Prehospital Management of Peripartum Neonatal Complications by Helicopter Emergency Medical Service in the South West of the Netherlands: An Observational Study

Alink, Michelle Oude; Moors, Xavier R.J.; Jonge, Rogier C. J. de; Hartog, Dennis den; Houmes, Robert Jan; Stolker, Robert Jan

doi:10.1016/j.amj.2020.08.002

Cited by 3 publications

References 16 publications

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A Nationwide Retrospective Analysis of Out-of-Hospital Pediatric Cardiopulmonary Resuscitation Treated by Helicopter Emergency Medical Service in the Netherlands

Moors

Alink

Bouman

et al. 2021

Air Medical Journal

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There is generally limited but conflicting literature on the incidence, causes, and outcomes of pediatric out-of-hospital cardiac arrest. This study was performed to determine the incidence and outcome of pediatric out-of-hospital cardiac arrest reported by all helicopter emergency medical services in the Netherlands and to provide a description of causes and treatments and, in particular, a description of the specific interventions that can be performed by a physician-staffed helicopter emergency medical service. Methods: A retrospective analysis was performed of all documented pediatric (0 < 18 years of age) out-of-hospital cardiac arrests from July 2015 to July 2017, attended by all 4 Dutch helicopter emergency medical service teams. Results: Two hundred two out-of-hospital cardiac arrests were identified. The overall incidence in the Netherlands is 3.5 out-of-hospital cardiac arrests in children per 100,000 pediatric inhabitants. The overall survival rate for out-of-hospital cardiac arrest was 11.4%. Eleven (52%) of the survivors were in the drowning group and between 12 and 96 months of age. Conclusion: Helicopter emergency medical services are frequently called to pediatric out-of-hospital cardiac arrests in the Netherlands. The survival rate is normal to high compared with other countries. The 12-to 96month age group and drowning seem to have a relatively favorable outcome.

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A Nationwide Retrospective Analysis of Out-of-Hospital Pediatric Cardiopulmonary Resuscitation Treated by Helicopter Emergency Medical Service in the Netherlands

Moors

Alink

Bouman

et al. 2021

Air Medical Journal

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Transportation of Medical Staff by Helicopter to Manage a Concealed Delivery at Home

Ohsaka,

Yanagawa,

Konagaya

et al. 2023

Air Medical Journal

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Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: A scoping review of the literature

Hill,

Miles,

Flanagan

et al. 2024

Preprint

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Objective Emergency ambulance services attend a wide array of medical and trauma patients. Infrequently, this includes imminent or out-of-hospital births (OOHBs). There is a paucity of research pertaining to OOHBs. This scoping review explores emergency ambulance clinician involvement with OOHBs, and patient and clinician experiences with birthing in the out-of-hospital setting. Design Scoping review; two reviewers independently determined inclusion using the Joanna Briggs Institute framework and participant, concept, context criteria. Methods CINAHL, Embase, Medline, Web of Science, and Wiley Online were searched from database inception until 20 February 2024. Articles discussing an unplanned OOHB, or a planned home birth with complications where an emergency ambulance was required were included. Results Sixty-three articles were included for review. The majority (n=36) involved retrospective research. Most articles were published since 2015 (n=38), with the highest contributing countries being USA (n=17) and Australia (n=13). Risks factors for OOHBs were varied with maternal age or being multigravida/multiparous often cited. Ninety-nine complications were described in the literature ranging from relatively minor ailments such as nausea and vomiting through to life-threatening situations such as maternal or neonatal cardiac arrest. The most common management/interventions reported were assisting with birth, maternal intravenous cannulation, and medication administration. Birth parents, partners and clinicians all describe OOHBs as anxiety-provoking but joyous when a healthy neonate is born. The OOHB experience is enhanced for patients when clinicians communicate well, while those who appeared inexperienced increased patient anxiety. OOHBs experience many challenges to optimal care, falling under the broad categories of; emergency ambulance clinicians desiring additional education and training; communication and collaboration difficulties; environmental issues; technology and aids; and other; limitations. Conclusion OOHBs are rare events requiring expert assistance to optimise patient outcomes. There remains significant challenges to unplanned OOHBs; ongoing training and skill competency is required to improve patient safety and clinician confidence.

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Prehospital Management of Peripartum Neonatal Complications by Helicopter Emergency Medical Service in the South West of the Netherlands: An Observational Study

Cited by 3 publications

References 16 publications

A Nationwide Retrospective Analysis of Out-of-Hospital Pediatric Cardiopulmonary Resuscitation Treated by Helicopter Emergency Medical Service in the Netherlands

A Nationwide Retrospective Analysis of Out-of-Hospital Pediatric Cardiopulmonary Resuscitation Treated by Helicopter Emergency Medical Service in the Netherlands

Transportation of Medical Staff by Helicopter to Manage a Concealed Delivery at Home

Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: A scoping review of the literature

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