The costs and benefits of paramedic skills in pre-hospital trauma care

Nicholl J, Hughes S, Dixon S, Turner J, Yates D
Record ID 31998009118
Authors' objectives:

This study assesses the effectiveness of the additional paramedic training in the management of serious trauma.

Authors' recommendations: There was no evidence from this study to support the view that a substantial proportion of pre-hospital deaths are avoidable, as suggested by previous studies. The authors conclude that the protocols used by paramedics increase the mortality from serious trauma involving bleeding injuries, but may also lead to better outcomes for survivors. The observed increase in mortality may be due to factors such as delays on scene and inappropriate pre-hospital fluid infusion.
Authors' methods: Cohort study
Project Status: Completed
URL for project:
Year Published: 1998
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Emergency Medical Services
  • Emergency Medical Technicians
  • Emergency Service, Hospital
  • Health Planning
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
Contact Email:
Copyright: 2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.