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Early trauma support questioned

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Advanced life support should be given to trauma patients on arrival at hospital and not earlier, say Canadian researchers.

An ongoing study showed no benefit in paramedics providing advanced life support to patients with trauma injuries prior to transport to hospital.

There was almost no difference in survival rates among 1,373 major trauma patients who received basic life support – oxygen, ventilation with a bag valve mask, immobilisation and dressings – and 1,494 who received advanced life support – endotracheal intubation and intravenous fluid therapy.

‘Our findings support those who believe that definitive trauma care is best provided in the operating room and that pre-hospital interventions may be associated with increased complications or may delay transfer to hospital,’ said the authors online in the Canadian Medical Association Journal.

Advanced life support should be given to trauma patients on arrival at hospital and not earlier, say Canadian researchers.

An ongoing study showed no benefit in paramedics providing advanced life support to patients with trauma injuries prior to transport to hospital.

There was almost no difference in survival rates among 1,373 major trauma patients who received basic life support – oxygen, ventilation with a bag valve mask, immobilisation and dressings – and 1,494 who received advanced life support – endotracheal intubation and intravenous fluid therapy.

‘Our findings support those who believe that definitive trauma care is best provided in the operating room and that pre-hospital interventions may be associated with increased complications or may delay transfer to hospital,’ said the authors online in the Canadian Medical Association Journal.

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