Evidence map›Paper›PMID 35725641›Full record

ReviewCritical care (London, England)2022

Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries.

E Ter Avest, L Carenzo, R A Lendrum, M D Christian, R M Lyon, C Coniglio, M Rehn, D J Lockey, Z B Perkins

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Article
  3. The impact of advanced pre-hospital interventions on scene time.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Observational
  4. Observational
  5. Managing apnoea in trauma victims: the potential for dispatcher-assisted airway handling - a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Review
  6. Review
  7. Can heroic roadside care save lives?Trauma surgery & acute care open · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Implementation of a low-titre whole blood transfusion program in a civilian helicopter emergency medical service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Observational
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

E Ter AvestLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, 17th floor, London, E1 1FR, UK. e.teravest@nhs.net.
L CarenzoLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, 17th floor, London, E1 1FR, UK.
R A LendrumLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, 17th floor, London, E1 1FR, UK.
M D ChristianLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, 17th floor, London, E1 1FR, UK.
R M LyonAir Ambulance Kent Surrey and Sussex, Hanger 10 Redhill Aerodrome, Redhill, UK.
C ConiglioDepartment of Anesthesia, Intensive Care and Pre-Hospital Emergency Medical Services, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.
M RehnThe Norwegian Air Ambulance Foundation, Oslo, Norway.
D J LockeyLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, 17th floor, London, E1 1FR, UK.
Z B PerkinsLondon's Air Ambulance and Bart's Health NHS Trust, Royal London Hospital, 17th floor, London, E1 1FR, UK.
Barts Health NHS Trust · GBRoyal London Hospital · GBOspedale Maggiore Carlo Alberto Pizzardi · ITQueen Mary University of London · GBStiftelsen Norsk Luftambulanse · NOUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early haemorrhage control and minimizing the time to definitive care have long been the cornerstones of therapy for patients exsanguinating from non-compressible haemorrhage (NCH) after penetrating injuries, as only basic treatment could be provided on scene. However, more recently, advanced on-scene treatments such as the transfusion of blood products, resuscitative thoracotomy (RT) and resuscitative endovascular balloon occlusion of the aorta (REBOA) have become available in a small number of pre-hospital critical care teams. Although these advanced techniques are included in the current traumatic cardiac arrest algorithm of the European Resuscitation Council (ERC), published in 2021, clear guidance on the practical application of these techniques in the pre-hospital setting is scarce. This paper provides a scoping review on how these advanced techniques can be incorporated into practice for the resuscitation of patients exsanguinating from NCH after penetrating injuries, based on available literature and the collective experience of several helicopter emergency medical services (HEMS) across Europe who have introduced these advanced resuscitation interventions into routine practice.

Indexed as

Balloon OcclusionEndovascular ProceduresHemorrhageHospitalsHumansResuscitationHelicopter emergency medical services (HEMS)InterventionsPenetrating injuriesPre-hospital

Identifiers

PMID35725641
PMCPMC9210796
OpenAlexW4283169311

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.