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These authors argue that bystander interventions in the early minutes (they call them the diamond minutes) can have an impact on trauma survival. Particular attention to External hemorrhage control; Airway opening and maintenance; Safe positioning of unconscious patients; Mitigation of early hypoxia and hypothermia could improve survival. We need to publicize this information and undo the years of teaching not to move these patients due to concern of secondary spinal cord injury. Many studies have dispelled that concern.
References
Imbriaco, G., D’Arrigo, S., Limonti, F. et al. The diamond minutes: rethinking the earliest link of the trauma chain of survival. Scand J Trauma Resusc Emerg Med 34, 79 (2026). https://doi.org/10.1186/s13049-026-01611-7