Prehospital hypotension is a predictor of the need for an emergent, therapeutic operation in trauma patients with normal systolic blood pressure in the emergency department

Journal of Trauma - Injury, Infection and Critical Care

Volumn 61, Issue 5, 2006, Pages 1228-1233

  Lipsky, Ari M ^a,e   Gausche Hill, Marianne ^a,b   Henneman, Philip L ^a,b,c,d   Loffredo, Anthony J ^a   Eckhardt, Patricia B ^a   Cryer, H Gill ^b   De Virgilio, Christian ^a,b   Klein, Stanley L ^a,b   Bongard, Frederic S ^a,b   Lewis, Roger J ^a,b  

^a HARBOR UCLA MEDICAL CENTER   (United States)

^b UCLA MEDICAL CENTER   (United States)

^c BAYSTATE MEDICAL CENTER   (United States)

^d TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e Box 21 ^*  (United States)

Author keywords

Hypotension; Prehospital; Therapeutic surgery

Indexed keywords

ADULT; ARTICLE; COHORT ANALYSIS; CONFIDENCE INTERVAL; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; EMERGENCY SURGERY; EMERGENCY WARD; FEMALE; HUMAN; HYPOTENSION; INJURY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MEDICAL SERVICE; MORTALITY; PRIORITY JOURNAL; RISK; SURGICAL TECHNIQUE; SYSTOLIC BLOOD PRESSURE;

ADOLESCENT; ADULT; BLOOD PRESSURE; COHORT STUDIES; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; HEALTH STATUS INDICATORS; HUMANS; HYPOTENSION; OBSERVER VARIATION; RISK FACTORS; TIME FACTORS; WOUNDS AND INJURIES;

EID: 33750946465     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/01.ta.0000196694.52615.84     Document Type: Article

References (13)

1. Prasad NH, Brown LH, Ausband SC, et al. Prehospital blood pressures: inaccuracies caused by ambulance noise? Am J Emerg Med. 1994;12:617-620.
2. Low RB, Martin D. Accuracy of blood pressure measurements made aboard helicopters. Ann Emerg Med. 1988;17:604-612.
3. Davis JW, Davis IC, Bennink LD, et al. Are automated blood pressure measurements accurate in trauma patients? J Trauma. 2003;55:860-863.
4. Mackersie RC, Tiwary Ad, Shackford SR, et al. Intra-abdominal injury following blunt trauma. Identifying the high-risk patient using objective risk factors. Arch Surg. 1989;124:809-813.
5. Chan L, Bartfield JM, Reilly KM. The significance of prehospital hypotension in blunt trauma patients. Acad Emerg Med. 1997;4:785-788.
6. Aranda M, Petersen SR, Hunt C, et al. An episode of prehospital hypotension in trauma patients: a marker for doom or just crying wolf? [Abstract]. J Trauma. 1997;42:160.
7. Shapiro NI, Kociszewski C, Harrison T, et al. Isolated prehospital hypotension after traumatic injuries: a predictor of mortality? J Emerg Med. 2003;25:175-179.
8. Prehospital Care Policy Manual. Emergency Medical Services Agency, Department of Health Services, Los Angeles, CA. 1995.
9. Chameides L, Hazinski MF. Pediatric Advanced Life Support. Dallas, TX: American Heart Association 1995:2-5.
10. Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling. Surg Clin North Am. 1995;75:293-303.
11. Association for the Advancement of Automotive Medicine. The Abbreviated Injury Scale, 1990 Revision. Des Plaines, IL: Association for the Advancement of Automotive Medicine; 1990.
12. Franklin GA, Boaz PW, Spain DA, et al. Prehospital hypotension as a valid indicator of trauma team activation. J Trauma. 2000;48:1034-1037.
13. Deakin CD, Low JL. Accuracy of the advanced trauma life support guidelines for predicting systolic blood pressure using carotid, femoral, and radial pulses: observational study. BMJ. 2000;321:673-674.