Eric; Bernard, Stephen; Jones, Colin; Meadley, Ben; Clair, Toby St; Jennings, Paul A.; Nehme, Ziad; Burke, Michael; Bassed, Richard; Fitzgerald, Mark; Judson, Rodney; Teague, Warwick; Mitra, Biswadev; Mathew, Joseph; Buck, Andrew; Varma, Dinesh; Gabbe, Belinda; Bray, Janet; McLellan, Susan; Ford, Jane; Siedenburg, Josine; Cameron, Peter.

In: Injury, Vol. 50, No. 5, 01.05.2019, p. 1009-1016.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - Potentially preventable trauma deaths

T2 - A retrospective review

AU - Beck, Ben

AU - Smith, Karen

AU - Mercier, Eric

AU - Bernard, Stephen

AU - Jones, Colin

AU - Meadley, Ben

AU - Clair, Toby St

AU - Jennings, Paul A.

AU - Nehme, Ziad

AU - Burke, Michael

AU - Bassed, Richard

AU - Fitzgerald, Mark

AU - Judson, Rodney

AU - Teague, Warwick

AU - Mitra, Biswadev

AU - Mathew, Joseph

AU - Buck, Andrew

AU - Varma, Dinesh

AU - Gabbe, Belinda

AU - Bray, Janet

AU - McLellan, Susan

AU - Ford, Jane

AU - Siedenburg, Josine

AU - Cameron, Peter

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Background: Reviewing prehospital trauma deaths provides an opportunity to identify system improvements that may reduce trauma mortality. The objective of this study was to identify the number and rate of potentially preventable trauma deaths through expert panel reviews of prehospital and early in-hospital trauma deaths. Methods: We conducted a retrospective review of prehospital and early in-hospital (<24 h) trauma deaths following a traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria (AV) in the state of Victoria, Australia, between 2008 and 2014. Expert panels were used to review cases that had resuscitation attempted by paramedics and underwent a full autopsy. Patients with a mechanism of hanging, drowning or those with anatomical injuries deemed to be unsurvivable were excluded. Results: Of the 1183 cases that underwent full autopsies, resuscitation was attempted by paramedics in 336 (28%) cases. Of these, 113 cases (34%) were deemed to have potentially survivable injuries and underwent expert panel review. There were 90 (80%) deaths that were not preventable, 19 (17%) potentially preventable deaths and 4 (3%) preventable deaths. Potentially preventable or preventable deaths represented 20% of those cases that underwent review and 7% of cases that had attempted resuscitation. Conclusions: The number of potentially preventable or preventable trauma deaths in the pre-hospital and early in-hospital resuscitation phase was low. Specific circumstances were identified in which the trauma system could be further improved.

AB - Background: Reviewing prehospital trauma deaths provides an opportunity to identify system improvements that may reduce trauma mortality. The objective of this study was to identify the number and rate of potentially preventable trauma deaths through expert panel reviews of prehospital and early in-hospital trauma deaths. Methods: We conducted a retrospective review of prehospital and early in-hospital (<24 h) trauma deaths following a traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria (AV) in the state of Victoria, Australia, between 2008 and 2014. Expert panels were used to review cases that had resuscitation attempted by paramedics and underwent a full autopsy. Patients with a mechanism of hanging, drowning or those with anatomical injuries deemed to be unsurvivable were excluded. Results: Of the 1183 cases that underwent full autopsies, resuscitation was attempted by paramedics in 336 (28%) cases. Of these, 113 cases (34%) were deemed to have potentially survivable injuries and underwent expert panel review. There were 90 (80%) deaths that were not preventable, 19 (17%) potentially preventable deaths and 4 (3%) preventable deaths. Potentially preventable or preventable deaths represented 20% of those cases that underwent review and 7% of cases that had attempted resuscitation. Conclusions: The number of potentially preventable or preventable trauma deaths in the pre-hospital and early in-hospital resuscitation phase was low. Specific circumstances were identified in which the trauma system could be further improved.

KW - Emergency medical services

KW - Mortality

KW - Pre-hospital care

KW - Preventable

KW - Trauma

KW - Trauma systems

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U2 - 10.1016/j.injury.2019.03.003

DO - 10.1016/j.injury.2019.03.003

M3 - Review Article

VL - 50

SP - 1009

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JO - Injury

JF - Injury

SN - 0020-1383

IS - 5

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