Emergency aeromedical transport of patients with acute myocardial infarction

Kaplan, Lenore R; Walsh, Daniel; Burney, Richard E.

doi:10.1016/s0196-0644(87)80287-1

Cited by 53 publications

(12 citation statements)

References 9 publications

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“…Most patients had received fibrinolytics prior to transport; however, 19 Kaplan et al reported an air ambulance STEMI cohort transferred without prior reperfusion in which 13% had either hypotension or dysrhythmias requiring treatment in transport. 20 In the last decade, Giglioli et al found that 5.5% of STEMI patients required defibrillation in the prehospital setting, with another 5.5% requiring defibrillation during PCI. 21 Aguirre et al reported no hemodynamic compromise or death occurring in 151 rural air ambulance transports, but the maximum travel time was only 95 minutes between hospitals.…”

Section: Discussionmentioning

confidence: 99%

Air Ambulance Transport Times and Advanced Cardiac Life Support Interventions during the Interfacility Transfer of Patients with Acute ST-segment Elevation Myocardial Infarction

Youngquist

McIntosh²,

Swanson³

et al. 2010

Prehospital Emergency Care

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The majority of interfacility rotor-wing air ambulance transfers of patients with STEMI achieved a total transfer time of < or = 2 hours. Clinical decompensation requiring ALS treatment occurred in a small percentage of patients. Diabetes, prior arrest or decompensation, and delays to transport were associated with clinical decompensation in the air. Efforts to reduce delays to transport may reduce this risk in transported patients.

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Section: Discussionmentioning

confidence: 99%

Air Ambulance Transport Times and Advanced Cardiac Life Support Interventions during the Interfacility Transfer of Patients with Acute ST-segment Elevation Myocardial Infarction

Youngquist

McIntosh²,

Swanson³

et al. 2010

Prehospital Emergency Care

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“…Previous studies have mainly focused on the safety of transferring particular groups of cardiac patients. Earlier studies established that transferring unstable angina pectoris/valvular/CCF patients by road 5 or helicopter 6 over similar travel times and distances was safe, and escorts mainly comprised paramedics, 5 nurses 6 or doctor/registered nurse 7 . More recently and locally, a study of AMI patients again confirmed safety and concluded that medical escorts were probably unnecessary unless the patient was intubated or unstable (defined as ongoing pain, dysrhythmia, pump failure or symptomatic hypotension) prior to transport 1 .…”

Section: Discussionmentioning

confidence: 99%

Safety of interhospital transport of cardiac patients and the need for medical escorts

Lees

Elcock

2007

Emerg Medicine Australasia

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Transport of cardiac patients by the Townsville Hospital Emergency Department retrieval service were safely staffed and performed, guided by the expert decision making and clinical support of the clinical coordinators. Patients with a provisional diagnosis at the time of referral of myocardial infarction, a history of receiving lysis or cardiac arrest, or on a drug infusion were more likely to require the expertise of a doctor during transport.

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“…One of the main indications for an IPT is the requirement for additional resources not available at the referring hospital in order to provide an adequate level of patient care and expertise [2,14,15]. Specific reasons may include the need for medical subspecialty (e.g., neurosurgery or transplantation) coverage, lack of the required level of nursing care (e.g., intensive care, trauma care, or epilepsy monitoring), or lack of equipment necessary to provide acceptable standard-of-care management (e.g., imaging or interventional capability) [16][17][18][19][20].…”

Section: Interfacility Patient Transfers: Basic Facts and Indicationsmentioning

confidence: 99%

Interhospital Transfers: Managing Competing Priorities while Ensuring Patient Safety

Luster¹,

Yanagawa²,

Bendas³

et al. 2018

Vignettes in Patient Safety - Volume 2

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Interhospital patient transfers (IPTs) are highly complex logistical undertakings, involving a multitude of interdependent procedures, critical steps and a degree of unpredictability. Beginning with interfacility communication and patient acceptance agreement, a cascade of numerous handoffs takes place, ultimately culminating in safe arrival of the patient at the receiving facility. Due to the complexity of the IPT process, significant potential for critical errors and adverse patient safety (PS) outcomes exists. To minimize any associated risks, key PS considerations include checklists, handoffs, vehicle/aircraft safety, distance of travel, crew training, team factors, and many other critical components. Detailed knowledge of factors that may influence the risk of errors or adverse events is critical to optimizing both PS and clinical outcomes.

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Emergency aeromedical transport of patients with acute myocardial infarction

Cited by 53 publications

References 9 publications

Air Ambulance Transport Times and Advanced Cardiac Life Support Interventions during the Interfacility Transfer of Patients with Acute ST-segment Elevation Myocardial Infarction

Air Ambulance Transport Times and Advanced Cardiac Life Support Interventions during the Interfacility Transfer of Patients with Acute ST-segment Elevation Myocardial Infarction

Safety of interhospital transport of cardiac patients and the need for medical escorts

Interhospital Transfers: Managing Competing Priorities while Ensuring Patient Safety

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