UMEM Educational Pearls

Category: Trauma

Title: Comparing police vs. ALS transport in penetrating trauma pateints

Keywords: trauma, transport, police, ALS, penetrating trauma, rapid transport, prehospital, EMS (PubMed Search)

Posted: 10/12/2022 by Robert Flint, MD (Emailed: 10/16/2022) (Updated: 10/16/2022)
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In this prospective, observational study performed at 25 urban trauma centers, police transport (18%) was compared to Advanced Life Support (ALS) transport (81%) for mortality in penetrating trauma patients with an injury severity score over 16. There was no difference in outcome for those transported by ALS.

The authors conclude "Police transport of penetrating trauma patients in urban locations results in similar outcomes compared with ALS. Immediate transport to definitive trauma care should be emphasized in this patient population."


An analysis of police transport in an Eastern Association for the Surgery of Trauma multicenter trial examining prehospital procedures in penetrating trauma patients

Sharven Taghavi 1, Zoe Maher, Amy J Goldberg,  et al. J Trauma Acute Care Surg  2022 Aug 1;93(2):265-272.