Dr. Ronald Klatz, President of the A4M, Sept. 29, 2017 states, “We at the American Academy of Anti-Aging Medicine (A4M) and World Health.net salute and praise all EMTs world-wide, both private and public. They are some of the most dedicated and hard-working people on the planet. Usually first on the scene, surely millions would have died but for their training, service, and presence. They go to work every day not knowing what danger they’ll face or what life threatening medical situation they’ll encounter. They work long hours and expend massive energy. Thanks from all of us!”
(HealthDay News) — For patients with gunshot or stab wounds, private vehicle transport is associated with significantly lower likelihood of death than emergency medical services (EMS) transport, according to a study published online Sept. 20 in JAMA Surgery.
Michael W. Wandling, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues conducted a retrospective study of data included in the National Trauma Data Bank comprising 298 levels 1 and 2 trauma centers to assess whether private vehicle prehospital transport confers a survival advantage versus ground EMS transport following penetrating injuries. Data were included for 103,029 patients (87.6 percent male), all aged 16 years or older (mean age, 32.3 years), and with a gunshot wound or stab wound.
The researchers found that the likelihood of dying was lower for individuals with penetrating injuries transported by private vehicle than those transported by ground EMS following risk adjustment (odds ratio, 0.38). On stratified analysis of the gunshot and stab wound subgroups, the association remained statistically significant (odds ratios, 0.45 and 0.32, respectively).
“System-level evidence such as this can be a valuable tool for those responsible for developing and implementing policies at the trauma system level,” the authors write.
