ArticleJournal of emergencies, trauma, and shock
Association of Scene Time with Mortality in Major Traumatic Injuries Arrived by Emergency Medical Service.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impact of the emergency medical services crew size (2 vs. ≥3 personnel) on prehospital performance and survival in severe trauma: a nationwide cohort study in Korea.Journal of trauma and injury · 2026Article
- Chinese expert consensus on the prehospital management of major trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Clinical Predictors and Resuscitative Care Indicators of Early Mortality Among Adult Major Trauma Patients Transported by Emergency Medical Services in Thailand.Journal of multidisciplinary healthcare · 2026Article
- Effects of the medical professional shortage caused by a resident walkout on scene-to-door time: a retrospective cohort study at a trauma center.Journal of trauma and injury · 2025Article
- Prehospital Trauma Quality Improvement: The Role of Prehospital Database in Improving Timely Access to Trauma Care.World journal of surgery · 2025Article
- Association of emergency intensive care unit occupancy due to brain-dead organ donors with ambulance diversion.Scientific reports · 2025Article
- Flight testing of drone-delivered automated external defibrillators for simulated out-of-hospital cardiac arrest in suburban Thailand.Scientific reports · 2025Article
- Exploring Saudi paramedics' experiences in managing adult trauma cases: a qualitative study.BMC emergency medicine · 2024Article
- Biomechanical analysis of spinal misalignment during Vehicular extrication maneuvers performed by professional rescue teams.Heliyon · 2024Article
- Traditional Spinal Immobilization versus Spinal Motion Restriction in Cervical Spine Movement; a Randomized Crossover Trial.Archives of academic emergency medicine · 2024Article
- Outcomes of Prehospital versus Emergency Department Intubation in Patients Managed by Emergency Medical Services.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Trauma is a major cause of death worldwide, and prehospital care is critical to improve patient outcomes. However, there is controversy surrounding the effectiveness of limiting scene time to 10 min or less in the care of major trauma patients. This study aimed to investigate the association between scene time and mortality in major trauma patients. Methods: A retrospective cohort study was conducted on major trauma patients treated by the Thammasat University Hospital Emergency Medical Services (EMS) team from 2020 to 2022. We included traumatic adult patients who had an injury severity score (ISS) of 16 or higher. The primary outcome was 24-h mortality. Multivariable risk regression analysis was used to evaluate the independent effect of scene time on 24-h mortality. Results: A total of 104 patients were included, of whom 11.5% died within 24 h. After adjusting for age, systolic blood pressure, Glasgow Coma Scale, and ISS, patients who had a scene time over 10 min showed a significant association with mortality (33.3% vs. 8.7%, Conclusions: This study provides evidence to support the importance of minimizing scene time for major trauma patients. The findings suggest that a balance between timely interventions and adequate resources should be considered to optimize patient outcomes. Further studies to investigate the impact of prehospital interventions on trauma patient outcomes are needed.
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