Transportation of the injured

MacDonald, Rhona; Banks, Justin; Ledingham, I. McA.

doi:10.1016/0020-1383(80)90012-1

Cited by 14 publications

(4 citation statements)

References 46 publications

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“…At the present time, school screen;--ograms to detect scoliosis are a controversial issue. [1][2][3][4][5][6][7][8][9][10] Several descriptive studies or surveys report findings from screening programs.'' [11][12][13] No current programs have been rigorously evaluated by epidemiological data as well as clinical skills.3 A prerequisite of a screening program is that the identification of those requiring more detailed assessment and treatment be accurate.…”

Section: Assessment Of Accuracy Of the Scoliosis School Screening Examentioning

confidence: 99%

Patient transfers: medical practice as social triage.

Himmelstein¹,

Woolhandler²,

Harnly³

et al. 1984

Am J Public Health

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We studied 458 consecutive patient transfers from 14 ty studied, transfer is a common and potentially dangerous medical private hospitals to a public hospital emergency room during a sixintervention which appears to reinforce racial and class inequalities month period. The transferred patients were predominantly male, of access to medical care. (Am J Public Health 1984; 74:494-497.) young, and uninsured, and included large numbers of minority group members. We established criteria to identify patients at high risk for adverse effects of transfer and reviewed the clinical records of the 103 patients meeting these criteria. We judged that transfer resulted Introduction in substandard care for 33 of these patients, either because theyLittle is known about the transfer of patients between were at risk for life-threatening complications in transit or because hospital emergency rooms. Anecdotal reports suggest that such transfers are common, may be hazardous, and dispro- Of the 458 patients transferred to the emergency department, 272 (53 per cent) were admitted to the hospital, 22 of whom required intensive care. Thirty-two patients (7 per cent) were referred to the Department of Psychiatry, 9 (2 per cent) were taken into custody by judicial authorities, and 27 (6 per cent) were transferred to other institutions for further care. The study population of 458 patients with 272 admissions represented 2 per cent of emergency room visits and 6.5 per cent of all hospital admissions at Highland General.Half of the patients had suffered traumatic injuries; 8 per cent were thought to have taken drug overdoses; and 5 per cent had alcohol withdrawal syndromes.Each of the 14 private hospitals in Alameda County with an emergency room transferred at least 11 patients to the county hospital. The 12 private hospitals with full emergency services were responsible for 91 per cent of the transfers, with four of these accounting for 55 per cent of all transfers. Sixty-six per cent of patients were transported by ambulance, and the remaining 34 per cent provided their own transportation.Seventy-nine (31 per cent) of the White patients transferred were insured, while 90 (44 per cent) of the non-White patients had health insurance (Chi square df 1 = 7.5, p<.01). Clinical EvaluationOf the 103 patients whose charts were reviewed, only one patient was explicitly transferred for a medical indication, a service not available at the original hospital. In 11 cases, physicians indicated that the patient was transferred because of inability to pay. In no case did a physician or nurse accompany the patient during transfer.In 33 cases (24 males and 9 females), transfer was judged to have jeopardized the patient. Fourteen (42 per cent) of those jeopardized were non-Spanish surnamed Whites, while this group accounted for 56 per cent of nonjeopardized transfers (Chi square df 1 = 2.35, p=.12). Twenty-eight (85 per cent) of those imperiled by transfer were uninsured, a significantly greater proportion than the 62 per cent uninsured among tho...

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Section: Assessment Of Accuracy Of the Scoliosis School Screening Examentioning

confidence: 99%

Patient transfers: medical practice as social triage.

Himmelstein¹,

Woolhandler²,

Harnly³

et al. 1984

Am J Public Health

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“…Whether the opponents are interpreted as Proto-Gnostics, 34 Essenes, 35 Middle Platonists, 36 or Neo-Pythagoreans, 37 they are understood and defined against the Christianity of the author and as something wholly different. While many scholars of this group tend to emphasize the dichotomy between Christianity and for example Proto-Gnostics (or whatever group the opponents are identified as), these proponents rarely problematize the issue of diverse and competing groups of Christianity.…”

Section: Apostolic Christianity and "Religion"mentioning

confidence: 99%

The Protestant Historiographic Myth and the Discourse of Differentiation in Scholarly Studies of Colossians

Spjut

2015

SEÅ

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“…Although the accident and emergency department may not have direct control over the management of the casualty at the site of injury and during his transport to hospital there is a growing awareness that the lives of some patients may be saved during this period and for others, especially those with head injury, morbidity may be decreased. Some excellent studies on the effectiveness of resuscitation during this period and on the circulatory disturbances during ambulance transport have been undertaken but there is room for more studies of this type (Macdonald, 1980). There is insufficient information available to make the case for helicopter evacuation of the seriously injured and quite apart from the possible cost we have found in the military context that helicopter transport is not without its own problems.…”

Section: Treatmentmentioning

confidence: 99%

Priorities for research in accident and emergency medicine.

Scott¹

1984

Emergency Medicine Journal

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Transportation of the injured

Cited by 14 publications

References 46 publications

Patient transfers: medical practice as social triage.

Patient transfers: medical practice as social triage.

The Protestant Historiographic Myth and the Discourse of Differentiation in Scholarly Studies of Colossians

Priorities for research in accident and emergency medicine.

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