Podcast 825: ALS vs PD Transport

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">In urban settings, it is becoming more common for police to transport critical patients from scene to hospital</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">A 2022 multicenter observational study compared mortality rates in patients with penetrating injury to torso and/or proximal extremity when transported by EMS versus police</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Approximately 18% of patients were transported by police </span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Overall mortality was approximately 15% in both groups </span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">In patients with more severe injury, mortality was still similar at approximately 36% and 38% respectively </span></li> </ul> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Taghavi S, Maher Z, Goldberg AJ, et al. An analysis of police transport in an Eastern Association for the Surgery of Trauma multicenter trial examining prehospital procedures in penetrating trauma patients.</span> <em><span style= "font-weight: 400;">J Trauma Acute Care Surg</span></em><span style="font-weight: 400;">. 2022;93(2):265-272. doi:10.1097/TA.0000000000003563</span></p> <p><span style="font-weight: 400;">Jacoby SF, Branas CC, Holena DN, Kaufman EJ. Beyond survival: the broader consequences of prehospital transport by police for penetrating trauma.</span> <em><span style="font-weight: 400;">Trauma Surg Acute Care Open</span></em><span style="font-weight: 400;">. 2020;5(1):e000541. Published 2020 Nov 26. doi:10.1136/tsaco-2020-000541</span></p> <p><em><span style="font-weight: 400;">Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MS4 & Erik Verzemnieks, MD</span></em></