Criteria for cancelling helicopter emergency medical Services (HEMS) dispatches

Giannakópoulos, Georgios F.; Bloemers, Frank W.; Lubbers, Wouter D.; Christiaans, H.M.T.; Exter, Pieternel van; Klerk, Elly S.M. de Lange–de; Zuidema, Wietse P.; Goslings, J. Carel; Bakker, Fred C.

doi:10.1136/emj.2011.112896

Cited by 31 publications

(39 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The proportion of cancelled missions was significantly lower after the launch of the MTN, indicating improved tasking of HEMS teams to appropriate incidents. The observed proportion of mission cancellations after the launch of the MTN is more than half that reported in other HEMS systems8 and is below the lower threshold of 30% over-triage rate that is generally accepted as unavoidable in HEMS operations 9. The observed reduction in mission cancellations in this study is notable, as, to date, no modifications have been made to the HEMS dispatch protocol used by WMAS.…”

Section: Discussionmentioning

confidence: 65%

“…The topic remains one of the main research priorities in physician-provided prehospital care 20. Recent research from the Netherlands, correlating mechanism of injury factors with the likelihood of patients having ‘major trauma’ has shown some promise 8. There is a clear need, however, for future research to identify factors in emergency calls to ambulance services that accurately predict the likelihood of major trauma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of introducing a major trauma network on a regional helicopter emergency medicine service in the UK

et al. 2013

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Impact of introducing a major trauma network on a regional helicopter emergency medicine service in the UK

et al. 2013

View full text Add to dashboard Cite

show abstract

“…29 In a database review, Giannakopoulos et al isolated anatomic, physiologic, and mechanistic criteria that warranted the most timely transportation possible to a trauma center. 38 Moront et al determined that in pediatric trauma, the combination of GCS < 12 and HR > 160 yielded a 99% sensitivity and 90% specificity for major trauma, although there were limitations in the study. 39 Stewart et al determined that the mortality benefit of HEMS was minimal in patients with normal vital signs or in whom the Revised Trauma Score was less than 3.…”

Section: Helicopter Transportation For Patients Meeting Physiologic Amentioning

confidence: 94%

“…However, the harm of undertriage due to inappropriate reduction of triage criteria is significant. 38 The alternate harm, of overtriaging patients to high-level trauma care (and in many cases, helicopter transport), is primarily one of unnecessary resource utilization. 39 In addition, some data indicate that despite their broad inclusiveness, previous iterations of the CDC trauma triage criteria might actually reduce overtriage rates.…”

Section: Use Of the Cdc 2011 Guidelines For The Field Triage Of Injurmentioning

confidence: 99%

“…Future research is required to strengthen the data and recommendations, define optimal approaches for guideline implementation, and determine the impact of implementation on safety and outcomes including cost. Key words: Air ambulances; ambulances; emergency medical services; evidence-based emergency medicine; practice guidelines; trauma; triage PREHOSPITAL EMERGENCY CARE 2014;18(Suppl 1): [35][36][37][38][39][40][41][42][43][44] …”

mentioning

confidence: 99%

See 1 more Smart Citation

An Evidence-based Guideline for the Air Medical Transportation of Prehospital Trauma Patients

Thomas¹,

Brown²,

Oliver³

et al. 2013

Prehospital Emergency Care

View full text Add to dashboard Cite

Background. Decisions about the transportation of trauma patients by helicopter are often not well informed by research assessing the risks, benefits, and costs of such transport. Objective. The objective of this evidence-based guideline (EBG) is to recommend a strategy for the selection of prehospital trauma patients who would benefit most from aeromedical transportation. Methods. A multidisciplinary panel was recruited consisting of experts in trauma, EBG development, and emergency medical services (EMS) outcomes research. Representatives of the Federal Interagency Committee on Emergency Medical Services (FICEMS), the National Highway Traffic Safety Administration (NHTSA) (funding agency), and the Children's National Medical Center (investigative team) also contributed to the process. The panel used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology to guide question formulation, evidence retrieval, appraisal/synthesis, and formulate recommendations. The process followed the National Evidence-Based Guideline Model Process, which has been approved by the Federal Interagency Committee on

show abstract

Characteristics and outcome of patients triaged by telephone and transported by ambulance: a population‐based study in Osaka, Japan

Katayama

Kitamura

Hirose

et al. 2020

Acute Medicine & Surgery

View full text Add to dashboard Cite

Aim: Details such as diagnosis and outcome of patients transported by ambulance after telephone triage have not been fully revealed. The aim of this study was to reveal profile and outcome about patients transported by ambulance via telephone triage with dataset of telephone triage and population-based registry for emergency patients. Methods: This retrospective descriptive study with a one-year study period from January 1, 2016 to December 31, 2016 included patients selected from the telephone triage dataset who were transported by ambulance. Key parameters such as age, sex and date and time of ambulance dispatch were used to identify patient data from the ORION registry. We assessed the profile and outcome of the patients in a descriptive epidemiological analysis. Results: We included 4,293 patients in the selected datasets whose data were merged, of whom 2,998 patients (69.8%) returned home from the emergency department, 1,255 (29.2%) were hospitalized, 32 (0.7%) were transferred to other hospitals, and 8 (0.2%) died. The most common diagnosis in the emergency departments was "infectious gastroenteritis and colitis, unspecified [A09] (219, 5.1%)". Among the 1,255 hospitalized patients, 905 patients (72.1%) were discharged home, 254 patients (20.2%) remained hospitalized, 52 patients (4.1%) were transferred to other hospitals, 38 patients (3.0%) died, and 5 patients (0.5%) had missing data. The most common diagnosis was "cerebral infarction [I63.0-I63.9] (138, 11.0%)". Conclusion: This study revealed the profile and outcome of patients transported by ambulance after telephone triage.

show abstract

Criteria for cancelling helicopter emergency medical Services (HEMS) dispatches

Cited by 31 publications

References 17 publications

Impact of introducing a major trauma network on a regional helicopter emergency medicine service in the UK

Impact of introducing a major trauma network on a regional helicopter emergency medicine service in the UK

An Evidence-based Guideline for the Air Medical Transportation of Prehospital Trauma Patients

Characteristics and outcome of patients triaged by telephone and transported by ambulance: a population‐based study in Osaka, Japan

Contact Info

Product

Resources

About