Helicopter Transport Effectiveness of Patients for Primary Percutaneous Coronary Intervention

Phillips, Melissa S.; Arthur, Ami; Chandwaney, Raj; Hatfield, Jesse; Brown, Brandon; Pogue, Korby; Thomas, Michael V.; Lawrence, Matthew; McCarroll, Melanie; McDavid, Megan; Thomas, Stephen

doi:10.1016/j.amj.2012.08.007

Cited by 23 publications

(20 citation statements)

References 21 publications

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“…This has been made possible only by air medical transportation with proven benefits in survival. [345] Bruhn et al . created an economical model to compare the cost of air ambulance services and ground ambulance services.…”

Section: Discussionmentioning

confidence: 99%

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Air medical transportation in India: Our experience

Khurana

Mehta

Dubey

2016

J Anaesthesiol Clin Pharmacol

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Background and Aims:Long distance air travel for medical needs is on the increase worldwide. The condition of some patients necessitates specially modified aircraft, and monitoring and interventions during transport by trained medical personnel. This article presents our experience in domestic and international interhospital air medical transportation from January 2010 to January 2014.Material and Methods:Hospital records of all air medical transportation undertaken to the institute during the period were analyzed for demographics, primary etiology, and events during transport.Results:586 patients, 453 (77.3%) males and 133 (22.6%) females of ages 46.7 ± 12.6 years and 53.4 ± 9.7 years were transported by us to the institute. It took 3030 flying hours with an average of 474 ± 72 min for each mission. The most common indication for transport was cardiovascular diseases in 210 (35.8%) and central nervous system disease in 120 (20.4%) cases. The overall complication rate was 5.3% There was no transport related mortality.Conclusion:Cardiac and central nervous system ailments are the most common indication for air medical transportation. These patients may need attention and interventions as any critical patient in the hospital but in a difficult environment lacking space and help. Air medical transport carries no more risk than ground transportation.

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Section: Discussionmentioning

confidence: 99%

“…On the contrary, studies show it is cost effective due to the decrease in time to treatment,[3] survival benefits,[4] and quality of life years added. [5] Over the past decade, wide availability of air ambulance services has brought a reduction in mortality and morbidity in India.…”

Section: Introductionmentioning

confidence: 99%

Air medical transportation in India: Our experience

Khurana

Mehta

Dubey

2016

J Anaesthesiol Clin Pharmacol

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“…For example, if a receiving hospital utilizes a local airport as a waypoint for HEMS transfers, the additional transit time from the airport to the destination should be examined and compared to a GEMT alternative that may take the patient "from door to door" in equal or lesser amount of time. Additional factors to be considered should include transport priority/acuity, relative cost, resource availability, and the clinical justification (e.g., the determination of medical necessity of the transport) [63,64]. If a patient is clinically stable, does not require any time-critical interventions, and is expected to remain stable, the more precious resource of air transport may be unnecessary and should be reserved for scenarios involving greater acuity of illness that better justify more expedient transfer [61,62,64].…”

Section: Determining Air Versus Ground Transportmentioning

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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“…myocardial muscle salvage) [15] or surrogate (e.g. time-to-cath lab) [16]. Fortunately, for at least two commonly transported diagnostic populations (cardiac and stroke), there are objective data that allow direct correlation of time savings to improved mortality and morbidity [17,18].…”

Section: Outcomes Assessment In Hemsmentioning

confidence: 99%

“…Unlike the case for some diagnoses, for which crew expertise is a major (and perhaps the most important) factor mediating HEMS' outcome improvement, for PCI transports the key appears to be time savings [16]. Well over a decade ago, cardiologists were positing that the time savings and associated earlier intervention was resulting in myocardial salvage and improved HEMS-related morbidity outcomes such as a 2-day decrease in hospital length-of-stay [15].…”

Section: Moving Stemi Patients To the Cath Labmentioning

confidence: 99%

Helicopter EMS beyond Trauma: Utilization of Air Transport for Non-Trauma Conditions

Thomas¹,

Whelan²,

Williams³

et al. 2013

IJCM

Self Cite

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Helicopter Emergency Medical Services (HEMS) use in civilian medical transport has its roots in the use of rotor-wing trauma transport in the military setting. Much of the literature and evidence based on the use of HEMS is therefore related to scene and interfacility transport of injured patients. Regionalization of care and increased understanding of timecriticality of various non-trauma conditions has contributed to growing utilization of HEMS for non-trauma conditions over recent decades. It is common for HEMS to be utilized for a variety of non-trauma situations ranging from neonatal and obstetrics transports to cardiac and stroke transports. The purpose of this review is to overview the use of HEMS for non-trauma, focusing on situations in which there is evidence addressing possible HEMS utility.

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Helicopter Transport Effectiveness of Patients for Primary Percutaneous Coronary Intervention

Cited by 23 publications

References 21 publications

Air medical transportation in India: Our experience

Air medical transportation in India: Our experience

Interhospital Transfers: Managing Competing Priorities while Ensuring Patient Safety

Helicopter EMS beyond Trauma: Utilization of Air Transport for Non-Trauma Conditions

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