Faster on-scene times associated with decreased mortality in Helicopter Emergency Medical Services (HEMS) transported trauma patients

Trauma Surgery & Acute Care Open
Hannah PhamSharmila Dissanaike

Abstract

The 'Golden Hour' emphasizes the importance of rapidly providing definitive care to trauma patients. Dispatch time, defined as the time it takes the Helicopter Emergency Medical Service (HEMS) to dispatch from their base and reach the patient, and on-scene time, defined as the time spent with the patient prior to departure to a trauma center, can impact how quickly the patient will reach definitive care. We evaluated HEMS dispatch and on-scene times by investigating the survival rates among patients transported by air to a level 1 trauma center. We hypothesize that longer HEMS dispatch and on-scene times are associated with worse patient outcomes. A retrospective, single institution analysis was performed on patients transported by HEMS. Inclusion criteria were air transported patients aged 18 years and above admitted to a level 1 trauma center from January 1, 2005 to January 1, 2015. Total dispatch time and on-scene times were divided into five incremental groups and mortality data were analyzed. Mortality was defined as death during initial hospital admission. A Pearson's correlation was used to analyze relationship between dispatch times, on-scene times, and mortality. Simple binary logistic regression was used to run a mult...Continue Reading

References

Jul 4, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·E B Lerner, R M Moscati
Mar 21, 2006·Annals of Emergency Medicine·Catharine W BurtRoberto H Valverde
Sep 29, 2009·Annals of Emergency Medicine·Craig D NewgardUNKNOWN Resuscitation Outcomes Consortium Investigators
Apr 19, 2012·JAMA : the Journal of the American Medical Association·Samuel M GalvagnoAdil H Haider
Oct 20, 2012·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Hagen AndruszkowPhilipp Mommsen
Jan 9, 2013·Annals of Surgery·Zachary J RhinehartMatthew R Rosengart
Sep 30, 2014·Injury·Frederick B RogersBrian W Gross
Jun 17, 2015·The Journal of Craniofacial Surgery·Robert X Murphy

❮ Previous
Next ❯

Citations

Sep 11, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jordan RomanGary A Vercruysse
Sep 8, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Alan CowleyRichard Lyon
Sep 16, 2020·Journal of Medical Systems·Sara MontagnaFranco Zambonelli
May 10, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·E Ter AvestR M Lyon
Jan 29, 2020·Health Services Research·Katherine E M MillerCourtney H Van Houtven
Apr 18, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ariel GuinzburgAsaf Miller
Dec 5, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brodie NolanAvery Nathens
Nov 27, 2020·BMC Emergency Medicine·J MohindruUNKNOWN Air Ambulance Trust Kent Surrey Sussex
Nov 19, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Taylor BischoffBrodie Nolan
Mar 25, 2020·World Neurosurgery·Berje H Shammassian, Michael L Kelly
Mar 13, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Roessler MsHeuer Jf
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Ramesh PerumalVivek Trikha
Nov 23, 2018·The Journal of Surgical Research·Bryce N TaylorBrian J Daley
Jul 13, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Devin HowellJonathan Berkowitz
Aug 6, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·M GavrilovskiUNKNOWN Air Ambulance Kent Surrey Sussex
Sep 11, 2021·Aerospace Medicine and Human Performance·Richard J SimonsonAlex Chaparro
Jan 19, 2022·World Journal of Surgery·Takaaki SuzukiMasao Ichikawa

❮ Previous
Next ❯

Methods Mentioned

BETA
ISS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.