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- Title
Gestione non farmacologica delle emorragie nel setting pre-ospedaliero.
- Authors
SORRENTINO, DAVIDE; GUASCONI, MASSIMO; CALÒ, FEDERICA; LUCENTI, ENRICO
- Abstract
Introduction: External bleeding continues to be a great challenge usually because it is difficult to manage. It is generally caused by traumas and if it is not controlled then numerous complications can result. With this in mind, many devices/tools have been conceived in order to control bleeding early and improve patient outcomes. Material and Methods: This review was conducted as a Rapid Evidence Assessment carried out in September 2019. Research included the PubMed biomedical literature database and the Cochrane Library. Results are reported according to PRISMA guidelines. Results: In studies selected for analysis, it emerges that new devices permit the achievement of hemostasis in shorter time periods and are therefore more effective with respect to conventional methods. Even a hemostatic band was shown suitable for controlling bleeding in extremities. In general, low failure and complication rates are observed associated with the application of these devices. Discussion: It emerges favorable that devices allowing non-pharmacological management of hemorrhage should be deployed in the prehospital setting in that they are shown to be useful supplemental tools for the purpose of reducing and limiting bleeding, thereby allowing safe transport of the patient to the hospital to begin definitive treatment. Conclusions: The proper function and the low complication rates associated with these devices are influenced by wound type and wound location and they are guaranteed if the device is applied correctly, which consequentially proves the necessity for sufficient training of concerned personnel. Additional studies would be beneficial in order to confirm that access to and knowledge of supplemental methods might significantly increase patient survival.
- Subjects
HEMORRHAGE treatment; EMERGENCY medicine; EXTREMITIES (Anatomy); HEMORRHAGE; HEMOSTASIS; WOUND care; EQUIPMENT &; supplies; MEDICAL equipment reliability; TRANSPORTATION of patients
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2020, Vol 37, Issue 3, p28
- ISSN
1592-5951
- Publication type
Article
- DOI
10.4081/scenario.2020.442