Abstract :
[en] The first hour following a major trauma with massive bleeding is certainly the most decisive
period in global trauma care. Most of it takes place during the prehospital care. Those prehospital
minutes are thus determinant as they can be used to correctly identified patient’s clinical
condition, initiate organization of the in-hospital needed resources and initiate specific
therapies in the very early phase after trauma. Significant recent advances in this aspect of
care have been made and but evidence to support some of those strategies is still lacking.
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