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10.2185/jrm.2907

http://scihub22266oqcxt.onion/10.2185/jrm.2907
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suck abstract from ncbi


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pmid27313799      J+Rural+Med 2016 ; 11 (1): 25-9
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  • 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 #MMPMID27313799
  • Abe T; Ochiai H
  • J Rural Med 2016[]; 11 (1): 25-9 PMID27313799show ga
  • 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.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.Conclusion: The rapid response-type doctor car is effective even in remote severe trauma cases.



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