Review article: Primary aeromedical retrievals in Australia: An interrogation and search for context

King, Jemma C.; Franklin, Richard C.; Robertson, Anita; Aitken, Peter; Elcock, Mark; Gibbs, Clinton; Lawton, Luke; Mazur, Stefan M; Edwards, Kristin H.; Leggat, Peter A.

doi:10.1111/1742-6723.13405

Cited by 5 publications

(19 citation statements)

References 51 publications

(171 reference statements)

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“…Aeromedical literature research has investigated and debated the relative merits of retrieval platforms 10,11,29,30 . However, in Queensland a mixed model is used.…”

Section: Discussionmentioning

confidence: 99%

“…The use of administrative data is always a challenge as it is collected for non‐research purposes; in this case there were a number of data limitations which need to be conveyed 11 . First, the two data sets differed in the data collected.…”

Section: Discussionmentioning

confidence: 99%

“…Aeromedical literature research has investigated and debated the relative merits of retrieval platforms. 10,11,29,30 However, in Queensland a mixed model is used. Fixed wing trips are used predominately for longer trips and rotary for shorter.…”

Section: Platformmentioning

confidence: 99%

“…The use of administrative data is always a challenge as it is collected for non-research purposes; in this case there were a number of data limitations which need to be conveyed. 11 First, the two data sets differed in the data collected. This provided restrictions on the capacity to fully integrate and describe the range of activities for each of the retrieval databases (we note that because of the present study a new database has been created which collects all aeromedical cases in Queensland).…”

Section: Limitationsmentioning

confidence: 99%

“…There is value for service providers to internally explore service utilisation and patterns in use 9 . By presenting this information externally, in particular to a peer reviewed audience along with an appropriate level of detail regarding the service context, it is envisioned this will enable comparison and broader discussions regarding the epidemiology of aeromedical retrievals in Australia 10,11 . The aim of the present study is to provide an overview of the aeromedical retrieval tasking in Queensland during the 5‐year period between 2010 and 2014 (inclusive) to provide an overview of patient demographics, temporal patterns and usage characteristics.…”

Section: Introductionmentioning

confidence: 99%

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Aeromedical retrievals in Queensland: A five‐year review

Franklin

King

Aitken

et al. 2020

Emerg Medicine Australasia

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A retrospective case series of aeromedical retrievals undertaken between 2010 and 2014 in the state of Queensland was undertaken. Key insights include the large proportion of retrievals for older adults, cardiology and injury‐related taskings. Aeromedical services play a vital role in enabling all sick and injured residents' have access to the level of care required irrespective of their location, or remoteness, of residence.

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“…Aeromedical literature research has investigated and debated the relative merits of retrieval platforms 10,11,29,30 . However, in Queensland a mixed model is used.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Platformmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Aeromedical retrievals in Queensland: A five‐year review

Franklin

King

Aitken

et al. 2020

Emerg Medicine Australasia

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Use of continuous positive airway pressure and non‐invasive ventilation for respiratory failure in an Australian aeromedical retrieval service: A retrospective case series

Weller¹,

Gibbs²,

Pellatt³

et al. 2021

Emerg Medicine Australasia

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Objective: The purpose of the present study was to investigate the use of respiratory support via continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) in a medical retrieval service in Queensland, Australia, with reference to transport considerations and patient safety. Methods: In this unblinded retrospective case series over a 13-month period, a clinical database was reviewed for the use of CPAP/NIV. Retrieval metrics as well as clinical data were recorded. Results: A total of 128 patients were transferred either by rotary (80%) or fixed wing (20%). The median transport time was 65 min. The median total mission time was 3.7 h. Fifty-two percent of patients were female. The median age was 69 years and 93% had a background of cardiorespiratory disease. Sixty-five percent of patients were receiving CPAP/NIV before arrival of the retrieval team. The main diagnoses were respiratory failure (29.7%), acute pulmonary oedema (26.6%) and chronic obstructive pulmonary disease (25.8%). There were no incidences of pneumothorax, intubation in transit, vomiting, desaturation, hypotension, cardiac arrest or death. In two cases NIV was abandoned due to mask intolerance and in one case there was a decrease in Glasgow Coma Scale by 2. In no cases was there a detrimental outcome for the patient. Conclusion: The use of NIV and CPAP appears to have a low-risk profile in aeromedical retrieval even for prolonged periods of time in an adult population.

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Optimising medical retrieval processes and outcomes in remote areas in high‐income countries: A scoping review

Mathew

Russell

Fitts

et al. 2022

Australian J Rural Health

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Objective This scoping review explores the structure and process‐level strategies that are associated with medical retrieval outcomes. A secondary aim is to identify the range of medical retrieval outcomes used to assess the performance of remote retrieval services. Design A scoping review of peer‐reviewed literature from PubMed, CINAHL and the Web of Science was undertaken following guidelines set by the Johanna Briggs Institute manual for scoping reviews. All articles were assessed by two reviewers. Themes were derived inductively from the data extracted. Setting Medical retrievals in sparsely populated remote locations in high‐income countries. Participants Staff and clients of remote medical retrieval services. Interventions Structures and processes (e.g. resource availability, retrieval staff structures and governance protocols) that aimed to improve medical retrieval outcomes. Outcomes Patient health outcomes and service efficiency. Results Twenty‐four articles were included. Three broad themes, related to the nature of the interventions, were included: optimising prehospital management of retrievals, staffing and resourcing of retrieval services and retrieval model evaluation. Mortality was the most frequently used outcome indicator in these studies, but was not measured consistently across studies. Conclusions This review highlights significant gaps in the literature that describes the structure and processes of retrieval models operating in remote areas and a dearth of literature evaluating specific operational strategies implemented within medical retrieval models. The available literature does not meaningfully assist with identifying key outcome indicators for developing a consistent monitoring and evaluation framework for retrieval services in geographically, culturally and demographically diverse remote contexts.

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Review article: Primary aeromedical retrievals in Australia: An interrogation and search for context

Cited by 5 publications

References 51 publications

Aeromedical retrievals in Queensland: A five‐year review

Aeromedical retrievals in Queensland: A five‐year review

Use of continuous positive airway pressure and non‐invasive ventilation for respiratory failure in an Australian aeromedical retrieval service: A retrospective case series

Optimising medical retrieval processes and outcomes in remote areas in high‐income countries: A scoping review

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