@article{ref1,
title="Preventable prehospital trauma deaths in a Hellenic urban health region: an audit of prehospital trauma care",
journal="Journal of trauma",
year="1996",
author="Papadopoulos, Iordanis N. and Bukis, D. and Karalas, E. and Katsaragakis, S. and Stergiopoulos, S. and Peros, G. and Androulakis, G.",
volume="41",
number="5",
pages="864-869",
abstract="OBJECTIVE: To identify preventable prehospital deaths, caused by trauma. DESIGN: Analysis of 82 trauma victims who were dead on arrival (DOA) into our hospital. SETTING: General Hospital of Piraeus, Greece. MATERIALS AND METHODS: Evaluation of the autopsy findings of 82 DOAs. MEASUREMENTS: Demographic, autopsy, and toxicology data, ICD9 codes, Abbreviated Injury Score (AIS)-90, Injury Severity Score (ISS)-body regions, central nervous system (CNS) deaths, non-CNS deaths, p values, and opinion of a clinical assessor. MAIN RESULTS: The 29 (35.36%) DOAs had at least one AIS6 injury. Extracranial hemorrhage, airway, and breathing dysfunction were contributing factors of death of 27 &quot;possibly preventable&quot; CNS deaths, and the causes of death for the 20 non-CNS deaths. p value (0.5) indicated that 24 (29.26%) of the DOAs expected to survive. The clinical assessor characterized four (4.87%) as &quot;definitely preventable&quot; and 35 (42.65%) as &quot;possibly preventable&quot; deaths. CONCLUSIONS: Upgrading of the emergency medical care service is required.<p /><p>Language: en</p>",
language="en",
issn="0022-5282",
doi="",
url="http://dx.doi.org/"
}