Abstract

Outcomes of Major Trauma Patients Receiving Pre-Hospital Adrenaline for Haemodynamic Instability at Charlotte Maxeke Johannesburg Academic Hospital

Highlights

  • Five million people lose their lives annually worldwide through major trauma of which almost 50% are young people between the ages of 15 to 44, with road accidents constituting the 2nd most commonOcimum Scientific PublishersSubmit Manuscript10.33513/MEST/2001-03Journal of Medical Emergency, Surgery and Traumatic Stress cause of these premature mortalities [1]

  • This study aimed to determine if prehospital adrenaline in major trauma patients with on-scene hypotension resulted in higher in-hospital mortality in the South African context

  • This pattern of trauma arose due to changes in the South African political landscape in the 1980s and is yet to diminish to the levels seen in other parts of the world [2,25]

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Summary

Introduction

Five million people lose their lives annually worldwide through major trauma of which almost 50% are young people between the ages of 15 to 44, with road accidents constituting the 2nd most commonOcimum Scientific PublishersSubmit Manuscript10.33513/MEST/2001-03Journal of Medical Emergency, Surgery and Traumatic Stress cause of these premature mortalities [1]. Five million people lose their lives annually worldwide through major trauma of which almost 50% are young people between the ages of 15 to 44, with road accidents constituting the 2nd most common. Advanced Trauma Life Support (ATLS®) guidelines support the use of intravenous fluids for management of hypovolemia as the cornerstone of treating haemorrhagic shock [6,7,8,9]. Trauma is a major cause of morbidity and mortality in South Africa, with more than five million people losing their lives worldwide per year due to major trauma.

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