The epidemiology of amputation injuries in the Austrian helicopter emergency medical service: a retrospective, nationwide cohort study

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Harald F SeligL P Kamolz

Abstract

Data on the epidemiological characteristics of traumatic amputations in prehospital emergency care, especially in the context of air rescue, are scarce. Therefore, we aimed to describe the epidemiology of total and subtotal amputation injuries encountered by the OEAMTC helicopter emergency medical service (HEMS) in Austria, based on an almost nationwide sample. We retrospectively reviewed all HEMS rescue missions flown for amputation injuries in 2009. Only primary missions were analyzed. In total, 149 out of 16,100 (0.9 %) primary HEMS rescue missions were for patients suffering from amputation injuries. Among these, HEMS physicians diagnosed 63.3 % (n = 94) total and 36.9 % (n = 55) subtotal amputations, with both groups showing a predominance of male victims (male:female ratios were 8:1 and 6:1, respectively).The highest rate occurred among adults between 45 and 64 years of age (35.6 %, n = 53). The most common causes were working with a circular saw (28.9 %, n = 43) and processing wood (16.8 %, n = 25). The majority of the cases included digital amputation injuries (77.2 %, n = 115) that were mainly related to the index finger (36.2 %, n = 54). One hundred forty patients (94.0 %) showed a total GCS of more than 12. Amputatio...Continue Reading

References

Oct 1, 1984·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G NylanderL Ostrup
Oct 1, 1984·Khirurgiia·Iu I KazakovI V Sokolova
Apr 2, 1998·Archives of Physical Medicine and Rehabilitation·T R DillinghamE J MacKenzie
Mar 15, 2000·Injury·S WaikakulA Un-nanuntana
Mar 21, 2000·American Journal of Industrial Medicine·D BoyleL Pessoa-Brandão
Mar 9, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P N Soucacos
Nov 20, 2004·American Journal of Industrial Medicine·Huey-Wen LiangChein-Wei Chang
Jun 9, 2005·Annals of Emergency Medicine·Judith M ConnDaniel S Budnitz
Jun 13, 2006·The Journal of Trauma·Bryan E BledsoeMichael F O'Keefe
May 25, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Bruno BattistonItalo Pontini
Sep 30, 2008·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Aron Lindqvist, Bengt Gerdin
Dec 17, 2009·Archives of Orthopaedic and Trauma Surgery·Alexandros E BerisIoannis P Kostas-Agnantis
Jan 13, 2010·The Journal of Trauma·Kristen A ConnerGary A Smith
Jan 13, 2010·The Journal of Trauma·Winston T RichardsDavid W Mozingo
Feb 18, 2010·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Nina Lindfors, Timo Raatikainen
Sep 21, 2010·Injury·Philip J Schluter
Nov 24, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Andreas J KrügerHans Morten Lossius
Feb 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·L KobayashiD Demetriades

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