Helicopters and injured kids: Improved survival with scene air medical transport in the pediatric trauma population

The Journal of Trauma and Acute Care Surgery
Joshua B BrownMark L Gestring

Abstract

Helicopter emergency medical services (HEMS) are frequently used to transport injured children, despite unclear evidence of benefit. The study objective was to evaluate the association of HEMS compared with ground emergency medical services (GEMS) transport with outcomes in a national sample of pediatric trauma patients. Patients 15 years or younger undergoing scene transport by HEMS or GEMS in the National Trauma Data Bank from 2007 to 2012 were included. Propensity score matching was used to match HEMS and GEMS patients for likelihood of HEMS transport based on demographics, prehospital physiology and time, injury severity, and geographic region. Absolute standardized differences of less than 0.1 indicated adequate covariate balance between groups after matching. The primary outcome was in-hospital survival, while the secondary outcome was discharge disposition in survivors. Conditional logistic regression determined the association between HEMS versus GEMS transport with outcomes while controlling for demographics, admission physiology, injury severity, nonaccidental trauma, and in-hospital complications not accounted for in the propensity score. Subgroup analysis was performed in patients with a transport time of greater th...Continue Reading

References

Aug 1, 1996·Journal of Pediatric Surgery·M L MorontM R Eichelberger
Feb 12, 1998·Annals of Internal Medicine·D B Rubin
Apr 27, 1999·The Journal of Trauma·J S SampalisD Mulder
Jan 16, 2002·The Journal of Trauma·Stephen H ThomasSuzanne K Wedel
Jan 30, 2004·The Journal of Trauma·Jeremy T LarsonHoward A Werman
May 6, 2004·JAMA : the Journal of the American Medical Association·Peter K LindenauerEvan M Benjamin
Jun 24, 2004·The Journal of Trauma·Bryan E Bledsoe, Michael G Smith
Jan 28, 2005·The Journal of Trauma·Marco A DiazHerbert G Bivins
Jun 2, 2005·JAMA : the Journal of the American Medical Association·Charles C BranasCharles S ReVelle
Feb 3, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ikram U Haque, Arno L Zaritsky
Aug 8, 2008·Resuscitation·Bastiaan M GerritseGert Jan Scheffer
Jan 16, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Akkie N RingburgInger B Schipper
May 29, 2009·Annals of Surgery·Laurent G GlanceAndrew W Dick
Jun 30, 2009·Journal of Emergencies, Trauma, and Shock·Lynne MooreAlexis Turgeon
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
Nov 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kenneth E StewartRoxie Albrecht
Apr 19, 2012·JAMA : the Journal of the American Medical Association·Samuel M GalvagnoAdil H Haider
Jul 27, 2012·Pediatrics·Katrina WilliamsUNKNOWN StaR Child Health Group
Aug 1, 2012·The Journal of Trauma and Acute Care Surgery·Joshua B BrownMark L Gestring
Nov 28, 2012·International Journal of Critical Illness and Injury Science·Terrence SeidAndreas Grabinsky
Apr 16, 2013·Annals of Emergency Medicine·M Kit DelgadoJeremy D Goldhaber-Fiebert
Jul 31, 2013·Critical Care : the Official Journal of the Critical Care Forum·Samuel M Galvagno
Sep 26, 2013·The Journal of Trauma and Acute Care Surgery·Jay DoucetUNKNOWN Emergency Medical System Subcommittee, Committee on Trauma, American College of Surgeons
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
Mar 29, 2014·Annals of Surgery·Joshua B BrownUNKNOWN Inflammation and the Host Response to Injury Investigators
Dec 6, 2014·Journal of Pediatric Surgery·Maria MichailidouElliot R Haut
Feb 2, 2015·Journal of Pediatric Surgery·Camille L StewartSteven L Moulton
Jun 25, 2015·JAMA Surgery·Chethan SathyaAvery B Nathens
Oct 23, 2015·The Journal of Trauma and Acute Care Surgery·Michael T MeyerE Brooke Lerner

❮ Previous
Next ❯

Citations

Sep 15, 2016·Journal of Intensive Care Medicine·Susan R WilcoxSharon DeGrace
Dec 17, 2016·The American Journal of Emergency Medicine·Kouhei IshikawaYouichi Yanagawa
Jun 10, 2017·International Anesthesiology Clinics·Joshua M Tobin, David J Lockey
Sep 13, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Thein Hlaing ZhuSamuel M Galvagno
Feb 6, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Michelle Berdien Oude AlinkRobert Jan Stolker
Mar 7, 2021·Journal of Clinical Medicine·Felix Marius Bläsius TraumaRegister Dgu
Oct 4, 2020·Journal of Pediatric Surgery·Pamela M ChoiDavid Juang
Sep 14, 2018·Pediatric Emergency Care·Yuki EnomotoYoshiaki Inoue
Jul 29, 2021·World Journal of Pediatrics : WJP·Rod M ShinozakiRobert B Kelly

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.