Κατεύθυνση Επείγουσα Νοσηλευτική
Library of the School of Health Sciences

2019-11-06

2019

Angelopoulos Georgios

Χριστίνα Μαρβάκη, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής, Επιβλέπουσα
Γεώργιος Βασιλόπουλος, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής
Αναστασία Κοτανίδου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Μέθοδοι Ελέγχου Εξωτερικής Αιμορραγίας σε Προνοσοκομειακό Επίπεδο: Συστηματική Ανασκόπηση

Greek

Methods of External Hemorrhage Control at Pre-Hospital Level: Systematic Review

Introduction: External bleeding is the leading cause of death, but can be avoided. Effective and timely control of bleeding is the most important step in the management of seriously injured patients. Preventing blood loss before arriving at the hospital could save more lives than any other intervention. In recent years, new techniques, devices and drugs have been developed to effectively control pre-hospital bleeding.
Aim: To review the recent international literature on the of effectiveness of pre-hospital external hemorrhage control methods in the outcome of patients.
Method: International bibliography was searched for studies published from 01/01/2010 to 31/08/2019 in the PUBMED database with the following keywords: external bleeding, external hemorrhage, external injury, prehospital, tourniquet, hemostatic agents, hemostatic dressings, iTClamp, TXA and REBOA. The review included primary studies that were written in English and concerned the application of methods, techniques and agents to control the external bleeding at civilian pre-hospital level.
Results: The initial search resulted in 226 articles, and after reading the title, abstract, and the overall text, 15 articles were included in the review. The timely and correct application of tourniquet is associated with reduced mortality from bleeding shock. A small percentage of patients have complications from using tourniquet. The hemostatic dressings, the iTClamp and the TXA have been found to be effective in controlling bleeding. The iTClamp applied very quickly, in less than a minute. At the same time, the TXA was associated with better patient outcomes and fewer units of transfused blood. Conclusion: The tourniquet, the haemostatic dressings, the iTClamp and the TXA help to effectively control haemorrhage at the pre-hospital level and improve patient outcomes, but further investigation is needed.

Health Sciences

External hemorrhage, External injury, Prehospital, Tournoquer, Hemostatic agents, Hemastatic dressings, tranexamic acid, iTClamp, REBOA

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Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/2884934