Air Versus Ground Transport of the Major Trauma Patient: A Natural Experiment

McVey, Jennifer; Petrie, David; Tallon, John M.

doi:10.3109/10903120903349788

Cited by 61 publications

(30 citation statements)

References 24 publications

(26 reference statements)

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“…Despite a paucity of reported objective data, air ambulance services in numerous countries have been shown to improve patient outcomes when compared with ground transport in select circumstances. [1][2][3] These benefits have not, however, been noted in all studies, and the value of air ambulance transport continues to be debated.…”

Section: Discussionmentioning

confidence: 99%

Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre

et al. 2014

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“…29 Fourth, HEMS is sometimes used in areas of sparse ground EMS availability in which a ground transport to the trauma center may leave a community without EMS coverage for an extended period of time. 11 Studies have shown improved outcomes with HEMS transport, [30][31][32][33][34] finding as much as a 52% reduction in mortality 8 and saving as much as one to 12 lives per 100 uses of HEMS. 35 Many studies have shown no such improvement.…”

Section: Discussionmentioning

confidence: 99%

Reduced Mortality in Injured Adults Transported by Helicopter Emergency Medical Services

Sullivent

Faul

Wald

2011

Prehospital Emergency Care

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Background. Some studies have shown improved outcomes with helicopter emergency medical services (HEMS) transport, while others have not. Safety concerns and cost have prompted reevaluation of the widespread use of HEMS. Objective. To determine whether the mode of transport of trauma patients affects mortality. Methods. Data for 56,744 injured adults aged ≥18 years transported to 62 U.S. trauma centers by helicopter or ground ambulance were obtained from the National Sample Program of the 2007 National Trauma Data Bank. In-hospital mortality was calculated for different demographic and injury severity groups. Adjusted odds ratios (AOR) were produced by utilizing a logistic regression model measuring the association of mortality and type of transport, controlling for age, gender, and injury severity (Injury Severity Score [ISS] and Revised Trauma Score [RTS]). Results. The odds of death were 39% lower in those transported by HEMS compared with those transported by ground ambulance (AOR = 0.61, 95% confidence interval [CI] = 0.54-0.69). Among those aged ≥55 years, the odds of death were not significantly different (AOR = 0.92, 95% CI = 0.74-1.13). Among all transports, male patients had a higher odds of death (AOR = 1.23, 95% CI = 1.10-1.38) than female patients. The odds of death increased with each year

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“…13 Traditional EMS performance measures have focused on response times, [14][15][16][17][18] appropriate patient selection for prehospital rapidsequence intubation (RSI) 19 and air versus ground transportation, 20 and out-of-hospital cardiac arrest survival. 21,22 Newer efforts are expanding EMS benchmarks for various clinical entities encountered by EMS systems, such as ST-segment elevation myocardial infarction (STEMI), [23][24][25] acute stroke, 26 pulmonary edema, asthma, and seizures.…”

Section: Development Of Performance Metricsmentioning

confidence: 99%

Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement

Catlett

Jenkins

Millin

2011

Prehospital Emergency Care

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The National Association of EMS Physicians (NAEMSP) advocates for a strong emergency medical services (EMS) role in all phases of disaster management-preparedness, response, and recovery. Emergency medical services administrators and medical directors should play a leadership role in preparedness activities such as training and education, development of performance metrics, establishment of memoranda of understanding (MOUs), and planning for licensure and liability issues. During both the planning and response phases, EMS leadership should advocate for participation in unified command, modified scope of practice appropriate for providers and the event, and expanded roles in community and federal response efforts. To enhance recovery, EMS leadership should strongly advocate for national recognition for EMS efforts and further research into strategies that foster healthy coping techniques and resiliency in the EMS workforce. This resource document will outline the basis for the corresponding NAEMSP position statement on the role of

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Air Versus Ground Transport of the Major Trauma Patient: A Natural Experiment

Abstract: This unique natural experiment led to better matched air vs. ground cohorts for comparison. As per TRISS analysis, air transport of the adult major trauma patient is associated with significantly improved survival as compared with ground transport.

Cited by 61 publications

References 24 publications

Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre

Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre

Reduced Mortality in Injured Adults Transported by Helicopter Emergency Medical Services

Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement

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