Advanced life support in ambulances doesn't benefit trauma patients

Apr 21, 2008

New research from the Ontario Prehospital Advanced Life Support (OPALS) project shows there is no benefit — and perhaps harm — to providing advanced life support to patients with trauma injuries prior to transport to hospital.

The third study from the OPALS project — likely the world’s most important research into the care provided to patients before they reach hospital — evaluated outcomes of patients with major traumatic injuries before and after system-wide implementation of prehospital advanced life-support programs in 17 cities. The study found that, among the 1373 patients who received basic life support and the 1494 who received advanced life support subsequent to experiencing major trauma, there was no difference (81.1% vs. 81.8% respectively) in the rate of survival to hospital discharge.

"Our findings support those who believe that definitive trauma care is best provided in the operating room and that prehospital interventions may be associated with increased complications or may delay transfer to hospital," write study authors Dr. Ian Stiell and colleagues.

The authors conclude that emergency medical services should "carefully reevaluate the indications for and applications of prehospital advanced life-support measures for patients with major trauma.

Source: Canadian Medical Association Journal

Explore further: German Merck to buy St. Louis-based Sigma-Aldrich

add to favorites email to friend print save as pdf

Related Stories

Life on Earth still favours evolution over creationism

Sep 11, 2014

Charles Darwin's Theory of Evolution, first published in 1859, offered a bold new explanation for how animals and plants diversified and still serves as the foundation underpinning all medical and biological ...

Recommended for you

German Merck to buy St. Louis-based Sigma-Aldrich

20 hours ago

German drug company Merck says it has agreed to buy St. Louis-based chemical firm Sigma-Aldrich Corp. for $17 billion in a deal Merck says will strengthen its business in chemicals and laboratory equipment.

The human race evolved to be fair for selfish reasons

Sep 19, 2014

"Make sure you play fairly," often say parents to their kids. In fact, children do not need encouragement to be fair, it is a unique feature of human social life, which emerges in childhood. When given the o ...

User comments : 0