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The golden hour in trauma: Dogma or medical folklore?

Published:September 13, 2014DOI:https://doi.org/10.1016/j.injury.2014.08.043
      The term “golden hour” is a well-known lexicon among trauma surgeons and emergency medical service (EMS) providers who care for injured patients on a daily basis. The underlying tenet of this adage suggests an injured patient has 60 min from time of injury to receive definitive care, after which morbidity and mortality significantly increase. Teleologically, this seems to make great sense, as no one would argue an injured individual should be left bleeding on the streets for an extended period of time. Nevertheless, like many holy shrines in medicine once exposed to the light of evidenced-based review, one finds the literature does not necessarily support our biases.
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