Experience of pre-hospital treatment of survivors of falls-related trauma by an Australian helicopter emergency medical service

Janssen, Daniela; Burns, Brian

doi:10.1016/j.injury.2012.04.012

Cited by 10 publications

(11 citation statements)

References 7 publications

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“…This means that young males were at a higher risk for experiencing multiple trauma. This finding is in line with the findings of other studies (25-28). This is probably because of the fact that most of motorcyclists, cyclists, and truck drivers are men.…”

Section: Discussionsupporting

confidence: 94%

The Quality of Pre-Hospital Oxygen Therapy in Patients With Multiple Trauma: A Cross-Sectional Study

Adib-Hajbaghery

Maghaminejad

Paravar

2014

Iran Red Crescent Med J

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Background:Trauma is a major healthcare challenge worldwide. In developing countries, most road deaths happen during the pre-hospital phase; consequently, pre-hospital trauma care has received considerable attention during the past decades.Objectives:The aim of this study was to investigate the quality of pre-hospital oxygen therapy in patients with multiple trauma.Patients and Methods:This cross-sectional study was conducted in the year 2013. The study population consisted of all patients with multiple trauma who had been transferred by emergency medical services to the central trauma department in Shahid Beheshti Medical Center, Kashan, Iran. The data collection instrument had three parts including demographic, a trauma assessment, and an oxygen therapy quality assessment questionnaires that were designed by the researchers. In total, 350 patients with multiple trauma were recruited from March through July 2013. Data were described by using frequency tables, central tendency measures, and variability indices. Moreover, we analyzed data by using the Chi-square test, Mann-Whitney U test, and the logistic regression analysis.Results:The study sample consisted of 263 (75.1%) male and 87 (24.9%) female patients. Overall, 211 patients needed oxygen therapy during the pre-hospital phase; however, only 35 (16.60%) patients had received oxygen. The quality of oxygen therapy was undesirable in 92.42% of cases. In addition, 83.4% of patients, whose pre-hospital records indicated the administration of oxygen, reported that they had not received oxygen therapy. Logistic regression analysis revealed that the place of accident and the level of patients' education were significant predictors for administration of oxygen during the pre-hospital phase (P < 0.001).Conclusions:The quality of pre-hospital oxygen therapy had been provided for the patients with multiple trauma was poor while these patients, particularly patients with chest traumas and head injuries, were in urgent need of oxygen therapy. Consequently, developing and implementing standard evidence-based oxygen therapy protocols and administrating continuous education programs are recommended.

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Section: Discussionsupporting

confidence: 94%

The Quality of Pre-Hospital Oxygen Therapy in Patients With Multiple Trauma: A Cross-Sectional Study

Adib-Hajbaghery

Maghaminejad

Paravar

2014

Iran Red Crescent Med J

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“…The high proportion of male patients exceeds previously published figures for HEMS 1 4 11. Of the 120 patients attended, 90% had traumatic injuries.…”

Section: Discussionmentioning

confidence: 59%

“…Besides reaching patients in difficult terrain and improving transport times, a winch-equipped HEMS can deliver a physician to the scene where the patient can receive critical interventions 2 3. This is particularly pertinent in our service where advanced prehospital interventions are often required in patients who have fallen from a height 4. These benefits must be balanced against the increased risk of incidents and fatalities related to winching 5.…”

Section: Introductionmentioning

confidence: 99%

Are physicians required during winch rescue missions in an Australian helicopter emergency medical service?

Sherren¹,

Hayes‐Bradley

Reid

et al. 2013

Emerg Med J

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“…On the other hand, Engel et al . and Janssen and Burns found that the most common mechanism of trauma was falling down from heights (28, 29). Factors such as extensive use of motorcycles in Iran - particularly by unlicensed young motorcyclists - and their reluctance over using safety helmet contribute to the high prevalence of motorcycle accidents.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Patients With Multiple Trauma and the Quality of their Prehospital Respiration Management in, Kashan Iran: Six Months Assessment

Adib-Hajbaghery

Maghaminejad

2014

Arch Trauma Res

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Background:Respiration management is an important and critical issue in prehospital transportation phase of multiple trauma patients. However, the quality of this important care has not been assessed in Iran Emergency Medical Services’ (EMS).Objectives:This study was conducted to investigate the quality of prehospital respiration management in patients with multiple trauma, referred to the Shahid Beheshti Trauma Center, Kashan, Iran.Patients and Methods:This cross-sectional study was conducted in the first six months of 2013. All the 400 patients with multiple trauma, transferred by EMS to the Shahid Beheshti Medical Center, were recruited. The study instrument was a checklist, which was completed through observation. Descriptive statistics were presented.Results:Out of all included individuals, 301 were males (75.2%) and 99 were females (24.8%). The most common mechanism of trauma was traffic accident (87.25%). Furthermore, 71.7% of the patients were injured in head and neck and chest areas. The quality of consciousness monitoring and airway management was desirable in 95% of the cases. However, the quality of monitoring patients’ respiration was only desirable in 42% of the cases. Only 18.6% of the patients received oxygen therapy during prehospital transportation.Conclusions:The quality of monitoring patients’ respiration and oxygen therapy was undesirable in most patients with multiple trauma. Therefore, the EMS workers should be retrained to apply proper respiration management in patients with multiple trauma.

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Experience of pre-hospital treatment of survivors of falls-related trauma by an Australian helicopter emergency medical service

Cited by 10 publications

References 7 publications

The Quality of Pre-Hospital Oxygen Therapy in Patients With Multiple Trauma: A Cross-Sectional Study

The Quality of Pre-Hospital Oxygen Therapy in Patients With Multiple Trauma: A Cross-Sectional Study

Are physicians required during winch rescue missions in an Australian helicopter emergency medical service?

Epidemiology of Patients With Multiple Trauma and the Quality of their Prehospital Respiration Management in, Kashan Iran: Six Months Assessment

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