Analysis of interventions of polish helicopter emergency medical service in pediatric patients due to poisoning

Gałązkowski, Robert; Celinski, Daniel; Szarpak, Łukasz

doi:10.1016/j.ajem.2017.03.065

Cited by 2 publications

(6 citation statements)

References 4 publications

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“…Doctor helicopters also evacuate intoxicated patients from the scene or perform interhospital transportation 6,7 . Additionally, medical helicopters with or without doctors have been reported to carry intoxicated patients in other countries 5–10 . However, few original reports have focused on intoxicated patients transported by helicopters, with the largest population investigated thus far being 133 patients in the report by Maloney et al 3–6 …”

Section: Introductionmentioning

confidence: 99%

“…Doctor helicopters have been reported to carry patients with a variety of symptoms, including trauma, acute coronary syndrome, stroke, and cardiac arrest 2 . Doctor helicopters also evacuate intoxicated patients from the scene or perform interhospital transportation 6,7 . Additionally, medical helicopters with or without doctors have been reported to carry intoxicated patients in other countries 5–10 .…”

Section: Introductionmentioning

confidence: 99%

“…2 Doctor helicopters also evacuate intoxicated patients from the scene or perform interhospital transportation. 6,7 Additionally, medical helicopters with or without doctors have been reported to carry intoxicated patients in other countries. [5][6][7][8][9][10] However, few original reports have focused on intoxicated patients transported by helicopters, with the largest population investigated thus far being 133 patients in the report by Maloney et al [3][4][5][6] Therefore, we performed a retrospective study to examine this population using data from the JAPAN DOCTOR HELICOPTER REGISTRY SYSTEM.…”

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confidence: 99%

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Outcome in intoxicated patients transported by a physician‐staffed helicopter in Japan from 2015 to 2020

Yanagawa,

Takeuchi,

Nagasawa

et al. 2023

Acute Medicine & Surgery

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AimWe retrospectively investigated the current status of poisoned patients who had been transported by a physician‐staffed helicopter emergency medical service and their final outcomes using data from the JAPAN DOCTOR HELICOPTER REGISTRY SYSTEM.MethodsThe following details of dispatch activity were collected from the database of the JAPAN DOCTOR HELICOPTER REGISTRY SYSTEM: patient age and sex, timing of dispatch request, presence of cardiac arrest, vital signs, medical intervention, main etiology of intoxication, and final outcome. The patients were divided into two groups: those with a good outcome and those with a poor outcome. The variables were compared between the two groups.ResultsA total of 336 patients were intoxicated. Psychotropic drug overdose was the dominant cause, followed by carbon monoxide and ethanol. The median Glasgow Coma Scale score was significantly higher in the good outcome group than in the poor outcome group. The rates of cardiac arrest, interventions to secure an airway and/or assist with ventilation, and drug administration were significantly lower in the good outcome group than in the poor outcome group. There were no records concerning the decontamination of the intoxicating substance at the scene or during air evacuation.ConclusionThe study suggests that various factors may influence the outcomes of patients with different types of intoxication. These findings offer valuable insights that could help to establish effective treatment strategies and the operation of doctor helicopters for intoxicated patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Outcome in intoxicated patients transported by a physician‐staffed helicopter in Japan from 2015 to 2020

Yanagawa,

Takeuchi,

Nagasawa

et al. 2023

Acute Medicine & Surgery

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“…14 Some reports indicated that advanced medical intervention by HEMS is sometimes necessary at a scene, although the effectiveness of such intervention in reducing mortality in nontrauma pediatric patients was uncertain. 15,16 In Japan, physician-staffed HEMS were started in 2000 and thereafter gradually spread to many regions of the country. However, the effectiveness of Japanese HEMS operations and interventions for children is unclear.…”

mentioning

confidence: 99%

“…Although HEMS are also used for nontrauma pediatric patients, their effectiveness in improving the mortality of these patients is uncertain 14 . Some reports indicated that advanced medical intervention by HEMS is sometimes necessary at a scene, although the effectiveness of such intervention in reducing mortality in nontrauma pediatric patients was uncertain 15,16 …”

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confidence: 99%

Characteristics of Children Cared for by a Physician-Staffed Helicopter Emergency Medical Service

Enomoto¹,

Tsuchiya²,

Tsutsumi

et al. 2018

Pediatr Emer Care

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Objectives:The effectiveness of Japanese helicopter emergency medical services (HEMS) and interventions at the scene is not clear as regard children. For effective use of HEMS at the clinical scene, we need to clarify the characteristics of pediatric patients cared for by HEMS. Therefore, the objective of this study was to describe the characteristics of pediatric scene flights and to describe the procedures performed on the patients.Methods: This was a retrospective cohort study based on the database for children aged younger than 18 years who were cared for by physicianstaffed HEMS of Ibaraki prefecture, in Japan. We reviewed the database for air medical transports conducted at our institution from July 2010 to December 2016.Results: During the 6.5-year period, the Ibaraki HEMS attended to 288 children. The median age of the children was 11 (interquartile range, 5-14) years. Of the total, 196 (68.1%) of the children had trauma-related injuries. The head was the most common site of significant injuries (12.4%). The most common cause of nontrauma incidents was seizure (9.0%). In 65.9% of the patients, the injury or illness was of mild or moderate severity at the scene. An intervention was applied at the scene in 76.0% of the cases: 75.1%, intravenous route; 6.9%, intubation; and 13.4%, drug administration. Of those patients, 29.1% were discharged from the emergency department. In-hospital mortality accounted for 1.5% (n = 2) of the cases. Conclusions:Although the condition at the scene of most of the pediatric patients transported by the physician-staffed HEMS was not severe, an intervention was frequently applied from the scene. Improving the dispatch criteria and monitoring compliance are needed for appropriate use of HEMS.

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Analysis of interventions of polish helicopter emergency medical service in pediatric patients due to poisoning

Cited by 2 publications

References 4 publications

Outcome in intoxicated patients transported by a physician‐staffed helicopter in Japan from 2015 to 2020

Outcome in intoxicated patients transported by a physician‐staffed helicopter in Japan from 2015 to 2020

Characteristics of Children Cared for by a Physician-Staffed Helicopter Emergency Medical Service

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