Medicina

Golden hour (medicine)
|In emergency medicine, the golden hour refers to a time period lasting from a few minutes to several hours following traumatic injury being |
|sustained by a casualty,during which there is the highest likelihood that prompt medical treatment will prevent death.[1] It is well |
|established that the patient's chances of survival are greatest if they receive carewithin a short period of time after a severe injury; |
|however, there is no evidence to suggest that survival rates drop off after 60 minutes. Some have come to use the term to refer to the core ||principle of rapid intervention in trauma cases, rather than the narrow meaning of a critical one-hour time period. |


General concept
In cases of severe trauma,especially internal bleeding, surgical intervention is required Complications such as shock may occur if the patient is not managed appropriately and expeditiously. It therefore becomes a priority totransport patients suffering from severe trauma as fast as possible to specialists, most often found at a hospital trauma center, for definitive treatment. Because some injuries can cause a trauma patient todeteriorate extremely rapidly, the lag time between injury and treatment should ideally be kept to a bare minimum; over time, this lag time has come to be specified as a now-standard time frame of nomore than 60 minutes, after which time the survival rate for traumatic patients is alleged to fall off dramatically.
Los Angeles Paramedic and second amendment author John Longenecker explains thatThe Golden Hour is not about transporting the urgent patient and getting them into the system, but in treating the patient immediately on scene or en route. The entire mission of EMS worldwide is notto bring the patient to the "care" but to bring the definitive care to the patient (Mobile Intensive Care Unit / Advanced Life Support) for the purpose of mitigating the morbidity and mortality of...