EMS and emergency department physician triage: injury severity in trauma patients transported by helicopter

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jeffrey S LubinRichard J Wadas

Abstract

Many trauma patients who are not severely injured arrive at trauma centers via helicopter emergency medical services (HEMS). To compare the injury severity of patients sent to trauma centers by HEMS from community emergency departments (EDs) with the injury severity of those triaged by prehospital providers to HEMS directly from accident scenes. All records were reviewed from trauma-related missions during 1997for a single HEMS system, extracting information on location, time of day, patient age and gender, mechanism of injury, initial vital signs, Revised Trauma Score (RTS), and the extent of care required during transport. These records were then matched with outcome information routinely supplied to the HEMS system by affiliated trauma centers. Information from patients flown directly from scenes was then compared with that for patients flown from community EDs. Information was obtained for 658 patients flown from scenes and 345 flown from community EDs. There were similar proportions of patients in the two groups, with Injury Severity Scale (ISS) scores less than 6 (11.0% vs. 13.5%), between 6 and 14 (47.0% vs. 49.3%), and greater than 15 (42.0% vs. 37.1%); these were not statistically different (p > 0.05). There was also n...Continue Reading

References

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Apr 25, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·David P ThomsonUNKNOWN 2002-2003 Air Medical Services Committee of the National Association of EMS Physicians
Sep 23, 2003·The Journal of Trauma·Avery B NathensDavid C Grossman

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Citations

Oct 17, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Tami O Tiamfook-MorganStephen H Thomas
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
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
Nov 28, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Stephen H ThomasEddy S Lang
Jul 13, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Teresa WilliamsIan Jacobs
Dec 21, 2011·The Journal of Trauma·Andrea D HillAvery B Nathens

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