Rescue procedures in the major trauma of upper extremities – The role of the polish medical air rescue in the therapeutic process

Gałązkowski, Robert; Świeżewski, Stanisław Paweł; Rabczenko, Daniel; Wejnarski, Arkadiusz; Timler, Dariusz; Michalak, Grzegorz; Kotela, Ireneusz

doi:10.13075/mp.5893.00144

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…They found that for patients with acute coronary syndrome, the median time that passed from the receipt of the call to patient transfer to the target hospital was 81 min, and the transport distance was 59.4 km, whereas in patients with sudden injury the median time from the receipt of the call to patient transfer to the target hospital was 115 min, and the distance was 135.9 km [42]. The results of the authors' own study showed that the average time from the receipt of the call to patient transfer in the incubator to the target center was much longer and amounted to 269.16 min, while the distance during transport was also greater, that is 304.27 km, compared to the above analyses of air transports [41,42].…”

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

“…The study on the contribution of the Polish Medical Air Rescue in the rescue procedure in case of severe upper limb injuries was conducted by Gałązkowski et al (2014). Their study showed that the average inter-hospital air transport time of patients with severe upper limb injuries was 75.8 min and the total transport time-172.3 min [41]. Wejnarski et al (2019) characterized airborne transport, both between hospitals and directly from the site of the event of patients with acute myocardial infarction or acute trauma in Poland between 2011 and 2016.…”

Section: Discussionmentioning

confidence: 99%

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

Rzońca

Świeżewski

Gałązkowski

et al. 2020

IJERPH

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The aim of the study was to present characteristics of patients transported in incubators by crews of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) of the Polish Medical Air Rescue as well as the character of their missions. The study was based on the method of retrospective analysis of neonatal transports with the use of transport incubators by the crews of HEMS and EMS of the Polish Medical Air Rescue. The study covered 436 medical and rescue transports of premature babies and full-term newborns in the period between January 2012 and December 2018. The study group consisted mainly of male patients (55.05%) who, on the basis of the date of delivery, were qualified as full-term newborns (54.59%). During the transport their average age was 37.53 (standard deviation, SD 43.53) days, and their average body weight was 3121.18 (SD 802.64) grams. A vast majority of neonatal transports were provided with the use of a plane (84.63%), and these were medical transports (79.36%). The average transport time was 49.92 (SD 27.70) minutes with the average distance of 304.27 km (SD 93.05). Significant differences between premature babies and full-term newborns were noticed in terms of age and body weight at the moment of transport, diagnosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10), the most commonly used medications (prostaglandin E1, glucose, furosemide, vitamins), National Advisory Committee for Aeronautics (NACA) scale rate as well as the mission type and the presence of an accompanying person.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Rzońca

Świeżewski

Gałązkowski

et al. 2020

IJERPH

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“…Flights to AT patients who have suffered injuries in road or construction accident and other events resulting in lifethreatening situations are as frequent as cases of AMI. Patients fulfilling the criteria for enrollment in a trauma center (TC), a center for the treatment of burns or a hospital performing the replantation of limbs can be transported by air, which is beneficial from the point of view of saving time, minimizes the shaking present during ambulance transport 7,8 and also reduces the fatality rate. 9,10 When comparing land and aeromedical transport in the course of implementing vital procedures, an important role is played by the exceptional professional experience of HEMS teams.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of aeromedical transport, both interhospital and directly from the scene of the incident, in patients with acute myocardial infarction or acute trauma between 2011–2016 in Poland: A case-control study

Wejnarski¹,

Leszczyński²,

Świeżewski³

et al. 2019

Adv Clin Exp Med

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Background. Patients with acute myocardial infarction (AMI) or acute trauma (AT) are transported by air to save time. Helicopter Emergency Medical Service (HEMS) provides both flights to and from the emergency scene, as well as interhospital transport (interHtransport).Objectives. The objective of this study was to compare aeromedical transport and HEMS missions of AMI and AT patients regarding safety, medical procedures and the length of flights.Material and methods. This is a case-control study analyzing the medical history records of AMI and AT patients transported between hospitals and from the scene identified using ICD-10 codes. Research of customary data (age, sex and general health status measured with Glasgow Coma Scale (GCS) and Revised Trauma Score (RTS)) was performed.Results. There were 48,555 flights in the years 2011-2016, of which 7,645 (15.7%) were interhospital (19% AMI and 12% AT). Out of these, 40,910 (84.3%) HEMS missions were to patients on the scene (10% AMI and 13% AT). No fatalities were noted. The AMI GCS score was higher than in AT patients: 15.0 vs 14.0, respectively. The medical procedures during transport of AMI patients between hospitals and from the scene were the following: cardiopulmonary resuscitation (CPR): 6 vs 73 cases (p < 0.001); oxygen therapy: 41. 1% vs 50.2%, respectively. The median distance was 59.4 km vs 52. 1 km (p < 0.001), while median flight time was 45.0 min vs 38.0 min (p < 0.001), respectively. Regarding AT patients, the procedures performed (during interhospital and from the scene transport) were the following: CPR: 5 vs 244 cases (p < 0.001); intubation: 10.7% vs 17.3% (p < 0.001); sedation: 50. 1% vs 24.3% (p < 0.001); oxygen therapy: 17.6% vs 36.6% (p < 0.001); spinal board: 17. 1% vs 66% (p < 0.001); cervical collar: 15.9% vs 63.4% (p < 0.001), respectively. Interhospital transport and HEMS mission median flight distance was 135.9 km vs 56.3 km (p < 0.001), while median flight time was 66.0 min vs 45.0 min (p < 0.001), respectively.Conclusions. Aeromedical transport is safe and very rarely requires resuscitation during the flight. The long distances of flights and time required can reflect the scarcity of trauma centers (TCs) compared to cardiovascular wards. The location of hemodynamic centers in Poland is optimal.

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“…Due to this kind of arrangement, PMAR's helicopters can reach patients needing medical emergency services in the whole area of the country in an optimal time range (Fig. 2) [3,11,12].…”

Section: Structure Of Polish Medical Air Rescue (Pmar)mentioning

confidence: 99%

Role of Polish Medical Air Rescue in national medical rescue system

Rzońca

Gałązkowski

Podgórski³

2017

Disaster Emerg Med J

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Great technological progression, as well as the development of motorization in the past decades, has caused an intensification of danger to health and life for contemporary societies. The increasing amount of HEMS (Helicopter Emergency Medical Service) units interventions underline that the significance of the Polish Medical Air Rescue service within the structures of National Medical Rescue System is increasing. Polish Medical Air Rescue is the one and only organization in Poland which uses helicopters while performing emergency medical services and conducting the transport of patients. The history of medical aviation, and later the Polish Medical Air Rescue service shows the great work and effort that has been put into the development and functioning of this organization.

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Rescue procedures in the major trauma of upper extremities – The role of the polish medical air rescue in the therapeutic process

Cited by 5 publications

References 16 publications

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

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

Characteristics of aeromedical transport, both interhospital and directly from the scene of the incident, in patients with acute myocardial infarction or acute trauma between 2011–2016 in Poland: A case-control study

Role of Polish Medical Air Rescue in national medical rescue system

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