The term "The Golden Hour" was originally coined by Dr. R Adams Cowley of the Maryland Institute for Emergency Medical Services, who is regarded as the pioneer of modern trauma care. Dr. Cowley advocated that most trauma patients die of shock, which comes from sluggish or nonexistent circulation and the resulting chemical changes in the body. He believed that most trauma patients could be saved if he could stop the bleeding and restore blood pressure within one hour. Patients who have experienced shock for more that one hour will likely die. Surgical intervention within that one hour, therefore, is critical for increasing the patient's chance of survival. This hour, called "The Golden Hour," begins the moment the injury occurs.

The Golden Hour Traumatic injury is one of the top three causes of death in the United States. If you are under 45 years of age, it is the leading cause of death. This critical period is the "Golden Hour" and chances of survival increases dramatically if trained professionals stop the bleeding, treat the injury, and restore blood pressure.

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