Impact of Mode of Arrival to Hospital on Early Mortality in Adults With Penetrating Trauma: A Systematic Review, Meta‐Analysis, and Narrative Synthesis

There was no survival benefit associated with EMS transport among this largely USA-based urban cohort of patients with penetrating trauma. Shorter injury-to-hospital arrival times associated with nonmedical transport may, in some cases, outweigh the benefits of prehospital care. These findings support an emphasis on shortening the prehospital phase for severely injured penetrating trauma patients, which may include use of nonmedical transport where transport times are short.