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PASG: does it help in the management of traumatic shock?
F C Chang1, P B Harrison, R R Beech
1Department of Surgery, University of Kansas School of Medicine, Wichita 67214, USA.
The Journal of Trauma
|September 1, 1995
Summary
Pneumatic antishock garments (PASG) did not significantly improve outcomes for traumatic shock patients in this study. Neither hospital stay nor mortality rates differed between PASG and no-PASG groups.
Area of Science:
- Emergency Medicine
- Trauma Care
- Clinical Trials
Background:
- Traumatic shock poses a significant mortality risk.
- The pneumatic antishock garment (PASG) is a device used to manage traumatic shock.
- Evidence on the efficacy of PASG in urban settings is limited.
Purpose of the Study:
- To evaluate the effectiveness of the pneumatic antishock garment (PASG) in treating patients with traumatic shock.
- To compare mortality and hospital stay between PASG and non-PASG treatment groups.
- To assess PASG efficacy specifically in blunt trauma patients.
Main Methods:
- A prospective, randomized study design.
- Inclusion of 291 patients with traumatic shock, with 248 analyzed.
- Assignment to either PASG or No-PASG treatment groups.
- Analysis of demographic data and prehospital trauma scores (Trauma, CRAMS, Injury Severity Scores).
Main Results:
- The PASG and No-PASG groups were comparable in demographic factors and injury severity.
- No significant difference in hospital stay was observed between the two groups.
- Mortality rates were not significantly different between PASG and No-PASG patients.
- PASG showed no significant benefit in the subset of patients with blunt trauma.
Conclusions:
- The pneumatic antishock garment (PASG) did not demonstrate a significant benefit in reducing mortality or hospital stay for traumatic shock patients in this urban setting.
- PASG efficacy was not supported in patients with blunt trauma.
- Further research may be needed to define specific patient populations or injury types where PASG could be beneficial.