Tim Noonan, a.k.a. the “Roguemedic” likes to challenge the status quo and entrenched ideas in the world of EMS and medical care. He has looked at everything from substandard pain management protocols to the harm caused by routine back boarding of patients following motor vehicle accidents.
Golden Hour Under Fire
In a recent column over at Roguemedic.com, Tim takes on the time honored trauma concept of the “Golden Hour.” The Golden Hour was a term coined by Dr. R. Adams Cowley, founder of the Maryland Shock Trauma Center at the University of Maryland Hospital in Baltimore. Around these parts and I think in many parts of the world, it has become doctrine but, as Tim points out, there is not a lot of evidence to support Dr. Cowley’s supposition.
Is the science behind the Golden Hour as spurious as the paper from the early 1900’s that branded poinsettias as poisonous? Tim seems to think so. So, apparently do the authors of an article “The golden hour: scientific fact or medical ‘urban legend’?”
EMS and Rapid Triage, Treatment, Transport
My question for Tim would be, aside from the arguments for rapid helicopter transport which most areas, even Maryland, are moving away from the concept of rapidly identifying and transporting trauma patients to definitive care is what we do. By ground or by air, we triage, treat, and when needed, transport patients. Golden Hour or No Golden Hour, EMS is based around promptness.
I’m curious to see what you think so drop me a comment on the MedicCast blog page for this episode or shoot me an email at email@example.com. I look forward to hearing from you.
Follow up on the link to this news item and all of the article and additional resource links in the show notes for this episode — Ulcerative Colitis for EMS and Episode 318.