Comments on: The Golden Hour http://medicscribe.com/2009/10/the-golden-hour/ Peter Canning's EMS Journal Thu, 11 Mar 2010 05:09:48 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Rogue Medic http://medicscribe.com/2009/10/the-golden-hour/comment-page-1/#comment-7845 Rogue Medic Fri, 20 Nov 2009 15:57:17 +0000 http://streetwatch.wordpress.com/2009/10/02/the-golden-hour#comment-7845 Nice commentary on the topic. Nice commentary on the topic.

]]> By: Christopher http://medicscribe.com/2009/10/the-golden-hour/comment-page-1/#comment-7787 Christopher Tue, 06 Oct 2009 20:46:41 +0000 http://streetwatch.wordpress.com/2009/10/02/the-golden-hour#comment-7787 Can we expand this further to the national standard for responce time? The "8:59" is based around ACLS and early defibrilation, obviously. But in a busy urban system where most calls are minor/non-urgent complaint how do we establish a standard without setting some specific time? <br /><br />Maybe "the golden hour" isn't totally scientific but if we don't set a standard then the bean counters will run us to the ground. But in the end I support clinical judgment over everything else. Can we expand this further to the national standard for responce time? The "8:59" is based around ACLS and early defibrilation, obviously. But in a busy urban system where most calls are minor/non-urgent complaint how do we establish a standard without setting some specific time?

Maybe "the golden hour" isn't totally scientific but if we don't set a standard then the bean counters will run us to the ground. But in the end I support clinical judgment over everything else.

]]> By: AlisonH http://medicscribe.com/2009/10/the-golden-hour/comment-page-1/#comment-7786 AlisonH Tue, 06 Oct 2009 06:16:59 +0000 http://streetwatch.wordpress.com/2009/10/02/the-golden-hour#comment-7786 Interesting... I have an old high school friend who was airlifted into that hospital last month after being hit by a car on his bicycle. He was not breathing when the paramedics arrived and was totally paralyzed. Now he's in rehab and has some upper body and hand use back, and his family is very, very grateful to have him still alive. I have no idea whether the helicopter/time saved helped, but I do know that all the medical intervention did, and I am grateful. Interesting… I have an old high school friend who was airlifted into that hospital last month after being hit by a car on his bicycle. He was not breathing when the paramedics arrived and was totally paralyzed. Now he's in rehab and has some upper body and hand use back, and his family is very, very grateful to have him still alive. I have no idea whether the helicopter/time saved helped, but I do know that all the medical intervention did, and I am grateful.

]]> By: ...KMG-365, -Clear http://medicscribe.com/2009/10/the-golden-hour/comment-page-1/#comment-7785 ...KMG-365, -Clear Mon, 05 Oct 2009 16:28:21 +0000 http://streetwatch.wordpress.com/2009/10/02/the-golden-hour#comment-7785 Very nice essay. Thanks for bringing up this "sacred cow" again. Bledsoe et al, have done work on debunking this also - it is felt that an over-application of said mysterious golden hour, "could" be a influencer to activate HEMS more than is truly justified with the subsequent result being more aircrews, patients and ground crews being put in jeopardy in an already hazardous mission.<br /><br />The debunk of the golden hour also is supported by other work of Bledsoe's, specifically looking at patient outcomes with non-urgent (IE no lights/sirens) responses by ground EMS - it's really amazing the time savings is minimal.<br /><br />Good essay.<br />-MB Very nice essay. Thanks for bringing up this "sacred cow" again. Bledsoe et al, have done work on debunking this also – it is felt that an over-application of said mysterious golden hour, "could" be a influencer to activate HEMS more than is truly justified with the subsequent result being more aircrews, patients and ground crews being put in jeopardy in an already hazardous mission.

The debunk of the golden hour also is supported by other work of Bledsoe's, specifically looking at patient outcomes with non-urgent (IE no lights/sirens) responses by ground EMS – it's really amazing the time savings is minimal.

Good essay.
-MB

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