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General Radiography in the Critical Care and Trauma Environment
Published in Christopher M. Hayre, William A. S. Cox, General Radiography, 2020
Before considering any aspect of imaging patients who have experience either significant trauma or an acute condition it would be prudent to consider the ‘golden hour’. The golden hour is the idea that in cases of significant trauma (or a serious acute condition such as a stroke), a patient is likely to have significantly improved outcome where injuries and other issues are diagnosed and treatment started within approximately 60 minutes. After this time, the likelihood of patient mortality is believed to increase significantly. The golden hour is a somewhat contentious concept within emergency medicine and, in reality, there is limited and occasionally conflicting literature to support the idea itself (Rogers, Rittenhouse, & Gross, 2015).
Injury Scoring Systems and Injury Classification
Published in Melanie Franklyn, Peter Vee Sin Lee, Military Injury Biomechanics, 2017
Melanie Franklyn, Christine Read-Allsopp
Over the last few decades, it has been demonstrated in the literature that the ‘golden hour’ concept indicates the urgency required to provide the patient with timely and effective treatment and delivery to the highest level trauma facility in the shortest time possible to improve their outcome.
Mobile stroke units for acute stroke care in the south of sweden
Published in Cogent Engineering, 2021
Saeid Amouzad Mahdiraji, Oliver Dahllöf, Felix Hofwimmer, Johan Holmgren, Radu-Casian Mihailescu, Jesper Petersson
It is generally accepted that the time to treatment is the most important factor for the ability to rehabilitate the stroke patients’ mental and physical abilities. Therefore, the term “golden hour” is often used to emphasize the importance of providing early treatment of stroke patients; the patients who are given treatment within an hour have much better chances to recover than those patients where the treatment is initiated later (Ebinger et al., 2014). However, providing fast treatment of stroke patients is far from trivial, which to a large extent is due to logistical challenges and difficulties of determining the correct stroke diagnosis. It must be underlined that different types of stroke need different types of treatment. In particular, ischemic stroke patients should be given intravenous treatment (thrombolysis), which breaks down the clot, whereas this type of treatment under no circumstances should be given to hemorrhagic stroke patients.
Effects of distance and rescue time to medical facilities on traffic mortality utilizing GIS
Published in International Journal of Injury Control and Safety Promotion, 2018
Wei Hu, Qiao Dong, Baoshan Huang
An important objective of traffic engineering is to reduce car crashes, especially for those involving seriously injured patients. However, when an accident happens, the time required for rescue may serve as a key factor in saving patients’ lives. In emergency medicine, the first 60 min after a traumatic injury has been deemed as the ‘golden hour,’ during which there is the highest likelihood that prompt medical treatment will prevent death. Data from the National Highway Traffic Safety Administration (NHTSA) also emphasize the role of rescue time. Although only 24% of total crashes occur in rural areas, rural crashes accounted for 59% of all fatal crashes. According to the NHTSA, ‘Delay in delivering emergency medical services is one of the factors contributing to the disproportionately high fatality rate for rural crash victims’ (1998).
Road traffic injuries in Uganda: pre-hospital care time intervals from crash scene to hospital and related factors by the Uganda Police
Published in International Journal of Injury Control and Safety Promotion, 2019
Esther Bayiga Zziwa, Christine Muhumuza, Kennedy M. Muni, Lynn Atuyambe, Abdulgafoor M. Bachani, Olive C. Kobusingye
The rapid arrival of an ambulance at a crash site coupled with trained personnel and adequate victim transportation to hospital may mitigate morbidity, prevent disability and enhance survival (Arreola-Risa et al., 2000). With the first 60 min after an injury—also known as the ‘golden hour’, being considered as the most effective within which lives can be saved, it is critical that the response times of ambulances and their crew fall within this time. Beyond this time, the risk of death or injury severity rises significantly (Carr, Caplan, Pryor, & Branas, 2006).