Neonatal Transport in the Practice of the Crews of the Polish Medical Air Rescue: A Retrospective Analysis

Rzońca, Ewa; Świeżewski, Stanisław Paweł; Gałązkowski, Robert; Bień, Agnieszka; Kosowski, Arkadiusz; Leszczyński, Piotr; Rzońca, Patryk

doi:10.3390/ijerph17030705

Cited by 11 publications

(6 citation statements)

References 36 publications

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“…According to our knowledge, the present study is the first 10 year retrospective analysis of Polish Medical Air Rescue’s HEMS and EMS missions involving neonatal patients in Poland. In addition, the present study complements our previous study concerning the transport of patients in incubators [ 27 ]. We acknowledge that our study had a number of limitations that we are aware of, which may, however, provide some guidance for further investigations on the subject.…”

Section: Discussionsupporting

confidence: 76%

Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

et al. 2021

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The purpose of the study was to present the characteristics of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) interventions concerning newborns in Poland. The study involved a retrospective analysis of missions by Polish Medical Air Rescue crews concerning newborns, carried out in Poland between January 2011 and December 2020. Polish Medical Air Rescue crews were most commonly dispatched to urban areas (86.83%), for patient transfer (59.67%), using an airplane (65.43%), between 7 AM and 6:59 PM (93.14%), and in the summer (28.67%). Further management involved handing over the neonatal patient to a ground neonatal ambulance team. Most of the patients studied were male (58.02%), and the most common diagnosis requiring the HEMS or EMS intervention was a congenital heart defect (31.41%). The most common medical emergency procedure performed by Polish Medical Air Rescue crew members for the neonatal patients was intravenous cannulation (43.07%). The odds ratio for congenital malformations was higher in male newborns. The type of Polish Medical Air Rescue mission was associated with the location of the call, time of the call, ICD-10 diagnosis associated with the dispatch, selected clinical findings, most commonly performed medical emergency procedures, and mission duration and distance covered.

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Section: Discussionsupporting

confidence: 76%

Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

et al. 2021

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“…In our analysis, the respiratory problems were the most common ED admission complaint, and they were typically represented by respiratory failure primarily due to bronchitis, pneumonia, bronchiolitis, or an acute asthma attack in most cases. Regarding the access mode to the ED, most of the surgical patients were taken by ambulance, including both advanced transport with helicopter rescue and a territorial rescue system, used in particular for victims of accidents, in accordance with the international literature [17,18].…”

Section: Discussionmentioning

confidence: 99%

Red Code Management in a Pediatric Emergency Department: A Retrospective Study

Bertone,

Denina,

Pagano

et al. 2024

Children

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The “red code” (RC) represents the highest level of emergency in the emergency department (ED). This study retrospectively analyzed RCs in the Regina Margherita Children’s Hospital ED, a regional referral center in north Italy, between 1 July 2020 and 30 June 2023. The aim was to describe RC characteristics and to identify significant correlations between presenting complaints and clinical management. The study includes 934 RCs (0.9% of overall ED admissions); 64% were assigned based on the Pediatric Assessment Triangle alteration. Most patients, 86.5%, followed the medical pathway, while 13.5% were surgical cases. Admission complaints were respiratory (46.9%), neuropsychiatric (26.7%), traumatic (11.8%), cardiologic (9.3%), metabolic (3.8%), and surgical (1.5%). Seventy-six percent of patients received vascular access, and intraosseous access was obtained in 2.2% of them. In one-third of RCs, an urgent critical care evaluation was necessary, and 19% of cases required admission to the intensive care unit. The overall mortality rate was 3.4% (0.4% in ED setting). The study identified six distinct diagnostic pathways, each associated with specific characteristics in clinical presentation, management, therapeutic interventions, and outcomes. Our findings underscore the need for a systematic approach in pediatric emergency settings, supported by international and national guidelines but also by clearly defined diagnostic pathways, aiming to enhance the quality of care and patient outcomes.

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“…However, the provision of somewhat more information was made possible by answering open-ended questions. Patients of the Polish Airborne Ambulance Service were not included in the study due to the distinct nature of the work of HEMS, both during the pandemic and before its start [27][28][29][30]. Moreover, it is difficult to determine the size of the representative group due to the lack of aggregate data on the national scale of the population of people attending emergency wards and receiving EMSs.…”

Section: Study Limitationsmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Quality of Health Services Provided by Emergency Medical Services and Emergency Departments in the Opinion of Patients: Pilot Study

Leszczyński

Sobolewska

Muraczyńska

et al. 2022

IJERPH

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Background: The aim of this study was to assess the quality of assistance provided by emergency medical service (EMS) and hospital emergency department (ED) staff in the opinion of patients. Methods: Simple random sampling was performed to select the responders. A group of 131 people who correctly completed the questionnaire form was included in the study. The questionnaire was directed only to patients receiving EMS and/or ED assistance during the time period when the pandemic was announced in Poland. Results: Problems in the ED were reported by 38 people (31.15%), and calling EMS was reported as generating problems by 7 people (16.67%). Dissatisfaction with the help provided in EDs was reported by 33 patients (27.05%), and dissatisfaction with the help by EMS was reported by eight people (19.05%). The assessment of the patient’s satisfaction level significantly correlated with the waiting time in the ED (Spearman = 0.217; p = 0.016) as well as with the waiting for EMSs (Spearman = 0.403; p = 0.008). Conclusions: Patients of the ambulance service and hospital emergency departments during the pandemic positively assessed the actions of medical services, despite significant delays in providing health services.

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Neonatal Transport in the Practice of the Crews of the Polish Medical Air Rescue: A Retrospective Analysis

Cited by 11 publications

References 36 publications

Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

Red Code Management in a Pediatric Emergency Department: A Retrospective Study

Impact of COVID-19 Pandemic on Quality of Health Services Provided by Emergency Medical Services and Emergency Departments in the Opinion of Patients: Pilot Study

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