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.
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What is the golden hour trauma?

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 ...
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Which phase is the golden hour?

Golden Hour may be defined as the period during which all efforts are made to save a life before irreversible pathological changes can occur thereby reducing or preventing death in the second and third phase. This period may range from the time of injury to definitive treatment in a hospital.
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Where did golden hour originated?

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.
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Which is the golden hour for the victims injured on head with risk of dying?

Background. The concept that the first 60 minutes following traumatic injury is a critical period for getting patients to a trauma center (the “golden hour”) has been deeply ingrained in trauma systems, national field triage guidelines, emergency medical services (EMS) and clinical care.
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Why is golden hour important?

The concept of Golden Hour refers to the window of opportunity right after the injury when an intervention is made at the earliest to could impact the survival of the patient. It has been observed that the sooner a trauma victim reaches the emergency care unit, the better their chance of their survival.
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Why is the golden hour important in trauma?

Background. Time management is considered as a key factor to reduce mortality in trauma patients. 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.
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What time is blue hour?

The blue hour generally lasts the 20 to 30 minutes just after sunset and just before sunrise. For example, if the sun sets at 5 p.m., the blue hour would last from approximately 5:10 p.m. to 5:30 p.m.. If the sun rises at 5 a.m., the blue hour lasts from about 4:30 a.m. to 4:50 a.m.
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What is the difference between a Level 1 and Level 2 trauma center?

There are several minor differences between a level I and II trauma center but the main difference is that the level II trauma center does not have the research and publication requirements of a level I trauma center.
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How long does golden hour last?

The last hour before sunset and the first hour after sunrise are coveted by professional photographers. Referred to as “the golden hour” or “magic hour,” these times provide the perfect light to capture stunning photos.
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What is magic hour birth?

The Magical Hour. The first hours after birth are a developmentally distinct time for a baby and there are well documented short and long term physical and psychological advantages when a baby is held skin to skin during this time.
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Is twilight magic hour?

The 'Golden Hour', sometimes called 'Magic Hour', is a time frame shortly after sunrise and before sunset. The sun is near the horizon and the light, with it's golden color, is very warm. These facts gives photos more structure and an outstanding mood of light.
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Is twilight a blue hour?

The blue hour (from French l'heure bleue; pronounced [lœʁ blø]) is the period of twilight (in the morning or evening, around the nautical stage) when the Sun is at a significant depth below the horizon. During this time, the remaining sunlight takes on a mostly blue shade.
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What is the triangle of death in surgery?

3. The death triangle (the lethal triad) It consists of hypothermia, acquired coagulopathy, and acidosis and was defined for the first time by Burch et al [5]. This condition gives rise to the depletion of physiological reserves and to life-threatening consequences (Figure 1).
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What are the 3 types of trauma?

There are three main types of trauma: Acute, Chronic, or Complex
  • Acute trauma results from a single incident.
  • Chronic trauma is repeated and prolonged such as domestic violence or abuse.
  • Complex trauma is exposure to varied and multiple traumatic events, often of an invasive, interpersonal nature.
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What is Trimodal distribution of death?

Injury mortality was classically described with a trimodal distribution, with immediate deaths at the scene, early deaths due to hemorrhage, and late deaths from organ failure.
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What level trauma is choc?

CHOC Children's Hospital has been verified by the American College of Surgeons as a Level II pediatric trauma center. This achievement recognizes CHOC's commitment to providing the highest quality trauma care to injured patients.
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What is the highest trauma level?

Trauma centers vary in their specific capabilities and are identified by "Level" designation: Level I (Level-1) being the highest and Level III (Level-3) being the lowest (some states have five designated levels, in which case Level V (Level-5) is the lowest).
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What is trauma level 3 mean?

Level III. A Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.
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Is the sun black?

As with all matter, the sun emits a “black body spectrum” that is defined by its surface temperature. A black body spectrum is the continuum of radiation at many different wavelengths that is emitted by any body with a temperature above absolute zero.
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What is civil twilight?

Civil Twilight:

Therefore morning civil twilight begins when the geometric center of the sun is 6 degrees below the horizon, and ends at sunrise. Evening civil twilight begins at sunset, and ends when the geometric center of the sun is 6 degrees below the horizon.
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What hour is twilight?

In its most general sense, twilight is the period of time before sunrise and after sunset, in which the atmosphere is partially illuminated by the sun, being neither totally dark or completely lit.
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Is golden hour true?

Is the Golden Hour a Myth? There is no real hard and fast evidence about the golden hour. The mystery surrounding its past is making emergency personnel re-think it, wondering if it is just folklore or a catchy saying. Studies have shown with critical patients, time matters.
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What is the principle of the golden hour?

What is the principle of the Golden Hour? Trauma patients have the best chance of survival if they receive surgical care within one hour of the accident.
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What organ is most commonly injured in blunt abdominal trauma?

The liver is the most commonly injured organ in blunt abdominal trauma and the second most commonly injured organ in penetrating abdominal trauma [3-6]. The liver is a highly vascular organ located in the right upper quadrant (figure 1) of the abdomen and is susceptible to injury from traumatic mechanisms.
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