Alarhayem, A.Q., Myers, J.G., Dent, D., et al. (2016). Time is the Enemy: Mortality in Trauma Patients with Hemorrhage from Torso Injury Occurs Long Before the "Golden Hour". (Abstract only.) American Journal of Surgery. 212(6):1101-1105.
The authors reviewed data from 42,135 records with Abbreviated Injury Scale (AIS) for body regions 4 (Thorax) and 5 (Abdomen) from the National Trauma Database to examine the impact of prehospital time and torso injury severity on survival. They found a “precipitous rise” in patient mortality for patients with non-compressible torso hemorrhage (AIS = 4) and prehospital times >30 min. Rapid transport to trauma centers should be a priority whenever severe torso injury is recognized or suspected.