Descriptive Analysis of Cardiac Patients Transported by Critical Care Air Transport Teams

Military Medicine
Shelia C SavellJoseph K Maddry

Abstract

Critical Care Air Transport Teams (CCATTs) transport critically ill patients within and out of theaters of combat operations. Studies of the CCATT population reveal as many as 35% of patients have a non-trauma diagnosis, of which more than half are cardiac.The purpose of this retrospective study was to describe the epidemiology of critically ill patients with cardiac diagnoses evacuated from theater via CCATT. We conducted a retrospective review of 290 medical patients with a primary cardiac diagnosis transported from any theater of operation to Landstuhl Regional Medical Center, Germany from January 2007 to April 2015. The majority of patients were male with an average age of 46 ± 11 years, US contractors (47%, n = 137), followed by US Active Duty (32%, n = 93). Patients had an average BMI of 29 ± 5; 62% of cardiac patients were either overweight or obese. The most common cardiac diagnoses were ST elevation myocardial infarction, Non-ST elevation myocardial infarction, and angina. Pre-flight vital signs indicate overall patients were stable prior to evacuation, with the majority receiving supplemental oxygen and only 5% requiring mechanical ventilation. Eighty-one percent of patients experienced at least one cardiac event duri...Continue Reading

References

Mar 1, 1996·Annals of Emergency Medicine·E H GilbertJ Steiner
Feb 8, 2007·Cardiology·Gautam NayakDaniel Shmorhun
Jul 13, 2007·The Journal of Trauma·Jay A Johannigman
Dec 9, 2008·The Journal of Emergency Medicine·Phillip E MasonAllen D Holder
Jun 3, 2009·Military Medicine·Elizabeth Bridges, Karen Evers
Jul 20, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Julio LairetWilliam Beninati
Jun 6, 2014·Military Medicine·Samuel M GalvagnoThomas M Scalea
Nov 1, 2017·Military Medicine·Joseph K MaddryVikhyat S Bebarta

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