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Each advanced prehospital intervention adds scene time

The impact of advanced pre-hospital interventions on scene time
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · Added 5 May 2026

Retrospective physician-led HEMS trauma study examining whether more advanced interventions are stretching scene times — each additional intervention increased scene time by 41%, although overall scene times stayed similar over two decades because of changing case mix.

Study type
Cohort
Design
Retrospective observational study of physician-led air ambulance
Participants
1,357 injured patients
Main finding
26% received an advanced intervention; each additional intervention increased scene time by 41% (p<0.001). Median scene times stayed similar between 2005–2010 and 2017–2021 (10 vs 25 min penetrating vs blunt, p<0.001).
Caveat
Retrospective, single physician-led HEMS service; July-only sampling of each year
Bottom line
Context only

Learning goal

Weigh the clinical benefit of advanced scene interventions against their impact on scene time in trauma care.

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