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Article: On-Scene Intravenous Line Insertion Adversely Impacts Prehospital Time in Rural Vehicular Trauma
- Article from:
- The American Surgeon
- Article date:
- November 1, 2008
- Author:
CopyrightCopyright Southeastern Surgical Congress Nov 2008. Provided by ProQuest LLC. (Hide copyright information)
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Fatality rates from rural vehicular trauma are almost double those found in urban settings. Increased emergency medical services (EMS) prehospital time has been implicated as one of the causative factors for higher rural fatality rates. Advanced Trauma Life Support guidelines suggest scene time should not be extended to insert an intravenous catheter (IV). The purpose of this study was to assess the association between intravenous line placement and motor vehicle crash (MVC) scene time in rural and urban settings. An imputational methodology using the National Highway Traffic Safety Administration Crash Outcome Data Evaluation System permitted linkage of data from police motor vehicle crash ...