@article{ref1,
title="Firearm injury-when minutes really matter in the field [Invited commentary]",
journal="JAMA surgery",
year="2022",
author="Brown, Joshua B.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Trauma is a time-sensitive condition. Nowhere is this more apparent than firearm violence, an epidemic occurring in our communities every day. These patients frequently need rapid operative intervention to stop life-threatening hemorrhage and shock. This has led to a scoop-and-run approach for prehospital care to minimize time to reach a trauma center.   Byrne and colleagues1 examine the association between geospatial access to trauma care and firearm-injury mortality in Philadelphia, Pennsylvania. The authors measure geospatial access as transport time from the incident location to the nearest trauma center. They use a geographic information system to calculate driving time along road networks accounting for traffic, a more robust approach than the &quot;as the crow flies&quot; straight-line distance.2 Rather than medical records or trauma registry data, the authors used the Philadelphia Police Department's Shooting Victim Database. As expected from this group, a robust statistical approach was used. The authors1 showed each minute of transport time was associated with an increase in mortality, with 23% of firearm fatalities attributed to transport times longer than 1 minute.<p /> <p>Language: en</p>",
language="en",
issn="2168-6254",
doi="10.1001/jamasurg.2022.3684",
url="http://dx.doi.org/10.1001/jamasurg.2022.3684"
}