Helicopter emergency medical rescue for the traumatized: experience in the metropolitan region of Campinas, Brazil

Cardoso, Ricardo Galesso; Francischini, Carina Fontana; Ribera, Jorge Michel; Vanzetto, Ricardo; Fraga, Gustavo Pereira

doi:10.1590/0100-69912014004003

Cited by 12 publications

(8 citation statements)

References 21 publications

(19 reference statements)

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“…The data of this study corroborate the statistics evidenced in the literature regarding patient characteristics, with young and male adults being the most affected by trauma (11,(13)(14) .…”

Section: Discussionsupporting

confidence: 89%

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Implementation of the protocol of nursing care in trauma in aeromedical service

et al. 2020

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Objective: To analyze the implementation of a nursing care protocol for trauma patients before, during and after the flight. Method: A cross-sectional quantitative study carried out in an aeromedical service, using a checklist with 106 care: 79 before flight, 25 during, and 2 after flight. 97 patients were included in the study. Results: Most care (n = 59; 55.7%) was implemented, totaling 4,435, 1,480 and 192 cares performed before, during and after the flight, respectively. They stood out as unrealized care: protect ears with ear muffler (n = 55) and avoid leaving the pulse oximeter exposed to the sun’s rays (n = 22). The main reason for the non-performance was lack of appeal (n = 94). Conclusion: Although most protocol care has been implemented, unrealized care compromises the quality of care, which requires the management of the service to provide more incentive to nurses and adequate resources for its implementation.

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Section: Discussionsupporting

confidence: 89%

“…In view of the above, and considering the need for aeromedical rescue studies in the country, which does not have an organized trauma care system (11) , this study is justified by providing subsidies for flight nurse assistance and improving the quality of care.…”

Section: Introductionmentioning

confidence: 99%

Implementation of the protocol of nursing care in trauma in aeromedical service

et al. 2020

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“…In interviewees' testimonies, potential emerges in the work process as security when arriving at the place of care and finding other support services and having a protocol of care. A study shows that when performed in an integrated manner between SAMU and other teams, assistance is satisfactory and achieves the expected result (43) . When a friendly and partnership relationship between the services does not happen, it generates loss of resources and difficulties in structuring the network (32) .…”

Section: Discussionmentioning

confidence: 98%

Work weaknesses and potentials: perception of mobile emergency service nurses

et al. 2020

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Objectives: to know nurses’ perceptions about their work process in a Mobile Emergency Care Service. Methods: qualitative study conducted with 12 nurses whose speeches were submitted to Content Analysis. Results: there are weaknesses related to overload of activities, numerous functions, indirect supervision, risk situations, difficulties in relationship with hospitals, lack of vehicles and professionals, inappropriate places to provide care and lack of knowledge of the population about urgent and emergency care. Potentials were associated with effective interpersonal relationships, continuing training, security when arriving at the place of care, care protocol and taste for what you do. Final Considerations: the identified weaknesses need to be noted by managers and nurses. Thus, they would seek to establish actions to diminish them and maximize potentials, which could improve patient care as well as reduce occupational risks and, in turn, promote workers’ well-being.

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“…Cardoso et al . evaluating the same service from 2010 to 2012, demonstrated that approximately 26% of the patients rescued by helicopter in the area did not fit any of the criteria found in the protocols and concluded the need for improvement in the triage system ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, studies showing some evidence of the benefit of air transport in decreasing the mortality rate ( 3 , 5 ) have difficulties defining which is the decisive factor for this result ( 3 , 5 , 6 ). However, consensus exists regarding the high rates of overtriage present in helicopter rescues ( 3 , 4 , 7 – 10 ) and the need for better assessment and triage tools to minimize this problem ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

Air Rescue for Pediatric Trauma in a Metropolitan Region of Brazil: Profiles, Outcomes, and Overtriage Rates

et al. 2022

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Besides ensuring a quick response and transport of trauma victims, helicopter support also involves risks to patients and professionals and has higher operational costs. Studying prehospital triage criteria and their relationship with patient overtriage and outcomes is important, particularly in newly established services and in developing countries with limited health budgets. This could help improve the use of the helicopter rescue and provide better management of the costs and risks related to it. The objective of this study was to determine the epidemiologic and severity profiles of pediatric victims of trauma attended by helicopter in a Brazilian Metropolitan Area to evaluate the outcomes and overtriage rates related to pediatric air rescue in the region. We conducted an observational and retrospective study using 49 hospital and prehospital records from victims of trauma aged <18 years old (yo) assisted by helicopter and then transferred to a tertiary University Hospital. Of the 49 patients, 39 (79.6%) individuals were male, and the mean age was 11.3 yo. Vehicular collisions accounted for 15 (30.6%) of the traumas, and traumatic brain injuries occurred in 28 (57.1%) cases. A total of 29 (59.1%) individuals had severe trauma (Injury Severity Score; ISS >15), and 34 (69.4%) required admission to the intensive care unit. Overtriage varied from 18.4 to 40.8% depending on the criteria used for its definition, being more frequent in individuals aged between 1 and 5 yo. Death occurred in 10 (20.4%) patients. On prehospital evaluation, we classified 29/32 (90.6%) patients with severe trauma according to the Pediatric Trauma Score (PTS ≤8) and 18/25 (72%) according to the Revised Trauma Score (RTS ≤11). Of these, 7/29 (24.1%) and 6/18 (33.3%), respectively, presented ISS <15 at in-hospital evaluation. None of the patients with PTS >8 and 3/7 (42.8%) of those with RTS >11 presented ISS >15. In conclusion, air rescue of pediatric trauma victims was used mainly for critically ill individuals, resulting in rates of overtriage compatible with that found in the literature. PTS showed the lowest rates of overtriage within excellent rates of undertriage.

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Helicopter emergency medical rescue for the traumatized: experience in the metropolitan region of Campinas, Brazil

Abstract: studies of air medical rescue in Brazil are required due to the investments made in the pre-hospital care in a country without an organized trauma system. The high rate of over-triage found highlights the need to improve the triage and mobilization criteria.

Cited by 12 publications

References 21 publications

Implementation of the protocol of nursing care in trauma in aeromedical service

Implementation of the protocol of nursing care in trauma in aeromedical service

Work weaknesses and potentials: perception of mobile emergency service nurses

Air Rescue for Pediatric Trauma in a Metropolitan Region of Brazil: Profiles, Outcomes, and Overtriage Rates

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