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(hemorrhage, emboli, DIC, SIRS, ARDS, MSOF)  Z=$ Z-% ZZ Z$&-  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `Hxaxa1 ?"P H T Click to edit Master title style! !N  ZLLHxaxa1 ?" H RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ?  Eder0 ZR (  @  Zd;Hxaxa1 ? @ H RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?6  HB  s *޽h9 ? a(B  0 0 (   x  c $`   x  c $ @  x  c $0    x  <P1?    <1? @ ( 2  <1? zBIs there a clinical guideline to determine resuscitation endpoint?C(2C   <!1?J TSI Detects Compensated Shock(2(H  0޽h ? r@ $ 0h   $ 0<D)Introduction: Shock Index- Potential Useft Department of Emergency MedicenDepartment of Emergency Medicen1paMicrosoft PowerPointcy @@`T,@`T,-G5_Department of Emergency MedicDepartment of Emergency Medic  winspoolFaxNe02:Fax???GUC!???@Ba~#dLetter@BatangChem@$?????Dfax  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0 15%L  H&@ p &&#TNPPX2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---A 0-- - @@"Arial0- .2  Introduction:5k5@kkka5+kk5. "-->-- @@@"Arial- >.2  Shock Indexuukl56uvkk. >. 2 -@. >.2  Potential Useu@lu@6k55kk.--!-- >@"Arial- >.2  Uncompensated\NGNrNGNGG+GN.@"Arial- >. 2 '".@"Arial- >."2 'Continued bleedingE;; :;5;;55;;;.@"Arial- >. 2 ".@"Arial- >. 2 End@;;. >. 2 ?- . >.2 _organ ;%;5:. >.2 0hypoperfusion <3;;;5% ;5;;. >."2 n(brain, heart, GI);%5;;55% J .@"Arial- >. 2 P".@"Arial- >.2 PFluids necessary;:;5;555656&5.--A @-- >p@"Arial- >.2  CompensatedhXXPXPP0PX.@"Arial- >. 2 ?]'.@"Arial- >.2 ?Bleeding stoppedQ>?DED?%EDE>D.@"Arial- >. 2 ]'.@"Arial- >. 2 EndKDD. >. 2 -&. >.2 organ perfusion D,D?DE>,%E> DD.@"Arial- >. 2 g]'.@"Arial- >.'2 gFluids can be lethal!DD D> >?DE>?%E? $. >.'2 (hemorrhage, emboli, %E>dD,,D>E>>dED. >.(2 DIC, SIRS, ARDS, MSOF)QQKQK NQQK ^KWD%.--i `-- >--! `-- >--Y `-- >@"Arial- >.H2 +Is there a clinical guideline to determine $G$+NG2F$G$F$$M$GF$$NN$NF$$NF$+M$NG*G2r$NG#. >.*2 -resuscitation endpoint?2GGNGG$+G*$NN$GMNNN$N+N.--A -- >`@"Arial- >.12 rSI Detects Compensated Shockk,,tY5YY5Z,tbbYbYY5Yb,kbbYY.--"System-&TNPP &NANI6   6 "*6winswinspoolFaxNe02:FaxalpC!1@Ba~#dLetter@BatangChem@$ *Dfax1CourierRegular10x1110x119x11lCourierGreeklar19x11Japanese PostcarddvriC: "C6@%|i0@alpC!1@BatangChe <x@BatangCher@$ *Cx @alpx1CourierRegular.muiGerman StdCourierTurkishrUS Std FanfoldlocalspdvstC: "C6@%|i0@alpC!1@BatangChe <x@BatangChee@$ *Cx @alpx1CourierRegularopeEnvelope B6lCourierBalticarelope B6Envelope B6En   ~On-screen ShowUniversity of Illinoisk  Times New RomanArialSymbolEder Introduction: Prior SI Research  Fonts UsedDesign Template Slide Titles Oh+'0H `( /0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman($bbv 0b( 0DArialNew Roman($bbv 0b( 0" DSymbolew Roman($bbv 0b( 0 ` .  @n?" dd@  @@`` (   `1?p33ff@B:2___PPT9/ 0? %O =Introduction: Prior SI Research:  00SI may predict need for immediate treatment, ICU admit Vitals alone may be as valid2 Prior optimal values cumbersome2 Exclusion of pts. GCS 82 Conclusion: SI is controversial and not routinely used clinically in US 1 Rady MY, Smithline HA, Blake H, et al. Ann. Emrg. Med. 24(4):685-90, 1994 Oct. 2 King RW, Plewa MC, Buderer NM, et al. Acad. Emrg. Med. 3(11):1041-5,1996 Nov. S$ $$ $$$$ $I$+C  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `Hxaxa1 ?"P  T Click to edit Master title style! !N  ZLHxaxa1 ?" H RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ?  Eder0 ZR (  @  ZHxaxa1 ? @ H RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?6  HB  s *޽h9 ? a(  0 0 0(   x  c $+H0  H x  c $0` H H  0޽h ? r@3 +0h    $08 Introduction: Prior SI ResearchDepartment of Emergency MedichDepartment of Emergency Medich1paMicrosoft PowerPointcy @@`s],@`s],KG5_GDepartment of Emergency MedicDepartment of Emergency Medic  winspoolFaxNe02:Fax???GUC!???@Ba~#dLetter@BatangChem@$?????Dfax  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0    z15%p  H&@ p &&#TNPPX2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---i -- - @@"Arial0- .2  Introduction:5k5@kkka5+kk5. "-->-- @P@"Arial- >.!2 Prior SI ResearchuD1lD2u11bcbbDbl.--qA -- >p@"Arial- >. 2 J3.p@"Arial- >.:2 J"SI may predict need for immediate `((PP(X8PX(P0(XPPX(0X8((PX(P0P(. >.%2 treatment, ICU admit08PP0PX0(((hh(PX(0.p@"Arial- >. 2 3.p@"Arial- >.12 Vitals alone may be as valid`(0P(P(P(XXP(PP(XP(PP)NP((Y.@"Arial- >. 2 25.p@"Arial- >. 2 3.p@"Arial- >.62 Prior optimal values cumbersome`8(X8(XX0(P()OP(XPP(PXXP8PXP.@"Arial- >. 2 j 25.p@"Arial- >. 2 h3.p@"Arial- >.(2 hExclusion of pts. GCS `PP(XP(XX(X0(X0P((ph`'.p@Symbol- >. 2 hQ.p@"Arial- >. 2 h 8P.@"Arial- >. 2 <Y25.p@"Arial- >. 2 53.p@"Arial- >.E2 5)Conclusion: SI is controversial and not hXXP(XP(XX0((`(((P(PXX08YNP8Q(P((PXX(XX0(. >.62 routinely used clinically in US8XX0(XP(P(XPPX(P((X(PP((P((X(h`.@"Arial0- >.H2 +1 Rady MY, Smithline HA, Blake H, et al. (4(-&=00@,,(524(((4((. >.2 Ann. Emrg. Med2,,0@,=(,. "----  .2  . 24(4):685((((((. . 2 - -. .2 E 90, 1994 Oct. ((((((8(. .C2 (2 King RW, Plewa MC, Buderer NM, et al. (4,,4E0'9(=44,,((4=((. .2 Acad. Emrg. Med1((,0@,=(,.--**-- /& *.2  . 3(11):1041(((((((. *. 2 m -. *.2  5,1996 Nov.(((((4,'.--"System-&TNPP &NANI6   6 "*6winswinspoolFaxNe02:FaxalpC!1@Ba~#dLetter@BatangChem@$ *Dfax1CourierRegular10x1110x119x11lCourierGreeklar19x11Japanese PostcarddvriC: "C6@%|i0@alpC!1@BatangChe <x@BatangCher@$ *Cx @alpx1CourierRegular.muiGerman StdCourierTurkishrUS Std FanfoldlocalspdvstC: "C6@%|i0@alpC!1@BatangChe <x@BatangChee@$ *Cx @alpx1CourierRegularopeEnvelope B6lCourierBalticarelope B6Envelope B6EnOn-screen ShowUniversity of Illinois% Times New RomanArialSymbolEderResults: SI > 1 Over Time  Fonts UsedDesign Template Slide Titles Oh+'0D `h    (  /0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Romanbbv 0b( 0DArialNew Romanbbv 0b( 0" DSymbolew Romanbbv 0b( 0 ` .  @n?" dd@  @@`` (# (# `1?p33ff@B:2___PPT9/ 0? %O =Results: SI > 1 Over TimeZ0000 0  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      ` xaxa1 ?"P  T Click to edit Master title style! !N  ZLxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ?  Eder0 ZR (  @  Z8xaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?6  B  s *޽h9 ? a(H  0 0"" (   x  c $    t `` |   #"&L-q`` |   BȽ1?D | P20 (20%)   @`   B1? D| K---  @`   B81?`  | K---  @`   B1?` `| .SI 1 EMS, not ED arr.,  @`   BL1?Di   P11 (11%)   @`   B1? i D  R 38 (32%)   @`   B1?`i   K---  @`   B1?`i `  lNew 1,  @`   B1?D i  P68 (58%)   @`   Bp1? Di  R 80 (58%)   @`   B1?` i  K---  @`   Bt1?``i  xContinued 1,  @`   B,1?D  P99 (52%)   @`   B4&1? D R 118 (60%)   @`   B.1?`  Q 139 (79%)   @`   B;1?`` x% pts. SI 1,  @`   B@1?D`  YED dispo. n = 192  @`   B4H1? `D WED arr. n = 197  @`   BU1?``  S EMS n = 176   @`   Bl^1?``` @  @``B   0o ?`` `ZB   s *1 ?` ZB   s *1 ?` ZB   s *1 ?`i i ZB   s *1 ?`  `B   0o ?`| |`B   0o ?```|ZB   s *1 ?```|ZB   s *1 ? ` |ZB !  s *1 ?D`D|`B "  0o ? ` |H  0޽h ? r@ a %0,4Results: SI > 1 Over TimeDepartment of Emergency MedictDepartment of Emergency Medict1paMicrosoft PowerPointcy @@ ,@ ,-G5_%Department of Emergency MedicDepartment of Emergency Medic  winspoolFaxNe02:Fax???GUC!???@Ba~#dLetter@BatangChem@$?????Dfax  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0    zOn-screen ShowUniversity of Illinois15%  &@ p &&#TNPPX2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---i -- - @@"Arial0- .2 Results:k`k+5`5. "---- @@"Arial0- . 2 {SI 55. . 2 {>q.--w-- y w.2 { 1 Over Timek6kkK5v5k.&) -- m"-- w@"Arial- w.2 ?20 (20%)>> %??b&.--#m-- w w. 2 ---%&%.--m0-- w w. 2 M---%&%.--1m0-- w w. 2 MSI K.@Symbol- w. 2 ?.@"Arial- w. 2 31>. w.2 EMS, J^K. w.2 oM not ED arr.DE%KQ>,,.--n 5"-- w w.2 ?11 (11%)>> %??b&.--n#5-- w w.2 38 (32%)>> %??b&.--n50-- w w. 2 M---%&%.--n150-- w w. 2 MNew Q=Z.@Symbol- w. 2 S>.@"Arial- w. 2 1>.--6 "-- w w.2 ?68 (58%)>> %??b&.--6# -- w w.2 80 (58%)>> %??b&.--6 0-- w w. 2 M---%&%.--61 0-- w w.2 M Continued QDE%ED?D.@Symbol- w. 2 ?.@"Arial- w. 2 M1>.--  "-- w w.2 p?99 (52%)>> %??b&.-- #-- w w.2 p 118 (60%)>?>&>@b%.-- 0-- w w.2 pM 139 (79%)>?>&>@b%.-- 10-- w w.2 rM % pts. SI b E%>K.@Symbol- w. 2 r>?.@"Arial- w. 2 r1>.-- "-- w w.2 +? ED dispo.KQD>ED. w.2 ?n = 192DA >?>.--#-- w w.2 +ED arr.KQ>,,. w.2 n = 197DA >?>.--0-- w w. 2 +MEMSJ_K. w.2 Mn = 176DA >?>.--10-- w&) -- $,,  --&&-  "--%0 --&&-  "--%0  --&&-2 9 "--%05 5--&&-j q "--%0m m--&&) -- $,,  --&&)8-- $5,,5--&&-4 "--%00--&& "--%--&&& "--%""--&&  -- $    --&&--"System-&TNPP &NANI6   6 "*6winswinspoolFaxNe02:FaxalpC!1@Ba~#dLetter@BatangChem@$ *Dfax1CourierRegular10x1110x119x11lCourierGreeklar19x11Japanese PostcarddvriC: "C6@%|i0@alpC!1@BatangChe <x@BatangCher@$ *Cx @alpx1CourierRegular.muiGerman StdCourierTurkishrUS Std FanfoldlocalspdvstC: "C6@%|i0@alpC!1@BatangChe <x@BatangChee@$ *Cx @alpx1CourierRegularopeEnvelope B6lCourierBalticarelope B6Envelope B6En Times New RomanArialSymbolEderObjective: Study Questions  Fonts UsedDesign Template Slide Titles Oh+'0D `h    ,4Objective: Study Questions( /0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New RomanHbbv 0b( 0DArialNew RomanHbbv 0b( 0" DSymbolew RomanHbbv 0b( 0 ` .  @n?" dd@  @@`` (   `1?p33ff@B:2___PPT9/ 0? %O =Objective: Study Questions< 000Is SI 1 predictive of 28-day or 48-hour mortality at& EMS arrival ED arrival ED disposition?b# '(((&$$  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `xaxa1 ?"P  T Click to edit Master title style! !N  ZP~xaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ?  Eder0 ZR (  @  Zxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?6  B  s *޽h9 ? a(  0 0 0(   x  c $p   x  c $tҞ  T  <޽h @ ? ̙33r@ % 0Department of Emergency MedictDepartment of Emergency Medict1paMicrosoft PowerPointcy @@@2x,@@2x,G5_Department of Emergency MedicDepartment of Emergency Medic  winspoolFaxNe02:Fax???GUC!???@Ba~#dLetter@BatangChem@$?????Dfax 15%L  "&@ p &&#TNPPX2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---i -- - @@"Arial0- .2  Objective:k+k`5+_l5. "--r-- t@@"Arial- r.2 Study Questions@uul5ulk@5vuk.--qA X-- r`@"Arial- r. 2 8.`@"Arial- r.2 Is SI ,Y,k-,.`@Symbol- r. 2 Z.`@"Arial- r."2 1 predictive of 28Y,b>Ya,Y6.WY,b6,YY. r. 2 -5. r.2 day or cZW,c>,. r. 2 48YY. r. 2 ;-5. r.!2 phour mortality atbbb>,b>6Y,-7W,Z5. r. 2 _.p@"Arial- r. 2 P.p@"Arial- r.2  EMS arrival`x`(P88)NP(.p@"Arial- r. 2 P.p@"Arial- r.2  ED arrival`h(P88)NP(.p@"Arial- r. 2 ZP.p@"Arial- r.2 ZED disposition?`h(X(PXXP(0(XXX.--"System-&TNPP &NANI6   6 "*6winswinspoolFaxNe02:FaxalpC!1@Ba~#dLetter@BatangChem@$ *Dfax1CourierRegular10x1110x119x11lCourierGreeklar19x11Japanese PostcarddvriC: "C6@%|i0@alpC!1@BatangChe <x@BatangCher@$ *Cx @alpx1CourierRegular.muiGerman StdCourierTurkishrUS Std FanfoldlocalspdvstC: "C6@%|i0@alpC!1@BatangChe <x@BatangChee@$ *Cx @alpx1CourierRegularopeEnvelope B6lCourierBalticarelope B6Envelope B6En dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0    sOn-screen ShowUniversity of IllinoisX  Times New RomanArialEder Methods: US & EU DCLHb Trials  Fonts UsedDesign Template Slide Titles Oh+'0H `h    $08 Methods: US & EU DCLHb TrialsDepartment of Emergency MedicsDepartment of Em   & !"#$%'(6*+,-./012347B9:;<=>?@ACDQFGHIJKLMNOPR]TUVWXYZ[\^_abcdefghijklmno( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman1bbv 0b( 0DArialNew Roman1bbv 0b( 0" ` .  @n?" dd@  @@`` 0   `1?p33ff@B:2___PPT9/ 0? %O =Methods: US & EU DCLHb TrialsL 033$33033$33YDCLHb: human hemoglobin solution Randomized, saline-controlled, single-blinded Trauma Centers: 18 US & 32 EU sites Standard Rx, with DCLHb add-on in ED Fluid limited to 1L before NS / DCLHb in EU trial DCLHb infused prehospital in EU trial Patients: severe traumatic hemorrhagic shock Estimated to be most severely injured 2 - 4% 119 EU, 98 US$ X$ .$ ;$ W.;/  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `ğxaxa1 ?"P  T Click to edit Master title style! !N  Zxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ?  Eder0 ZR (  @  Zxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?6  B  s *޽h9 ? a(`  0  0 (   d  <1?``d  <1?`d  <1?``d  <1?`  C xtxaxa1 ?     C xxaxa1 ?  H  0޽h ? 33a(`0  @ (  d  <1? #  ZHjJjJ1?  55 d  <1?Pd  <1?P#d  <1? #  ZjJjJ1?  55 d  <1?Pd   <1?P#   N1 ?6     C x8xaxa1 ? @   H  0޽h9 ? a(rP D 0ergency Medics1paMicrosoft PowerPointcy @@e,@e,@G5_4Department of Emergency MedicDepartment of Emergency Medic  winspoolFaxNe02:Fax???GUC!???@Ba~#dLetter@BatangChem@$?????Dfax  dO)Microsoft PowerPoint SlideM15%   Q&@ p &&#TNPPX2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---A1----Ai----A1----Ai----A -- - @@"Arial0- 33.2 Methods:k5kkk`5. 33"--2-33- 334@@"Arial- 332.%2 US & EU DCLHb Trials555uu5uK5l6k.--qA @-- 332@"Arial- 2. 2 '.@"Arial- 2.72  DCLHb: human hemoglobin solutionQQDQD&EDd>D D?dDDEDD >D D% DD.@"Arial- 2. 2 j'.@"Arial- 2."2 jRandomized, salineQ>EDDd8?D?>E>. 2. 2 j-&. 2."2 jcontrolled, single>ED%,D >D >ED >. 2. 2 je-&. 2.2 jblindedDED?D.@"Arial- 2. 2 '.@"Arial- 2.=2 $Trauma Centers: 18 US & 32 EU sitesE,>Dd>Q>E%>,>&?>QKQ>>KQ> %??.@"Arial- 2. 2 '.@"Arial- 2.02 Standard Rx, with DCLHb addK%>ED>,DR>Z%DQQDQD >ED. 2. 2 -&. 2.2 on in EDDD DKQ.@"Arial- 2. 2 w?.@"Arial- 2.Q2 w1Fluid limited to 1L before NS / DCLHb in EU trialDD Dd%?D&D?D D?%D,>QKQQDREDKQ%,>.@"Arial- 2. 2 &?.@"Arial- 2.?2 &%DCLHb infused prehospital in EU trialQQDQD D&D?>D D,?DE>D %> DKQ%,>.@"Arial- 2. 2 '.@"Arial- 2.K2 -Patients: severe traumatic hemorrhagic shockK>%?D&>&>@=>,> %,>Dd?%> D>dD,,D?D> >ED?>.@"Arial- 2. 2 ?.@"Arial- 2.C2 (Estimated to be most severely injured 2 K>%d>&>D %D D>eD?%??=>-> = DD,?D> . 2. 2 g -%. 2. 2  4%@b.@"Arial- 2. 2 3?.@"Arial- 2.2 3 119 EU, 98 US>?>KQ>>QK.--"System-&TNPP &NANI6   6 "*6winswinspoolFaxNe02:FaxalpC!1@Ba~#dLetter@BatangChem@$ *Dfax1CourierRegular10x1110x119x11lCourierGreeklar19x11Japanese PostcarddvriC: "C6@%|i0@alpC!1@BatangChe <x@BatangCher@$ *Cx @alpx1CourierRegular.muiGerman StdCourierTurkishrUS Std FanfoldlocalspdvstC: "C6@%|i0@alpC!1@BatangChe <x@BatangChee@$ *Cx @alpx1CourierRegularopeEnvelope B6lCourierBalticarelope B6Envelope B6EnSPresentationPowerPoint.Slide.89q ՜.+,0    qOn-screen ShowUniversity of Illinois Times New RomanArialEderMethods: Secondary Analysis  Fonts UsedDesign Template Slide Titles Oh+'0H `h    $08Methods: Secondary AnalysistDepartment of Emergency MedictDepartment of Emergency Medict1paMicrosoft PowerPointcy @( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Romanbbv 0b( 0DArialNew Romanbbv 0b( 0" ` .  @n?" dd@  @@`` (   `1?p33ff@B:2___PPT9/ 0? %O =Methods: Secondary Analysis<033033033Assessments RTS & GCS assessed by EMS & in ED GCS carried forward after admin. of sedatives and/ or paralytics Excluded pts.: missing data Missing SBP assumed to be 60 mmHg Missing vital sign used from next phase if within 15 minutesT c{ $c z$  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? 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Sp  01 ?6  B  s *޽h9 ? a(  0 0 0(   x  c $`pP   x  c $   H  0޽h ? 33a(r@ S K0@h,@h,+G5_gDepartment of Emergency MedicDepartment of Emergency Medic  winspoolFaxNe02:Fax???GUC!???@Ba~#dLetter@BatangChem@$?????Dfax  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q15%  j=&@ p &&#TNPPX2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---)9 0-- - @@"Arial0- 33.2 Methods:k5kkk`6. 33"--3-33- 33#5@@"Arial- 333."2 Secondary AnalysiskkuvukKk5uk5kl5k.--qA p-- 333p@"Arial- 3. 2 3.p@"Arial- 3.2  AssessmentsfQPPPPPX0P.@"Arial- 3. 2 G.@"Arial- 3.92 !RTS & GCS assessed by EMS & in ED\NU$\$d\U$GGGHGGGN$OE$UkU$\$$N$U\.@"Arial- 3. 2 ~G.@"Arial- 3.=2 ~$GCS carried forward after admin. of d\U$GG22$GN$+N1fF2M$G*+G2$GNq$M$$N*#. 3.12 sedatives and/ or paralyticsGGNG+$EGG$GNN$$N2$NG2G$E+$GG.p@"Arial- 3. 2 3.p@"Arial- 3.02 Excluded pts.: missing data`PP(XXPX(X0P(0((PP(XX(XP0P.p@"Arial- 3. 2 3.p@"Arial- 3.92 !Missing SBP assumed to be 60 mmHgx(PP(XX(`h`(PPPXPX(0X(XP(PP(hX.p@"Arial- 3. 2 3.p@"Arial- 3.:2 "Missing vital sign used from next x(PP(XX)N(0P((Q(XX(XPPX(08X(XPP0(. 3..2 /phase if within 15 minutesXXPPP((0'r(0X(W(PP((XX0PP.--"System-&TNPP &NANI6   6 "*6winswinspoolFaxNe02:FaxalpC!1@Ba~#dLetter@BatangChem@$ *Dfax1CourierRegular10x1110x119x11lCourierGreeklar19x11Japanese PostcarddvriC: "C6@%|i0@alpC!1@BatangChe <x@BatangCher@$ *Cx @alpx1CourierRegular.muiGerman StdCourierTurkishrUS Std FanfoldlocalspdvstC: "C6@%|i0@alpC!1@BatangChe <x@BatangChee@$ *Cx @alpx1CourierRegularopeEnvelope B6lCourierBalticarelope B6Envelope B6En     !"#$&)*+,-./0234568:;<=>?@ABCDEFGHIJKM ՜.+,0    |On-screen ShowUniversity of Illinois Times New RomanArialSymbolEderMethods: Secondary Analysis  Fonts UsedDesign Template Slide Titles Oh+'0H `h    $08Methods: Secondary AnalysistDepartment of Emergency MedictDepartment of Emergency Medict1paMicrosoft PowerPointcy @@@z,@@z,0GS( /0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman\4bbv 0b( 0DArialNew Roman\4bbv 0b( 0" DSymbolew Roman\4bbv 0b( 0 ` .  @n?" dd@  @@`` (   `1?p33ff@B:2___PPT9/ 0? %O =Methods: Secondary Analysis<033033033Results dependent upon methodology Four methods of exclusion for GCS = 3 Include all pts. regardless of GCS Exclude if any GCS = 3 from EMS, ED, Dispo. 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