Philly re­searchers to test trauma-care con­ven­tions

Modern Healthcare - - REGIONAL NEWS - —El­iz­a­beth Whit­man

Re­searchers in Philadel­phia will chal­lenge the as­sump­tion that a per­son who is shot or stabbed has a bet­ter chance of sur­viv­ing if he re­ceives more-in­ten­sive care be­fore reach­ing the hos­pi­tal.

Po­ten­tially start­ing later this year, Tem­ple Univer­sity Hos­pi­tal re­searchers, staff at six hospitals and all of Philadel­phia’s Level 1 and Level 2 trauma cen­ters, will ex­am­ine whether two pro­ce­dures—plac­ing breath­ing tubes or ad­min­is­ter­ing IV flu­ids—pro­vide sur­vival ad­van­tages for pa­tients with pen­e­trat­ing in­juries, de­fined as “gun­shot, shot­gun or stab wounds to the chest, ab­domen or up­per arms or legs.”

The city­wide study will com­pare the ben­e­fits of IVs and breath­ing tubes used in ad­vanced life sup­port with those of ba­sic life sup­port, where only oxy­gen is ad­min­is­tered. Re­searchers hy­poth­e­size that pa­tients with­out ad­vanced care will have a greater sur­vival rate than those who do re­ceive such care.

Pa­tients el­i­gi­ble for the five-year study are lim­ited to those in Philadel­phia, with gun­shot, shot­gun or stab wounds with ev­i­dence of bleed­ing and brought to the hos­pi­tal by an am­bu­lance. One group will re­ceive ad­vanced life sup­port; the other will not. Both would re­ceive the same care at the hos­pi­tal. Those who think they might be in­jured in this fash­ion and wish to opt out of the study will re­ceive a wrist­band they must wear for five years.

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