@article{ref1,
title="Rapid response doctor cars for cases of severe trauma in remote locations: a life saved owing to cooperation between a doctor car and a physician from a local medical facility",
journal="Journal of rural medicine",
year="2016",
author="Abe, Tomohiro and Ochiai, Hidenobu",
volume="11",
number="1",
pages="25-29",
abstract="OBJECTIVE: Rescuing severe trauma patients who are injured far from a trauma center is challenging for rural emergency systems. We report a severe trauma case that occurred at a remote location, in which the patient's life was saved by a dispatched doctor car and a physician from a local medical facility. PATIENT: A 31-year-old man experienced a left femur injury due to a fallen tree. The fire station requested a doctor car from our center, approximately 56 km away. Meanwhile, a paramedic team reported that the patient was in a state of shock. The doctor car docked over 1 h after the accident. Pressure hemostasis, rapid intravenous infusion, and tracheal intubation were performed en route. After arrival at our hospital, an emergency blood transfusion was administered; the injured blood vessel was sutured and the wound closed. On day 22, the patient was transferred to another hospital for rehabilitation. <br><br>DISCUSSION: Rapid response-type doctor car is often considered ineffective for distant severe trauma cases. However, this case demonstrates the benefits of a doctor car working with local medical facilities. <br><br>CONCLUSION: The rapid response-type doctor car is effective even in remote severe trauma cases.<p /> <p>Language: en</p>",
language="en",
issn="1880-487X",
doi="10.2185/jrm.2907",
url="http://dx.doi.org/10.2185/jrm.2907"
}