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THE GOLDEN HOUR

Life-Saving Techniques for Deadly Trauma Scenarios

The “Golden Hour” was fi rst described by R. Adams Cowley, M.D., at the University of Maryland Medical Center in Baltimore. He recognized that the sooner trauma patients reached defi nitive care—particularly, if they arrived within 60 minutes of being injured—the better their chances of survival.

The following injuries are some of the more common traumas faced in a survival situation where the EMS system is not available. On your own, you must fi x what you can while your patient is still in the “Golden Hour.”

01 GUNSHOT TRAUMA

If you have taken any type of fi rst-aid training, you are familiar with the term “ABC”—Airway, Breathing, Circulation. If you fi nd yourself treating the victim of a gunshot wound in a survival situation, without EMS services, your fi rst priority is addressing circulation.

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