What is the Golden Hour in emergency medicine?

The first 60 minutes after traumatic injury has been termed the “golden hour.”¹ The concept that definitive trauma care must be initiated within this 60-minute window has been promulgated, taught, and practiced for more than 3 decades; the belief that injury outcomes improve with a reduction in time to definitive care ...

What is the Golden Hour in emergency?

The 'golden hour' is a concept that critically injured patients are required to receive definitive care within 60 min from the occurrence of injuries, after which mortality significantly increased. 1 2 This concept was developed in 1970s without any data or reference.

What does a golden hour mean in medicine?

Abstract. The term "golden hour" is commonly used to characterize the urgent need for the care of trauma patients. This term implies that morbidity and mortality are affected if care is not instituted within the first hour after injury.

What is the golden hour and its importance?

A critical time

An expression commonly used in emergency medicine, “The Golden Hour” underlines the importance of acting promptly and rigorously when a trauma occurs. At the accident site, someone needs to dial 911 quickly, giving precise information, so that help can be dispatched speedily.

Where did the term golden hour come from?

In the early 1980s, R. Adam Cowley, a U.S. military surgeon popularized the term "golden hour," words often used in trauma and emergency medicine settings. The term's origins lie in photography and reference the first hour of light after the sun rises and the last hour of light before sunset.

Importance of Golden Hour in Medical Emergency during Stroke

What is a golden hour meaning?

: the hour immediately following traumatic injury in which medical treatment to prevent irreversible internal damage and optimize the chance of survival is most effective.

What is the golden hour in NICU?

Abstract. “Golden Hour” of neonatal life is defined as the first hour of post-natal life in both preterm and term neonates. This concept in neonatology has been adopted from adult trauma where the initial first hour of trauma management is considered as golden hour.

Who coined golden hour?

The term "Golden Hour" was coined by Dr. R. Adams Cowley, founder of the Shock Trauma Center at the University of Baltimore, in the early 1970s.

Why is the first hour after myocardial infarction called golden hour?

This is because the heart muscle starts to die within 80-90 minutes after it stops getting blood, and within six hours, almost all the affected parts of the heart could be irreversibly damaged.

What is concept of golden hour discuss initial management of trauma patient?

The first 60 minutes after traumatic injury which is the most crucial period that determines the patient's outcome has been termed the “golden hour.” The concept that definitive resuscitative trauma care must be initiated within this early window has been publicized, taught, and practiced worldwide for more than four ...

What is the platinum 10 minutes?

A companion to the golden hour has arisen in pre-hospital lore called the “platinum 10 minutes.” This is based on the concept that seriously injured patients should have no more than 10 minutes of scene-time stabilization by emergency medical per- sonnel prior to transport to definitive care at a trauma center.

What is door-to-balloon time for stemi?

Based on the association between shorter times to reperfusion and lower mortality in patients with ST-segment–elevation myocardial infarction (STEMI),^1,2 consensus guidelines recommend a door-to-balloon (D2B) time of 90 minutes or less for STEMI patients undergoing primary percutaneous coronary intervention (PCI).

Why do most heart attacks happen in the morning?

As you wake up, your body releases stress hormones to get your body up and going for the day. In addition, your body tends to be dehydrated by the time you wake up and for some people, this combination of added stress hormones plus dehydration may be enough to trigger a heart attack.

What is door to needle time mi?

Current guidelines for STEMI recommend a door-to-needle time within 30 minutes for fibrinolytic therapy and a door-to-balloon time within 90 minutes for primary PCI as treatment goals.

What are the 3 golden hours after birth?

The con- temporary conceptualization of the Golden Hour after birth includes three main elements: (a) direct, immediate skin-to- skin contact between a mother and her newborn, (b) delayed cord clamping, and (c) early initiation of breastfeeding, if medi- cally appropriate and desired by the woman (Sharma et al., 2017; ...

What is the golden minute?

The Golden Minute refers to the first 60 s of a newborn's life,⁷ during which the complex but natural transition from intra- to extrauterine life occurs. Typically, midwives perform newborn assessment during the Golden Minute.

What is caput formation?

Caput succedaneum is swelling of the scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex) delivery.

What is golden hour and blue hour?

The golden hour occurs just after sunrise and before sunset, when the sun is low on the horizon, creating that signature warm glow. The blue hour arrives shortly before sunrise and after sunset, when the sun's position just below the horizon produces those cooler tones.

What is golden hour in forensic?

In this “Golden Hour” there are a number of actions that can be taken to aid in achieving the best possible evidence and the best possible outcome from the initial actions of the forensic officer.

Why do most heart attacks happen in the bathroom?

Using the bathroom puts pressure on the vagus nerve, which can sometimes slow your heart rate.

Can drinking more water help your heart?

Water is also critical for your heart health. Your heart is constantly working, pumping about 2,000 gallons of blood a day. By staying hydrated – that is, by drinking more water than you are losing – you are helping your heart do its job.

What is the best way to prevent sudden cardiac death?

CPR and use of an automated external defibrillator (AED) within two to three minutes of the event can prevent an interruption in blood flow to the brain.

Which artery is blocked in a STEMI?

Anterior STEMI.

This type of STEMI usually occurs when a blockage occurs in the left anterior descending (LAD) artery, the largest artery which provides blood flow to the anterior (front) side of your heart.

What is the time frame for PCI?

Introduction. The 2013 American College of Cardiology Foundation/American Heart Association guidelines for STEMI recommend that hospitals capable of primary PCI should treat patients within 90 minutes of contact with the medical system.

What is the time goal for PCI?

The generally accepted medical contact-to-device time goal is 90 minutes or less in cases in which the patient presents or is taken directly to a hospital that performs PCI.