Direct Air Versus Ground Transport Predictors for Rural Pediatric Trauma

Starnes, Andrew B.; Oluborode, Babawale; Knoles, Curtis; Burns, B.; McGinnis, Henderson D.; Stewart, Katharine E.

doi:10.1016/j.amj.2018.01.006

Cited by 11 publications

(8 citation statements)

References 20 publications

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“…The analysis shows that the patients suffering from cardiovascular diseases, SCA, and multiple and multi-organ injuries were in most severe clinical condition. Starnes et al (2018) compared the condition of trauma patients transported by ground and air medical rescue teams from rural areas and revealed that the average GCS score for HEMS was 11.3, and for ground medical teams it was 13.3 [48]. In a study regarding intervention by HEMS in the rural areas in Sweden [22] and Norway [31], the mean NACA score was 4, with the highest values for SCA and chest pain.…”

Section: Discussionmentioning

confidence: 99%

Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study

Rzońca

Świeżewski

Jalali

et al. 2019

IJERPH

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The aim of the study was to identify the characteristics of missions performed by HEMS (Helicopter Emergency Medical Service) crews and the analysis of health problems, which are the most common cause of intervention in rural areas in Poland. The study was conducted using a retrospective analysis based on the medical records of patients provided by the HEMS crew, who were present for the emergencies in rural areas in the period from January 2011 to December 2018. The final analysis included 37,085 cases of intervention by HEMS crews, which accounted for 54.91% of all the missions carried out in the study period. The majority (67.4%) of patients rescued were male, and just under a quarter of those rescued were aged between 50–64 years. Injuries (51.04%) and cardiovascular diseases (36.49%) were the main diagnoses found in the study group. Whereas injuries were significantly higher in the male group and patients below 64 years of age, cardiovascular diseases were higher in women and elderly patients (p < 0.001). Moreover, in the group of women myocardial infarction was significantly more frequent (30.95%) than men, while in the group of men head injuries (27.10%), multiple and multi-organ injuries (25.93%), sudden cardiac arrest (14.52%), stroke (12.19%), and epilepsy (4.95%) was significantly higher. Factors that are associated with the most common health problems of rural patients are: gender and age, as well as the seasons of the year and the values of the Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and National Advisory Committee for Aeronautics (NACA) used to assess the clinical status of patients.

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Section: Discussionmentioning

confidence: 99%

Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study

Rzońca

Świeżewski

Jalali

et al. 2019

IJERPH

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“…Dos 1.700 pacientes do grupo de estudo, 50,8% foram transportados pelo HEMS. Dados como aumento da distância, menor Escala de Coma de Glasgow, lesão multissistêmica, intubação, lesões relacionadas a colisão de veículo motorizado e frequência cardíaca elevada, foram todos associados a maiores chances de transporte HEMS, sendo a distância o fator mais forte de um grande centro de trauma e fatores clínicos relacionados ao tipo e gravidade da lesão (STARNES et al, 2018).…”

Section: Resultados E Discussõesunclassified

Trauma Pediátrico No Transporte Modal Aeromédico

Libardi¹,

Pinto²

2022

Anais Do(a) 3º Congresso Aeromédico Brasileiro

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“…These findings may be due to increased emphasis on effective utilization of HEMS and reduction of overtriage, as prior studies have demonstrated that the majority of pediatric HEMS patients have minor injuries. 20,21 In fact, a previous national analysis found that 41% of pediatric patients who underwent HEMS had an ISS less than 9, whereas a single-center study showed that pediatric HEMS patients were more likely to be discharged from the ER and have lower ISS when compared with adults. A prior study of pediatric patients transported by HEMS found overtriage to be lower in hospitals that utilized in-state protocols.…”

Section: Discussionmentioning

confidence: 99%

Association of Risk of Mortality in Pediatric Patients Transferred From Scene by Helicopter With Major But Not Minor Injuries

et al. 2020

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Objectives: Helicopter emergency medical services (HEMS) are used for 16% of pediatric trauma. National HEMS guidelines advised that triage criteria be standardized for pediatric patients. A national report found pediatric HEMS associated with decreased mortality compared with ground emergency medical services (GEMS) but did not control for transport time. We hypothesized that the rate of HEMS has decreased nationally and the mortality risk for HEMS to be similar when adjusting for transport time compared with GEMS.

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Direct Air Versus Ground Transport Predictors for Rural Pediatric Trauma

Cited by 11 publications

References 20 publications

Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study

Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study

Trauma Pediátrico No Transporte Modal Aeromédico

Association of Risk of Mortality in Pediatric Patients Transferred From Scene by Helicopter With Major But Not Minor Injuries

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