The golden hour

2021 ◽  
Author(s):  
Michelle Izmaylov
Keyword(s):  
Golden Hour

‘Golden Hour’ Arrival Ups Odds of Getting TPA

2009 ◽  
Vol 2 (3) ◽  
pp. 8
Author(s):  
ROBERT FINN
Keyword(s):  
Golden Hour

Acute changes in steroid biosynthesis in patients following severe trauma: the golden hour study

2019 ◽  
Author(s):  
Angela Taylor ◽  
Conor Bentley ◽  
Mark Foster ◽  
Janet Lord ◽  
Jon Hazeldine ◽  
...  
Keyword(s):  
Severe Trauma ◽  
Steroid Biosynthesis ◽  
Golden Hour ◽  
Acute Changes

Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance

2020 ◽  
Vol 11 (3) ◽  
pp. 292-309
Author(s):  
Yosreah Mohamed Mohamed ◽  
Arzak Mohamed Khalifa ◽  
Fatma Abdou Eltaib
Keyword(s):  
Nursing Intervention ◽  
Golden Hour ◽  
Intervention Protocol

scholarly journals A Quality Improvement Initiative to Reduce Bronchopulmonary Dysplasia in a Level 4 NICU—Golden Hour Management of Respiratory Distress Syndrome in Preterm Newborns

Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 301
Author(s):  
Andrew M. Dylag ◽  
Jamey Tulloch ◽  
Karen E. Paul ◽  
Jeffrey M. Meyers
Keyword(s):  
Quality Improvement ◽  
Lung Disease ◽  
Chronic Lung Disease ◽  
Control Charts ◽  
Fluid Management ◽  
Delivery Room ◽  
Quality Improvement Initiative ◽  
Statistical Process ◽  
Golden Hour ◽  
Surfactant Administration

Background: Prevention of chronic lung disease (CLD) requires a multidisciplinary approach spanning from the delivery room to Neonatal Intensive Care Unit (NICU) discharge. In 2018, a quality improvement (QI) initiative commenced in a level 4 NICU with the goal of decreasing chronic lung disease rates below the Vermont Oxford Network (VON) average of 24%. Methods: Improvement strategies focused on addressing the primary drivers of ventilation strategies, surfactant administration, non-invasive ventilation, medication use, and nutrition/fluid management. The primary outcome was VON CLD, defined as need for mechanical ventilation and/or supplemental oxygen use at 36 weeks postmenstrual age. Statistical process control charts were used to display and analyze data over time. Results: The overall CLD rate decreased from 33.5 to 16.5% following several interventions, a 51% reduction that has been sustained for >18 months. Changes most attributable to this include implementation of the “golden hour” gestational age (GA) based delivery room protocol that encourages early surfactant administration and timely extubation. Fewer infants were intubated across all GA groups with the largest improvement among infants 26–27 weeks GA. Conclusions: Our efforts significantly decreased CLD through GA-based respiratory guidelines and a comprehensive, rigorous QI approach that can be applicable to other teams focused on improvement.

scholarly journals The Golden Hour Trauma Care

2021 ◽  
Author(s):  
Subbiah Venkatesh Babu
Keyword(s):  
Trauma Care ◽  
Initial Treatment ◽  
Road Accidents ◽  
Golden Hour ◽  
The Road ◽  
High Chance ◽  
Great Burden

AbstractGlobally the road accidents had become a great burden and claiming lot of precious lives today. However, the initial treatment within the first hour of the injury indeed had proven the high chance of survival after the trauma. This article updates and signifies the systematic emergency approach and current principles in saving lives after injury.

IV tPA given in the golden hour for emergent large vessel occlusion stroke improves recanalization rates and clinical outcomes

2021 ◽  
pp. 117580
Author(s):  
Rodica Di Lorenzo ◽  
Maher Saqqur ◽  
Andrew Blake Buletko ◽  
Lacy Sam Handshoe ◽  
Bhageeradh Mulpur ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Large Vessel ◽  
Large Vessel Occlusion ◽  
Vessel Occlusion ◽  
Golden Hour ◽  
Iv Tpa

The golden hour for postpartum hemorrhage: Results from a prospective cohort study

2021 ◽  
Author(s):  
Rodolfo C. Pacagnella ◽  
Anderson Borovac‐Pinheiro ◽  
Carla Silveira ◽  
Sirlei Siani Morais ◽  
Juliana Luz Passos Argenton ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Postpartum Hemorrhage ◽  
Prospective Cohort ◽  
Golden Hour

Abstract 104: Golden Hour-Thrombolysis by Starting Treatment Before Hospital Arrival the Pre-Hospital Acute Neurological Treatment and Optimization of Medical Care in Stroke Study (PHANTOM-S)

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Martin Ebinger ◽  
Matthias Wendt ◽  
Michal Rozanski ◽  
Benjamin Winter ◽  
Carolin Waldschmidt ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Treatment Time ◽  
Point Of Care ◽  
Intravenous Thrombolysis ◽  
Conventional Care ◽  
Ct Scanner ◽  
Term Outcome ◽  
Golden Hour ◽  
Stroke Study ◽  
A Prospective Study

Objective: The effectiveness of intravenous thrombolysis in acute ischemic stroke is time dependent. The effects are likely to be highest if onset-to-treatment time (OTT) is < 60 minutes, the so called Golden-Hour. Starting thrombolysis in a specialized ambulance with a CT-scanner plus point-of-care laboratory reduced time from emergency call to treatment in the prospective controlled PHANTOM-S study. We evaluated the rate and effectiveness of Golden-Hour thrombolysis. Methods: The stroke emergency mobile (STEMO) is staffed with a neurologist trained in emergency medicine, a paramedic and a technician. The effects of the STEMO implementation were evaluated in a prospective study comparing weeks with and without STEMO-availability. STEMO was deployed when the dispatchers suspected an acute stroke during emergency calls. If STEMO was not available (in operation or maintenance), patients received conventional care. OTT-intervals were dichotomized in either ≤60 (Golden-Hour) or > 60 minutes as well as categorized in 10-minute intervals from 0 to 270 minutes for graphical description. Results: Overall, thrombolysis rates in ischemic stroke were 33% (200/614) when STEMO was deployed and 22% (330/1497) in conventional care (p<0.001). The proportion of Golden-Hour treatments (from all thrombolysis) was 6-fold higher after STEMO deployment (31.0%; n= 62 versus 4.9%; n=16; p<0.01). Compared to patients with longer OTT patients with Golden-Hour thrombolysis had no higher risks for 7- or 90-day mortality (adjusted ORs: 0.38, 95%-CI: 0.09-1.70 and 0.69, 95%-CI: 0.32-1.53) but were more likely to be discharged at home (adjusted OR: 1.93 95%CI: 1.09-3.41; p=0.024). Conclusion: STEMO increased the percentage of patients treated within the Golden-Hour. This entailed no risk to patients’ safety and was associated with better short-term outcome.

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