scholarly journals Retrospective Analysis of out-of-Hospital Paediatric Intubation by a Dutch Helicopter Emergency Medical Service

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
RJ Moors Xavier ◽  
B Oude Alink Michelle ◽  
JM Bouman Stef ◽  
Dennis Den Hartog ◽  
Jan Houmes Robert ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Helicopter Emergency Medical Service ◽  
Emergency Medical

scholarly journals BURNS IN PRACTICE OF HELICOPTER EMERGENCY MEDICAL SERVICE IN POLAND. RETROSPECTIVE ANALYSIS

2019 ◽  
Vol 72 (3) ◽  
pp. 500-505 ◽  
Author(s):  
Patryk Rzońca ◽  
Piotr Tomaka ◽  
Robertn Gałązkowski
Keyword(s):  
Retrospective Analysis ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Opioid Analgesics ◽  
Final Analysis ◽  
Helicopter Emergency Medical Service ◽  
Healthcare Facilities ◽  
Severe Burns ◽  
Emergency Medical ◽  
Vital Factor

Introduction: Burns are a huge problem for public health and a challenge for healthcare systems all around the world. They are responsible for 180.000 deaths worldwide each year. In order to ensure high quality treatment and rehabilitation of these patients burn centres are established in many countries. Another vital factor influencing the prognosis of patients with burns is quick transport that in many countries, including Poland is carried out by Helicopter Emergency Medical Service (HEMS). The aim: To describe the operations carried out by HEMS with particular stress put on the target medical facility. Materials and methods: The research was conducted with the method of retrospective analysis of operations performed by HEMS crews. All missions from January 2011 to December 2018 were included in the study and 2534 cases were qualified for the final analysis. Results: The study group was predominantly male (72.72%) aged 18 years old and less (36.65%). Nearly two thirds of the patients were transported to hospitals with a burn ward (61.88%). Opioid analgesics as well as crystalloids were the most commonly administered drugs (respectively 68.55% and 64.76%). Statistical analysis showed that HEMS arrival time (20.77 minutes vs 18.60 minutes) and duration of the transport to designated hospital (40.11 minutes vs 19.66 minutes) were significantly higher in the cases of deciding to transport the patient to the hospital with the burns department (p<0.001). Conclusions: Presented results showed that HEMS crews are more often assigned to help ground-based Medical Rescue Teams in case of patients who required treatment in burn centres. Moreover, the time and distance to the hospital with burn ward was significantly longer compared to other healthcare facilities. This confirms that the assigning of HEMS crews for the patients with severe burns was reasonable.

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