المستخلص: |
The "golden hour" is the critical period following traumatic injury, during which timely and effective medical interventions are vital for improving survival rates and reducing complications. This systematic review evaluates the effectiveness of primary care interventions implemented during this time in critically injured trauma patients. Key interventions examined include airway management, hemorrhage control, fluid resuscitation, spinal immobilization, pain management, and rapid transport. Prehospital care teams, including EMTs and paramedics, play a pivotal role in delivering these interventions and ensuring rapid stabilization and transport to trauma centers. Evidence from various studies highlights that early interventions during the golden hour significantly reduce mortality, particularly in cases of hemorrhagic shock, traumatic brain injury, and severe extremity trauma. However, challenges such as variability in trauma severity, differences in prehospital care systems, and inconsistent protocols complicate the evaluation of intervention effectiveness. The review underscores the need for further research to standardize trauma care approaches and optimize outcomes during this critical period.
|