Reduced Mortality in Injured Adults Transported by Helicopter Emergency Medical Services

Sullivent, Ernest E.; Faul, Mark; Wald, Marlena M.

doi:10.3109/10903127.2011.569849

Cited by 90 publications

(59 citation statements)

References 41 publications

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“…In another study using the 2007 NTDB data, Sullivent et al 10 reported a lower odds of death for patients 18 to 54 years old transported by helicopter (OR, 0.51; 95% CI, 0.44-0.60; P < . 001).…”

Section: Commentmentioning

confidence: 98%

“…[9][10][11] Although each of these studies concluded that helicopter transport was associated with improved odds of survival, they also reported limitations to their conclusions because of the lack of testing for the assumptions of a regression model, and none was able to account for the differences in how patients were assigned treatments (helicopter or ground transport). Additionally, the high proportion of missing data in the NTDB may have introduced bias.…”

mentioning

confidence: 99%

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Association Between Helicopter vs Ground Emergency Medical Services and Survival for Adults With Major Trauma

Galvagno¹,

Haut²,

Zafar³

et al. 2013

Survey of Anesthesiology

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Context-Helicopter emergency medical services and their possible effect on outcomes for traumatically injured patients remain a subject of debate. Because helicopter services are a limited and expensive resource, a methodologically rigorous investigation of its effectiveness compared with ground emergency medical services is warranted.Objective-To assess the association between the use of helicopter vs ground services and survival among adults with serious traumatic injuries. Online-Only Material:The eFigure, eTables 1-3, and the Author Video Interview are available at http://www.jama.com.Author Contributions: Dr Galvagno had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Galvagno, Haut, Millin, Efron, Koenig, Pronovost, Haider. Acquisition of data: Galvagno, Haut, Zafar, Haider. Analysis and interpretation of data: Galvagno, Zafar, Baker, Bowman, Haider. Drafting of the manuscript: Galvagno, Haut, Milllin, Efron, Baker, Bowman, Pronovost, Haider. Critical revision of the manuscript for important intellectual content: Galvagno, Koenig, Baker, Bowman, Pronovost, Haider. Statistical expertise: Galvagno, Zafar, Bowman, Haider.Administrative, technical, or material support: Galvagno, Haut, Efron, Pronovost, Haider. Study supervision: Galvagno, Haut, Haider. Conclusion-Among patients with major trauma admitted to level I or level II trauma centers, transport by helicopter compared with ground services was associated with improved survival to hospital discharge after controlling for multiple known confounders. NIH Public AccessTrauma remains the leading cause of death and disability among young people around the world. In the United States, more than 50 million people are injured per year, resulting in approximately 169 000 annual deaths and a lifetime cost of $406 billion. 1,2Over the past several years, significant improvements in survival after trauma have been achieved. One reason for this has been improvements in emergency medical services (EMS) and life-saving transport of trauma patients to a center capable of providing definitive care. The utility of helicopter EMS and its possible effect on outcomes for traumatically injured patients remains the subject of debate. [3][4][5][6][7][8] Because helicopter transport is a limited and expensive resource, a methodologically rigorous investigation of its effectiveness compared with ground EMS is warranted.Several studies have used the National Trauma Data Bank (NTDB) to assess outcomes for traumatically injured adultstransportedbyeitheroption. [9][10][11] Although each of these studies concluded that helicopter transport was associated with improved odds of survival, they also reported limitations to their conclusions because of the lack of testing for the assumptions of a regression model, and none was able to account for the differences in how patients were assigned treatments (helicopter or ground transport). Additionally, the high proportio...

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Section: Commentmentioning

confidence: 98%

mentioning

confidence: 99%

Association Between Helicopter vs Ground Emergency Medical Services and Survival for Adults With Major Trauma

Galvagno¹,

Haut²,

Zafar³

et al. 2013

Survey of Anesthesiology

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show abstract

“…We have found quite some literature that shows helicopter transport to reduce mortality in trauma patients [7][8][9][10], and although this was not within the scope of this study, we believe that our results combined with this literature justify a recommendation to use transport by the HEMS helicopter more often in the Netherlands rural setting.…”

Section: Resultsmentioning

confidence: 58%

Optimizing Transport Time from Accident to Hospital: When to Drive and When to Fly?

Weerheijm

Wieringa

Biert

et al. 2012

ISRN Emergency Medicine

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Objective. In prehospital emergency medicine, rapid transport to a hospital is often required. Transport can be done by ambulance or HEMS (Helicopter Emergency Medical Service). Factors influencing transport time are mostly unknown. This study aims to identify these factors and optimize prehospital transport times. Methods. This is a retrospective study with HEMS data from 2010-2011. Trauma mechanism, patient characteristics, and weather conditions were collected from each transport. Distance to the hospital, predicted transport time, and the actual transport time were calculated. Each factor was analysed to determine influence on transport time. Results. We analysed 732 cases (612 by ambulance and 120 by helicopter) and found no association between mechanism of trauma, age, time of day, or weather conditions on transport time. However, transport by HEMS helicopter was nearly always faster, even at short distances. The average transport time of ambulance transport was 79% (95% CI 77.1-80.3) of target time, while in helicopter transport this was 39% (95% CI 37. 4-42.9). Conclusion. This study shows the advantage of the HEMS helicopter in rapid transport from the scene to the hospital. Transport by helicopter was twice as fast as ground transport, independent of trauma mechanism, distance to hospital, or weather conditions.

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“…A study conducted in the USA, whose objective was to determine whether the mode of transport of adult trauma patients affected patient mortality, showed that the chances of death were 39% lower when transport occurred made by air service as compared to those transported by land (21) .…”

Section: Discussionmentioning

confidence: 99%

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Schweitzer

Nascimento

et al. 2017

Rev. Bras. Enferm.

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Objective: to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims. Method: This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments. Results: Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed signifi cance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene. Conclusion: Further studies are necessary, focused on care protocols for trauma victims

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Reduced Mortality in Injured Adults Transported by Helicopter Emergency Medical Services

Cited by 90 publications

References 41 publications

Association Between Helicopter vs Ground Emergency Medical Services and Survival for Adults With Major Trauma

Association Between Helicopter vs Ground Emergency Medical Services and Survival for Adults With Major Trauma

Optimizing Transport Time from Accident to Hospital: When to Drive and When to Fly?

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

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