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Invited Critique
March 2000

Emergency Medical Services (EMS) vs Non-EMS Transport of Critically Injured Patients—Invited Critique

Arch Surg. 2000;135(3):319. doi:10.1001/archsurg.135.3.319

Considerable controversy exists regarding the prehospital management of critically injured patients by EMS personnel. A "scoop and run" approach may neglect key issues, such as a compromised airway, while prolonged attempts at resuscitation in the field simply cannot stabilize a patient in need of operative intervention. Few prospective, randomized clinical trials exist that address those advanced life support (ALS) interventions performed in the prehospital setting that improve patient outcome.

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