Outcomes after cancelled helicopter emergency medical service missions due to concurrencies: a retrospective cohort study

2017 ◽  
Vol 62 (1) ◽  
pp. 116-124 ◽  
Author(s):  
Ø. Østerås ◽  
J.-K. Heltne ◽  
K. Tønsager ◽  
G. Brattebø
Keyword(s):  
Cohort Study ◽  
Emergency Medical Service ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Medical Service ◽  
Helicopter Emergency Medical Service ◽  
Emergency Medical

scholarly journals Pre-hospital anaesthesia and assessment of head injured patients presenting to a UK Helicopter Emergency Medical Service with a high Glasgow Coma Scale: a cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e023307 ◽  
Author(s):  
Duncan Bootland ◽  
Caroline Rose ◽  
Jack W Barrett ◽  
Richard Lyon
Keyword(s):  
Cohort Study ◽  
Brain Injury ◽  
Head Injury ◽  
Glasgow Coma Scale ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Outcome Measure ◽  
Helicopter Emergency Medical Service ◽  
Coma Scale ◽  
Emergency Medical

ObjectivesPatients who sustain a head injury but maintain a Glasgow Coma Scale (GCS) of 13–15 may still be suffering from a significant brain injury. We aimed to assess the appropriateness of triage and decision to perform prehospital rapid sequence induction (RSI) in patients attended by a UK Helicopter Emergency Medical Service (HEMS) following head injury.DesignA retrospective cohort study of patients attended by Kent Surrey & Sussex Air Ambulance Trust (KSSAAT) HEMS.SettingA mixed urban and rural area of 4.5 million people in South East England.ParticipantsGCS score of 13, 14 or 15 on arrival of the HEMS team and clinical findings suggesting head injury. Patients accompanied by the HEMS team to hospital (‘Escorted’), and those that were ‘Assisted’ but conveyed by the ambulance service were reviewed. No age restrictions to inclusion were set.Primary outcome measureSignificant brain injury.Secondary outcome measureRecognition of patients requiring prehospital anaesthesia for head injury.ResultsOf 517 patients, 321 had adequate follow-up, 69% of these were Escorted, 31% Assisted. There was evidence of intracranial injury in 13.7% of patients and clinically important brain injury in 7.8%. There was no difference in the rate of clinically important brain injury between Escorted and Assisted patients (p=0.46). Nineteen patients required an RSI by the HEMS team and this patient group was significantly more likely to have clinically important brain injury (p=0.04).ConclusionIn patients attended by a UK HEMS service with a head injury and a GCS of 13–15, a small but significant proportion had a clinically important brain injury and a proportion were appropriately recognised as requiring prehospital RSI. For patients deemed not to need a HEMS intervention, differentiating between those with and without clinically important brain injury appears challenging.Level of evidenceV.

Prehospital pediatric emergencies in Austrian helicopter emergency medical service – a nationwide, population-based cohort study

2011 ◽  
Vol 123 (17-18) ◽  
pp. 552-558 ◽  
Author(s):  
Harald F. Selig ◽  
Helmut Trimmel ◽  
Wolfgang G. Voelckel ◽  
Michael Hüpfl ◽  
Gerhard Trittenwein ◽  
...  
Keyword(s):  
Cohort Study ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Helicopter Emergency Medical Service ◽  
Population Based ◽  
Pediatric Emergencies ◽  
Emergency Medical
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