Mohammad Reza Zarei,Kourosh Karimi Yarandi,Mohammad Reza Rasouli,Vafa Rahimi-Movaghar.[J].Chin J Traumatol,2013,16(1):169-175. [doi]
Modern concepts of transport in multiple trauma: a narrative review
  
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KeyWord: Transportation of patients  Multiple trauma  Triage  Emergency medical service communication systems
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Author NameAffiliation
Mohammad Reza Zarei Sina Trauma and Surgery Research Center, Department of Emergency Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran 
Kourosh Karimi Yarandi Department of Neurosurgery, TUMS, Sina Hospital, Tehran, Iran 
Mohammad Reza Rasouli Department of Orthopaedics and Neurosurgery, Thomas Jefferson University and the Rothman Institute Philadelphia, Pa 19107, USA 
Vafa Rahimi-Movaghar Sina Trauma and Surgery Research Center, Department of Neurosurgery, TUMS, Tehran, Iran
Research Centre for Neural Repair, University of Tehran, Tehran, Iran 
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Abstract:
      Multiple variables can influence triage decision in multiple trauma. Recognition of priorities and selection of the destination can be successfully achieved by field triage and individualized clinical judgment. This narrative review summarizes the new options and protocols for transport of injured subjects. There are four levels of emergency medical providers including first responders and three levels of emergency medical technicians. Two distinct accepted protocols for transport are known as scoop and run and treat and then transfer. The former provides minimum lifesaving treatment at the scene of accident followed by transferring the patient(s) as soon as possible, and the latter mainly emphasizes the need for complete stabilization as a prerequisite for safe transport. The destination and mode of transport are selected according to clinical capabilities of the receiving hospital, transfer time from the scene to the facility, patient’s medical condition, accessibility of the scene, and weather. Two common methods of transfer are ground transport, including various type of ambulances, and air medical transport, i.e. helicopter and airplane.
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