Air versus ground transport of the major trauma patient: a natural experiment

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jennifer McVeyJohn M Tallon

Abstract

1) To compare the outcomes of adult trauma patients transported to a level I trauma center by helicopter vs. ground ambulance. 2) To determine whether using a unique "natural experiment" design to obtain the ground comparison group will reduce potential confounders. Outcomes in adult trauma patients transported to a tertiary care trauma center by air were compared with outcomes in a group of patients who were accepted by the online medical control physician for air transport, but whose air missions were aborted for aviation reasons (weather, maintenance, out on a mission); these patients were subsequently transported by ground ambulance instead. Outcomes were also analyzed for a third ground control group composed of all other adult trauma patients transported by ground during this time period. Data were collected by retrospective database review of trauma patients transferred between July 1, 1997, and June 30, 2003. Outcomes were measured by Trauma Injury Severity Score (TRISS) analysis. Z and W scores were calculated. Three hundred ninety-seven missions were flown by LifeFlight during the study period vs. 57 in the clinical accept-aviation abort ground transport group. The mean ages, gender distributions, mechanisms of injury...Continue Reading

References

Nov 1, 1990·The Journal of Trauma·H R ChampionC F Frey
Jun 1, 1988·Annals of Surgery·J A MoylanG S Georgiade
Apr 27, 1999·The Journal of Trauma·J S SampalisD Mulder
Jan 16, 2002·The Journal of Trauma·Stephen H ThomasSuzanne K Wedel
Mar 20, 2002·The Journal of Trauma·Vicky L ChappellDennis C Gore
Apr 19, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Stephen H ThomasDavid Thomson
Jul 3, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·N Clay MannRichard J Mullins
Jul 12, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Stephen H ThomasDavid Thomson
Aug 9, 2002·Air Medical Journal·Connie H LeBlancStacy Ackroyd-Stolarz
Jan 24, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Bryan E Bledsoe
Jun 24, 2004·The Journal of Trauma·Bryan E Bledsoe, Michael G Smith
Jun 30, 2005·Annals of Plastic Surgery·Matthew S KilgoPeter G Cordeiro
Jul 5, 2005·The Journal of Trauma·P JoosseK J Ponsen
Mar 15, 2006·The Journal of Trauma·John M TallonDavid Petrie
Jan 11, 2007·Air Medical Journal·David A PetrieDagmar McManus
Oct 2, 2007·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Stephen H Thomas

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Citations

Jun 21, 2013·The Annals of Occupational Hygiene·Thomas KüpperVolker Schöffl
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Eileen M BulgerUNKNOWN Resuscitation Outcomes Consortium Investigators
Aug 22, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Iztok TomazinJanko Kersnik
Mar 17, 2011·International Journal of Emergency Medicine·Jan Norum, Trond M Elsbak
Jun 7, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Helge BrändströmMichael Haney
Dec 31, 2011·High Altitude Medicine & Biology·Iztok TomazinUNKNOWN International Commission for Mountain Emergency Medicine
Jan 14, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christy Lee HopkinsEric R Swanson
Apr 29, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ernest E SulliventMarlena M Wald
Jul 29, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Cheryl P Z FooRussell D MacDonald
Jul 6, 2013·The Journal of Surgical Research·Andrew J MedveczOscar D Guillamondegui
Jul 17, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Denise BaylousMelanie W Smith
Oct 12, 2015·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Kathryn Moore
Oct 1, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael T CudnikJudy M Opalek
Nov 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kenneth E StewartRoxie Albrecht
Feb 21, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jennifer F AndersUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Mar 5, 2013·Air Medical Journal·Judi Carpenter, Frank Thomas
Sep 21, 2011·Air Medical Journal·Elio CarchiettiRaphael Rammer
May 2, 2013·Air Medical Journal·Ashley E SieversMatthew D Sztajnkrycer
Apr 5, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Sarah E GreenbergManish K Sethi
Jun 17, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Cathy L JaynesLynn J White
Jun 23, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John William HafnerTimothy J Schaefer
Jul 10, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Douglas J FloccareMichael G Millin
Jul 10, 2016·Air Medical Journal·Celeste M AlfesTonya Rutherford-Hemming
Apr 13, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christina L CatlettMichael G Millin
Jan 20, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brodie NolanAlun Ackery
Dec 17, 2015·The Cochrane Database of Systematic Reviews·Samuel M GalvagnoStephen Thomas
May 4, 2017·Pediatric Emergency Care·Shetal C PatelJames H Hertzog
Jan 13, 2018·Emergency Medicine Journal : EMJ·Sharon Ann Swain, Graham Stiff
Oct 11, 2019·Prehospital and Disaster Medicine·Hiroko MiyagiHoward A Werman
Dec 14, 2011·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Friedrich Maximilian von Recklinghausen
May 26, 2011·The Journal of Trauma·Ginette Thibault-HalmanDavid B Clarke
Jun 15, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Arhana ChattopadhyayYvonne Karanas
Feb 20, 2021·The Journal of Trauma and Acute Care Surgery·Andrew-Paul DeebJoshua B Brown

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