TY  - JOUR
PY  - 2019//
TI  - The golden hour after injury among civilians caught in conflict zones
JO  - Disaster medicine and public health preparedness
A1  - Forrester, Joseph D.
A1  - August, Auriel
A1  - Cai, Lawrence Z.
A1  - Kushner, Adam L.
A1  - Wren, Sherry M.
SP  - 1
EP  - 9
VL  - ePub
IS  - ePub
N2  - ABSTRACTIntroduction:The term "golden hour" describes the first 60 minutes after patients sustain injury. In resource-available settings, rapid transport to trauma centers within this time period is standard-of-care. We compared transport times of injured civilians in modern conflict zones to assess the degree to which injured civilians are transported within the golden hour in these environments. <br><br>METHODS: We evaluated PubMed, Ovid, and Web of Science databases for manuscripts describing transport time after trauma among civilian victims of trauma from January 1990 to November 2017. <br><br>RESULTS: The initial database search identified 2704 abstracts. Twenty-nine studies met inclusion and exclusion criteria. Conflicts in Yugoslavia/Bosnia/Herzegovina, Syria, Afghanistan, Iraq, Israel, Cambodia, Somalia, Georgia, Lebanon, Nigeria, Democratic Republic of Congo, and Turkey were represented, describing 47 273 patients. Only 7 (24%) manuscripts described transport times under 1 hour. Transport typically required several hours to days. <br><br>CONCLUSION: Anticipated transport times have important implications for field triage of injured persons in civilian conflict settings because existing overburdened civilian health care systems may become further overwhelmed if in-hospital health capacity is unable to keep pace with inflow of the severely wounded.<p />  <p>Language: en</p>
LA  - en
SN  - 1935-7893
UR  - http://dx.doi.org/10.1017/dmp.2019.42
ID  - ref1
ER  -