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A systematic literature review on first aid provided by laypeople to trauma victims

Death from trauma is a significant and international problem. Outcome for patients suffering out-of-hospital cardiac arrests is significantly improved by early cardiopulmonary resuscitation. The usefulness of first aid given by laypeople in trauma is less well established. The aim of this study was...

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Autores principales: Tannvik, T D, Bakke, H K, Wisborg, T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495299/
https://www.ncbi.nlm.nih.gov/pubmed/22897491
http://dx.doi.org/10.1111/j.1399-6576.2012.02739.x
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author Tannvik, T D
Bakke, H K
Wisborg, T
author_facet Tannvik, T D
Bakke, H K
Wisborg, T
author_sort Tannvik, T D
collection PubMed
description Death from trauma is a significant and international problem. Outcome for patients suffering out-of-hospital cardiac arrests is significantly improved by early cardiopulmonary resuscitation. The usefulness of first aid given by laypeople in trauma is less well established. The aim of this study was to review the existing literature on first aid provided by laypeople to trauma victims and to establish how often first aid is provided, if it is performed correctly, and its impact on outcome. A systematic review was carried out, according to preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines, of all studies involving first aid provided by laypeople to trauma victims. Cochrane, Embase, Medline, Pubmed, and Google Scholar databases were systematically searched. Ten eligible articles were identified involving a total of 5836 victims. Eight studies were related to patient outcome, while two studies were simulation based. The proportion of patients who received first aid ranged from 10.7% to 65%. Incorrect first aid was given in up to 83.7% of cases. Airway handling and haemorrhage control were particular areas of concern. One study from Iraq investigated survival and reported a 5.8% reduction in mortality. Two retrospective autopsy-based studies estimated that correct first aid could have reduced mortality by 1.8–4.5%. There is limited evidence regarding first aid provided by laypeople to trauma victims. Due to great heterogeneity in the studies, firm conclusions can not be drawn. However, the results show a potential mortality reduction if first aid is administered to trauma victims. Further research is necessary to establish this.
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spelling pubmed-34952992012-11-14 A systematic literature review on first aid provided by laypeople to trauma victims Tannvik, T D Bakke, H K Wisborg, T Acta Anaesthesiol Scand Review Articles Death from trauma is a significant and international problem. Outcome for patients suffering out-of-hospital cardiac arrests is significantly improved by early cardiopulmonary resuscitation. The usefulness of first aid given by laypeople in trauma is less well established. The aim of this study was to review the existing literature on first aid provided by laypeople to trauma victims and to establish how often first aid is provided, if it is performed correctly, and its impact on outcome. A systematic review was carried out, according to preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines, of all studies involving first aid provided by laypeople to trauma victims. Cochrane, Embase, Medline, Pubmed, and Google Scholar databases were systematically searched. Ten eligible articles were identified involving a total of 5836 victims. Eight studies were related to patient outcome, while two studies were simulation based. The proportion of patients who received first aid ranged from 10.7% to 65%. Incorrect first aid was given in up to 83.7% of cases. Airway handling and haemorrhage control were particular areas of concern. One study from Iraq investigated survival and reported a 5.8% reduction in mortality. Two retrospective autopsy-based studies estimated that correct first aid could have reduced mortality by 1.8–4.5%. There is limited evidence regarding first aid provided by laypeople to trauma victims. Due to great heterogeneity in the studies, firm conclusions can not be drawn. However, the results show a potential mortality reduction if first aid is administered to trauma victims. Further research is necessary to establish this. Blackwell Publishing Ltd 2012-11 2012-08-17 /pmc/articles/PMC3495299/ /pubmed/22897491 http://dx.doi.org/10.1111/j.1399-6576.2012.02739.x Text en Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.
spellingShingle Review Articles
Tannvik, T D
Bakke, H K
Wisborg, T
A systematic literature review on first aid provided by laypeople to trauma victims
title A systematic literature review on first aid provided by laypeople to trauma victims
title_full A systematic literature review on first aid provided by laypeople to trauma victims
title_fullStr A systematic literature review on first aid provided by laypeople to trauma victims
title_full_unstemmed A systematic literature review on first aid provided by laypeople to trauma victims
title_short A systematic literature review on first aid provided by laypeople to trauma victims
title_sort systematic literature review on first aid provided by laypeople to trauma victims
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495299/
https://www.ncbi.nlm.nih.gov/pubmed/22897491
http://dx.doi.org/10.1111/j.1399-6576.2012.02739.x
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