Road traffic accidents (RTAs) with entrapment are perceived as a challenge to emergency systems because of the severity of the ensuing @entity130 and the inherent complexity of the rescue procedures. To clarify these two aspects this prospective cohort study enrolling 244 entrapped @entity130 @entity1 was conducted by a Regional Medical Helicopter Service. Forty-six victims (18.9%) were found dead, 101 (51%) of the 198 @entity1 who reached the hospital alive had an injury severity score (ISS) > or = 16. The use of seat belts was associated with lower @entity130 severity. Out of the 101 severely traumatized @entity1 (ISS > or = 16), 46 (42.6%) were intubated at road side, 12 required decompression of a tension pneumothorax on the scene and in 15 cases a pneumothorax was drained during the early intrahospital phase. Thirty-six (34.7%) @entity1 had the first systolic blood pressure (SBP) < or = 90 mmHg and were then aggressively infused: in 75% of these cases, the SBP on arrival at the emergency department increased. The first SBP was significantly correlated with mortality. There was no correlation of extrication time, total rescue time and mortality. Fourteen @entity1 (13.9%) died during hospitalization. These data demonstrate that a high percentage of entrapped @entity1 require @entity1442 ( @entity1442 ), including on scene intubation and chest decompression. @entity146 field resuscitation and immediate transport to a level 1 @entity130 centre is associated with a mortality lower than that predicted by TRISS in spite of the prolonged prehospital time.

Road traffic accidents with vehicular entrapment: incidence of XXXX and need for @entity1442 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1442 :: ('MESH:D020178', 'Disease') :: ['advanced life support', 'ALS'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumas', 'trauma'] @entity146 :: ('MESH:D001523', 'Disease') :: ['Aggressive']
@entity130 :: (MESH:D014947,Disease) :: ['major injuries']
