The Broader Consequences of Prehospital Transport by Police for Penetrating Trauma Sara F Jacoby ,1 Charles C Branas,2 Daniel N Holena,3 Elinore J Kaufman 3
Trauma Surg Acute Care Open: first published as 10.1136/tsaco-2020-000541 on 26 November 2020. Downloaded from Open access Original research Beyond survival: the broader consequences of prehospital transport by police for penetrating trauma Sara F Jacoby ,1 Charles C Branas,2 Daniel N Holena,3 Elinore J Kaufman 3 ► Additional material is ABSTRACT by emergency medical services (EMS).7 This is likely published online only. To view, Background Time to definitive hemorrhage control because, unlike EMS, bystanders are not delayed please visit the journal online by the need for notification, dispatch, and travel. (http:// dx. doi. org/ 10. 1136/ is a primary driver of survival after penetrating injury. tsaco- 2020- 000541). For these injuries, mortality outcomes after prehospital Police on patrol are often first to arrive at the scene transport by police and emergency medical service of an injury. Direct hospital transport by police 1Department of Family and (EMS) providers are comparable. In this study we identify has demonstrated its potential to improve survival Community Health, University of patient and geographic predictors of police transport outcomes after penetrating injuries.8–10 However, Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA relative to EMS transport and describe perceptions of little is known about the broader impact of police 2Department of Epidemiology, police transport elicited from key stakeholders. transport on patients, police officers, and trauma Columbia University Mailman Methods This mixed methods study was conducted in centers.11 School of Public Health, New Philadelphia, Pennsylvania, which has the highest rate Philadelphia, Pennsylvania, was the first US York, New York, USA 3Division of Trauma, Surgical of police transport nationally.
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