Multi-institutional multidisciplinary injury mortality investigation in the civilian pre-hospital environment (MIMIC): A methodology for reliably measuring prehospital time and distance to definitive care

Nicolas W. Medrano, Cynthia Lizette Villarreal, Michelle A. Price, Ellen Mackenzie, Kurt B. Nolte, Monica J. Phillips, Ronald M. Stewart, Brian J. Eastridge

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

The detailed study of prehospital injury death is critical to advancing trauma and emergency care, as circumstance and causality have significant implications for the development of mitigation strategies. Though there is no true 'Golden Hour,' the time from injury to care is a critical element in the analysis matrix, particularly in patients with severe injury. Currently, there is no standard method for the assessment of time to definitive care after injury among prehospital deaths. This article describes a methodology to estimate total prehospital time and distance for trauma patients transported via ground emergency medical services and helicopter emergency medical services using a geographic information system. Data generated using this method, along with medical examiner and field investigation reports, will be used to estimate the potential survivability of prehospital trauma deaths occurring in five US states and the District of Columbia as part of the Multi-Institutional Multidisciplinary Injury Mortality Investigation in the Civilian Pre-Hospital Environment study. One goal of this work is to develop standard metrics for the assessment of total prehospital time and distance, which can be used in the future for more complex spatial analyses to gain a deeper understanding of trauma center access. Results will be used to identify high priority areas for research and development in injury prevention, trauma system performance improvement, and public health.

Original languageEnglish (US)
Article numbere000309
JournalTrauma Surgery and Acute Care Open
Volume4
Issue number1
DOIs
StatePublished - Apr 1 2019

Keywords

  • geographic information system
  • injury
  • prehospital
  • preventable death
  • trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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