Emergency Medical Services Time on Scene Associated with Reduced Dead-on-Arrival Status Among Pediatric Patients with Severe Traumatic Brain Injury
Longer EMS time on scene, to a certain point, was associated with lower odds of presenting DOA among pediatric patients with severe TBI, potentially due to increased stabilization measures performed on scene. These results challenge the assumption that expedited transport to a trauma center alone optimizes patient outcomes. Moreover, racial disparities in EMS scene times and ambulance dispatch type highlight a need for further research into prehospital care practices.
Authors
- Kathleen R. Ran (ORCID: https://orcid.org/0000-0001-5573-7534)
- Saket Myneni (ORCID: https://orcid.org/0000-0002-9484-2617)
- Tej D. Azad (ORCID: https://orcid.org/0000-0001-7823-4294)
- Shenandoah Robinson (ORCID: https://orcid.org/0000-0001-9388-3495)
- Isam W. Nasr (ORCID: https://orcid.org/0000-0002-1848-5259)
- Jacob Jo (ORCID: https://orcid.org/0000-0002-0424-3507)
- Asa Margolis (ORCID: https://orcid.org/0000-0003-2033-8263)
- Alan R. Cohen (ORCID: https://orcid.org/0000-0002-7046-501X)
- Vikas N. Vattipally (ORCID: https://orcid.org/0009-0000-6920-2311)
Institutions
- Johns Hopkins University (US)
- Johns Hopkins Medicine (US)
Publication Details
- Journal
- Prehospital Emergency Care
- Published
- 2025-12-19
- DOI
- https://doi.org/10.1080/10903127.2025.2605648
- Primary Topic
- Trauma and Emergency Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00