keyword
https://read.qxmd.com/read/38085592/outcomes-of-trauma-walk-ins-in-the-american-college-of-surgeons-trauma-quality-program-database
#1
JOURNAL ARTICLE
Sujata Syamal, Andrew H Tran, Chi-Ching Huang, Avanti Badrinathan, Aria Bassiri, Vanessa P Ho, Christopher W Towe
BACKGROUND: Outcomes of trauma "walk-in" patients (using private vehicles or on foot) are understudied. We compared outcomes of ground ambulance vs walk-ins, hypothesizing that delayed resuscitation and uncoordinated care may worsen walk-in outcomes. METHODS: A retrospective analysis 2020 American College of Surgeons Trauma Quality Programs (ACS-TQP) databases compared outcomes between ambulance vs "walk-ins." The primary outcome was in-hospital mortality, excluding external facility transfers and air transports...
December 12, 2023: American Surgeon
https://read.qxmd.com/read/36923050/changes-in-vital-signs-ventilation-mode-and-catecholamine-use-during-intensive-care-aeromedical-evacuation-flights
#2
JOURNAL ARTICLE
Janina Post, Marc Christoph Maeckelburg, Vitali Jagel, Stefan Sammito
INTRODUCTION: Especially after (natural) disasters, local health systems are also destroyed or their ability to work is massively restricted. The transport of injured patients is therefore often necessary for further care. Numerous nations keep fixed-wing aircraft with intensive-care capabilities available for secondary transport, but little data on the transport is available to date. METHODS: An analysis of all flights with the German Air Force's intensive care fixed-wing-aircraft carried out in the context of humanitarian aid missions since 2002 with a focus on intubated patients was done...
2023: Frontiers in Public Health
https://read.qxmd.com/read/36529455/clinical-impact-of-prolonged-helicopter-emergency-travel-times-in-a-rural-trauma-system
#3
JOURNAL ARTICLE
Heather Rhodes, Stephen R Poulin, Antonio Pepe
BACKGROUND: In the United States, healthcare organizations utilize helicopter emergency medical services (HEMS), which are well-established and integral to trauma and emergency medical transport. HEMS expedites critical resources to trauma patients at the initial scene of the accident, which typically falls outside of the effective service area of ground transportation. METHODS: This is a single-center study of trauma registry data, inclusive years July 1, 2016, to September 26, 2021...
December 18, 2022: American Surgeon
https://read.qxmd.com/read/36153137/the-use-of-nitric-oxide-as-a-rescue-modality-for-severe-adult-acute-respiratory-distress-syndrome-patients-including-covid-19-in-critical-care-rotor-transport-a-retrospective-community-outcome-study
#4
JOURNAL ARTICLE
Jason Piecek, Terry Valentino, Ryan Aust, Lora Harris, Jennifer Hancock, Christopher Hardman, Scott F van Poppel
OBJECTIVE: Severe acute respiratory distress syndrome (ARDS) mortality increases in smaller outlying facilities, and patients (especially those diagnosed with coronavirus disease 2019 [COVID-19]) are often "stuck" at these facilities. These patients are on maximal ventilator settings and are often in the prone position. Our purpose was to show that with the use of inhaled nitric oxide (iNO), a "community-based" rotor wing critical care transport (CCT) team can safely, consistently, and effectively transport these extremely precarious patients to the tertiary care that is needed...
September 2022: Air Medical Journal
https://read.qxmd.com/read/34535241/the-state-of-neonatal-and-pediatric-interfacility-transport-during-the-coronavirus-disease-2019-pandemic
#5
JOURNAL ARTICLE
Michael H Stroud, Franscesca F Miquel-Verges, Ranna A Rozenfeld, Robert G Holcomb, Clare C Brown, Keith Meyer
OBJECTIVE: The coronavirus disease 2019 (COVID-19) pandemic has altered the provision of health care, including interfacility transport of critically ill neonatal and pediatrics patients. Transport medicine faces unique challenges in the care of persons infected with the severe acute respiratory syndrome coronavirus 2. In particular, the multitude of providers, confined spaces for prolonged time periods, varying modes (ground, rotor wing, and fixed wing) of transport, and the need for frequent aerosol-generating procedures place transport personnel at high risk...
September 2021: Air Medical Journal
https://read.qxmd.com/read/33744719/total-transfer-time-for-ground-vs-air-transport-for-interhospital-and-scene-transfers-of-acute-stroke-patients
#6
COMPARATIVE STUDY
Sameer A Kunte, Drew Anderson, Kiersten Brown-Espaillat, Michael T Froehler
OBJECTIVES: Stroke patients are frequently transported to a comprehensive stroke center for treatment, either from a regional hospital via interhospital transfer or from the field via direct-from-scene transfer, by air or ground transportation. We sought to determine whether air or ground transport was faster in both transfer circumstances. MATERIALS AND METHODS: A retrospective study of patients transferred to a single comprehensive stroke center for stroke treatment was conducted...
June 2021: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/32195996/disparities-in-rural-versus-urban-field-triage-risk-and-mitigating-factors-for-undertriage
#7
JOURNAL ARTICLE
Andrew-Paul Deeb, Heather M Phelos, Andrew B Peitzman, Timothy R Billiar, Jason L Sperry, Joshua B Brown
BACKGROUND: There are well-known disparities for patients injured in rural setting versus urban setting. Many cite access to care; however, the mechanisms are not defined. One potential factor is differences in field triage. Our objective was to evaluate differences in prehospital undertriage (UT) in rural setting versus urban settings. METHODS: Adult patients in the Pennsylvania Trauma Outcomes Study (PTOS) registry 2000 to 2017 were included. Rural/urban setting was defined by county according to the Pennsylvania Trauma Systems Foundation...
July 2020: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/31248542/efficacy-and-safety-of-nasal-high-flow-therapy-for-neonatal-transport
#8
JOURNAL ARTICLE
Bhanu Muniyappa, Gina Honey, Bradley A Yoder
OBJECTIVE: Noninvasive ventilation, including nasal high-flow therapy (nHFT), provides effective neonatal respiratory support. There are limited data on nHFT use during neonatal transport. Our objective was to assess the efficacy and safety of nHFT during neonatal transport. METHODS: One hundred ninety-five neonates transported on nHFT via a Neo-Pod "T" system (Westmed Inc, Tucson, AZ) were identified from Life Flight transport data. Data included demographics, transport location, distance, indication, and mode as well as pretransport and intratransport respiratory support data...
July 2019: Air Medical Journal
https://read.qxmd.com/read/28463947/impact-of-interfacility-transport-method-and-specialty-teams-on-outcomes-of-pediatric-trauma-patients
#9
JOURNAL ARTICLE
Shetal C Patel, Stephen Murphy, Scott Penfil, Debra Romeo, James H Hertzog
OBJECTIVE: The aim of the study was to evaluate the impact of ground versus air transport and use of pediatric specialty versus generalist transport teams on outcomes of pediatric trauma victims requiring interfacility transport. METHODS: A retrospective review of our hospital's trauma registry database was performed. Children with traumatic injuries who were transported from a referring hospital by either our pediatric specialty transport team or an outside generalist transport team were included in the analysis...
July 2018: Pediatric Emergency Care
https://read.qxmd.com/read/28411750/safety-of-air-travel-in-the-immediate-postoperative-period-after-anatomic-pulmonary-resection
#10
COMPARATIVE STUDY
Stephen D Cassivi, Karlyn E Pierson, Bettie J Lechtenberg, Francis C Nichols, K Robert Shen, Mark S Allen, Dennis A Wigle
OBJECTIVE: The study objective was to determine whether air travel in the immediate postoperative period after anatomic pulmonary resection is associated with increased morbidity or mortality. METHODS: All patients undergoing anatomic pulmonary resection at the Mayo Clinic (2005-2012) were identified and sent surveys querying their mode of transportation home after hospital dismissal and any complications encountered during or shortly after this travel. This included pneumonia, hospital readmission, deep venous thrombosis/pulmonary embolism, and specific pleural complications (pneumothorax, empyema, or chest tube placement)...
May 2017: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/28017330/mortality-following-helicopter-versus-ground-transport-of-injured-children
#11
COMPARATIVE STUDY
Stephanie F Polites, Martin D Zielinski, Aodhnait S Fahy, Amy E Wagie, Christopher R Moir, Donald H Jenkins, Scott P Zietlow, Elizabeth B Habermann
INTRODUCTION: Injured children may be transported to trauma centers by helicopter air ambulance (HAA); however, a benefit in outcomes to this expensive resource has not been consistently shown in the literature and there is concern that HAA is over-utilized. A study that adequately controls for selection biases in transport mode is needed to determine which injured children benefit from HAA. The purpose of this study was to determine if HAA impacts mortality differently in minimally and severely injured children and if there are predictors of over-triage of HAA in children that can be identified...
May 2017: Injury
https://read.qxmd.com/read/27906867/external-validation-of-the-air-medical-prehospital-triage-score-for-identifying-trauma-patients-likely-to-benefit-from-scene-helicopter-transport
#12
JOURNAL ARTICLE
Joshua B Brown, Mark L Gestring, Francis X Guyette, Matthew R Rosengart, Nicole A Stassen, Raquel M Forsythe, Timothy R Billiar, Andrew B Peitzman, Jason L Sperry
BACKGROUND: The Air Medical Prehospital Triage (AMPT) score was developed to identify injured patients who may benefit from scene helicopter emergency medical services (HEMS) transport. External validation using a different data set is essential to ensure reliable performance. The study objective was to validate the effectiveness of the AMPT score to identify patients with a survival benefit from HEMS using the Pennsylvania Trauma Outcomes Study registry. METHODS: Patients 16 years or older undergoing scene HEMS or ground EMS (GEMS) transport in the Pennsylvania Trauma Outcomes Study registry 2000-2013 were included...
February 2017: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/27636186/do-pediatric-teams-affect-outcomes-of-injured-children-requiring-inter-hospital-transport
#13
JOURNAL ARTICLE
Amanda Calhoun, Martin Keller, Junxin Shi, Celeste Brancato, Kathy Donovan, Diana Kraus, Julie C Leonard
INTRODUCTION: Studies show that pediatric trauma centers produce better outcomes and reduced mortality for injured children. Yet, most children do not have timely access to a pediatric trauma center and require stabilization locally with subsequent transfer. Investigators have demonstrated that pediatric transport teams (PTT) improve outcomes for critically ill children; however, these studies did not differentiate outcomes for injured children. It may be that moderate to severely injured children actually fare worse with PTT due to slower transport times inherent to their remote locations and thus delays in important interventions...
March 2017: Prehospital Emergency Care
https://read.qxmd.com/read/27043801/survival-of-trauma-victims-transported-by-helicopter-who-required-cardiopulmonary-resuscitation-within-the-first-hour-of-hospital-arrival
#14
COMPARATIVE STUDY
Nasim Ahmed
OBJECTIVES: The purpose of the study was to review the impact on survival of trauma victims who were transported via helicopter ambulance versus ground transportation and who received cardiopulmonary resuscitation (CPR) within 1 hour of hospital arrival. METHODS: A retrospective analysis of the trauma patients who underwent CPR within 1 hour of arrival to the trauma centers and transported either via air or ground ambulances was performed. Data were extracted from the Research Data Set 2007-2010 from the American College of Surgeons National Trauma Data Bank...
April 2016: Southern Medical Journal
https://read.qxmd.com/read/25058262/when-birds-can-t-fly-an-analysis-of-interfacility-ground-transport-using-advanced-life-support-when-helicopter-emergency-medical-service-is-unavailable
#15
JOURNAL ARTICLE
Greg M Borst, Stephen W Davies, Brett H Waibel, Kenji L Leonard, Shane M Rinehart, Mark A Newell, Claudia E Goettler, Michael R Bard, Nathaniel R Poulin, Eric A Toschlog
BACKGROUND: Helicopter emergency medical service (HEMS) transport of trauma patients is costly and of unproven benefit. Recent retrospective studies fail to control for crew expertise and therefore compare highly trained advance life support with less-trained basic life support crews. The purpose of our study was to compare HEMS with ground, interfacility transport while controlling for crew training. We hypothesized that patients transported by HEMS would experience shorter interhospital transport time and reduced mortality...
August 2014: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/24746909/impact-of-mode-of-transportation-on-time-to-treatment-in-patients-transferred-for-primary-percutaneous-coronary-intervention
#16
JOURNAL ARTICLE
Timothy A Mixon, Luis Colato
BACKGROUND: Patients suffering ST segment elevation myocardial infarction (STEMI) requiring transfer from a non-percutaneous coronary intervention (PCI) hospital to a PCI-capable hospital often have prolonged treatment times. OBJECTIVE: For STEMI transfers, we changed from air to ground transportation, and carefully documented the impact on treatment times. METHODS: This is a retrospective report between two hospitals within one STEMI system...
August 2014: Journal of Emergency Medicine
https://read.qxmd.com/read/24139232/comparison-of-helicopter-versus-ground-transport-for-the-interfacility-transport-of-isolated-spinal-injury
#17
JOURNAL ARTICLE
Norah A Foster, Dawn M Elfenbein, Wayne Kelley, Christopher R Brown, Carolyn Foley, John E Scarborough, Steven N Vaslef, Mark L Shapiro
BACKGROUND CONTEXT: The use and need of helicopter aeromedical transport systems (HEMSs) in health care today is based on the basic belief that early definitive care improves outcomes. Helicopter aeromedical transport system is perceived to be safer than ground transport (GT) for the interfacility transfer of patients who have sustained spinal injury because of the concern for deterioration of neurologic function if there is a delay in reaching a higher level of care. However, the use of HEMS is facing increasing public scrutiny because of its significantly greater cost and unique risk profile...
July 1, 2014: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/23799905/survival-benefit-of-helicopter-emergency-medical-services-compared-to-ground-emergency-medical-services-in-traumatized-patients
#18
MULTICENTER STUDY
Hagen Andruszkow, Rolf Lefering, Michael Frink, Philipp Mommsen, Christian Zeckey, Katharina Rahe, Christian Krettek, Frank Hildebrand
INTRODUCTION: Physician-staffed helicopter emergency medical services (HEMS) are a well-established component of prehospital trauma care in Germany. Reduced rescue times and increased catchment area represent presumable specific advantages of HEMS. In contrast, the availability of HEMS is connected to a high financial burden and depends on the weather, day time and controlled visual flight rules. To date, clear evidence regarding the beneficial effects of HEMS in terms of improved clinical outcome has remained elusive...
June 21, 2013: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/23778445/improving-overtriage-of-aeromedical-transport-in-trauma-a-regional-process-improvement-initiative
#19
COMPARATIVE STUDY
Blair A Wormer, Greg P Fleming, Ashley B Christmas, Ronald F Sing, Michael H Thomason, Toan Huynh
BACKGROUND: Aeromedical transport (AMT) is an effective but costly means of rescuing critically injured patients. Although studies have shown that it improves survival to hospital discharge compared with ground transportation, an efficient threshold or universal criteria for this mode of transport remains to be established. Herein, we examined the effect of implementing a Trauma Advisory Committee (TAC) initiative focused on reducing AMT overtriage (OT) rates. METHODS: TAC outreach coordinators implemented a process improvement (PI) initiative and collected data prospectively from January 2007 to December 2011...
July 2013: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/22491538/impact-of-prehospital-mode-of-transport-after-severe-injury-a-multicenter-evaluation-from-the-resuscitation-outcomes-consortium
#20
RANDOMIZED CONTROLLED TRIAL
Eileen M Bulger, Danielle Guffey, Francis X Guyette, Russell D MacDonald, Karen Brasel, Jeffery D Kerby, Joseph P Minei, Craig Warden, Sandro Rizoli, Laurie J Morrison, Graham Nichol
BACKGROUND: There is ongoing controversy about the relative effectiveness of air medical versus ground transportation for severely injured patients. In some systems, air medical crews may provide a higher level of care but may require longer transport times. We sought to evaluate the impact of mode of transport on outcome based on analysis of data from two randomized trials of prehospital hypertonic resuscitation. METHODS: Injured patients were enrolled based on prehospital evidence of hypovolemic shock (systolic blood pressure ≤70 mm Hg or systolic blood pressure = 71-90 mm Hg with heart rate ≥108 bpm) or severe traumatic brain injury (TBI; Glasgow Coma Scale score ≤8)...
March 2012: Journal of Trauma and Acute Care Surgery
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