+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Prehospital Trauma Life Support (PHTLS) training of ambulance caregivers and impact on survival of trauma victims

Prehospital Trauma Life Support (PHTLS) training of ambulance caregivers and impact on survival of trauma victims

Resuscitation 83(10): 1259-1264

The Prehospital Trauma Life Support (PHTLS) course has been widely implemented and approximately half a million prehospital caregivers in over 50 countries have taken this course. Still, the effect on injury outcome remains to be established. The objective of this study was to investigate the association between PHTLS training of ambulance crew members and the mortality in trauma patients. A population-based observational study of 2830 injured patients, who either died or were hospitalized for more than 24 h, was performed during gradual implementation of PHTLS in Uppsala County in Sweden between 1998 and 2004. Prehospital patient records were linked to hospital-discharge records, cause-of-death records, and information on PHTLS training and the educational level of ambulance crews. The main outcome measure was death, on scene or in hospital. Adjusting for multiple potential confounders, PHTLS training appeared to be associated with a reduction in mortality, but the precision of this estimate was poor (odds ratio, 0.71; 95% confidence interval, 0.42-1.19). The mortality risk was 4.7% (36/763) without PHTLS training and 4.5% (94/2067) with PHTLS training. The predicted absolute risk reduction is estimated to correspond to 0.5 lives saved annually per 100,000 population with PHTLS fully implemented. PHTLS training of ambulance crew members may be associated with reduced mortality in trauma patients, but the precision in this estimate was low due to the overall low mortality. While there may be a relative risk reduction, the predicted absolute risk reduction in this population was low.

(PDF emailed within 0-6 h: $19.90)

Accession: 036572198

Download citation: RISBibTeXText

PMID: 22366502

DOI: 10.1016/j.resuscitation.2012.02.018

Related references

Prehospital trauma life support training of ambulance caregivers and the outcomes of traffic-injury victims in Sweden. Journal of the American College of Surgeons 217(6): 1010-9.E1-2, 2014

PHTLS ® (Prehospital Trauma Life Support) provider courses in Germany - who takes part and what do participants think about prehospital trauma care training?. Journal of Trauma Management and Outcomes 8: 7, 2014

Prehospital Trauma Life Support (PHTLS): An interdisciplinary training in preclinical trauma care. Der Unfallchirurg 111(9): 688-694, 2008

Effect of the prehospital trauma life support program (PHTLS) on prehospital trauma care. Journal of Trauma 42(5): 786-790, 1997

PHTLS (Prehospital Trauma Life Support) overseas. Emergency Medical Services 30(5): 140-143, 2001

Prehospital advanced trauma life support for critical blunt trauma victims. Annals of Emergency Medicine 16(4): 399-403, 1987

Standardised primary care of multiple trauma patients. Prehospital Trauma Life Support und Advanced Trauma Life Support. Der Unfallchirurg 112(10): 846-853, 2010

Prehospital interventions for penetrating trauma victims: a prospective comparison between Advanced Life Support and Basic Life Support. Injury 44(5): 634-638, 2013

Combat trauma life support training versus the original advanced trauma life support course: the impact of enhanced curriculum on final student scores. Military Medicine 162(7): 463-467, 1997

Prehospital spine immobilization for penetrating trauma--review and recommendations from the Prehospital Trauma Life Support Executive Committee. Journal of Trauma 71(3): 763-9; Discussion 769-70, 2012

Prehospital advanced life support for critically injured victims of blunt trauma. Annals of Emergency Medicine 15(5): 628, 1986

The effect of the prehospital trauma life support program on prehospital trauma care. Clinical & Investigative Medicine 19(4 SUPPL ): S108, 1996

Impact of advanced trauma life support training on early trauma management. American Journal of Surgery 155(5): 704-707, 1988

Advanced training in trauma life support for ambulance crews. Cochrane Database of Systematic Reviews 2014(8): Cd003109, 2014

Advanced trauma life support training for ambulance crews. Cochrane Database of Systematic Reviews 2010(1): Cd003109, 2010