Relative Mortality Analysis Of The “Golden Hour”: A Comprehensive Acuity Stratification Approach To Address Disagreement In Current Literature

Schroeder, Philip; Napoli, Nicholas J.; Barnhardt, William; Barnes, Laura E.; Young, Jeffrey S.

doi:10.1080/10903127.2018.1489021

Cited by 12 publications

(9 citation statements)

References 26 publications

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“…Beyond controversies, the "golden hour" is a well-known lexicon among trauma surgeons and EMS providers, and the underlying tenet of this adage suggests an injured patient has 60 minutes to receive de nitive care from time of injury, after which chances of morbidity and mortality signi cantly increase. [3,23,24] In our results, HEMS can enable the injured patients who are in over one-hour distances from hospital to arrive at the emergency centers within the "golden hour." Third, both types of transportation are signi cantly associated with a simple linear curve, but the slope of the graphs differ (0.2739 of HEMS vs. 0.5483 in GEMS, Figure 3C, 3D).…”

Section: Discussionmentioning

confidence: 80%

“…It is widely accepted that the "Helicopter emergency medical service (HEMS)" has a shorter prehospital time compared to the "Ground EMS (GEMS)," and both services may be used to save an injured patient by facilitating their arrival at the hospital within the "golden hour." [1][2][3] Beyond the controversies on the costeffectiveness and practical outcomes of HEMS, [4][5][6][7][8] most clinicians would agree with the immediacy of HEMS especially when the patient is located in a rural area or in places that have poor ground tra c conditions. [9] Usually, when patients are injured, they have two transportation options: helicopter and ground ambulance.…”

Section: Introductionmentioning

confidence: 99%

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Time-saving Effects Using Helicopter Transportation: Comparison to a Ground Transportation Time Predicted Using a Social Navigation Software

Jang

Kim

2021

Preprint

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IntroductionPrevious comparison studies regarding two types of transportation, helicopter (HEMS) versus ground emergency medical services (GEMS), have shown underlying heterogeneity as these options have completely different routes and consequent times with reference to one patient. To compare the two types of transportation on a case-by-case basis, we analyzed the retrospectively reviewed HEMS and predicted GEMS data using an open-source navigation software.MethodsPatients transferred by military HEMS from 2016 to 2019 were retrospectively enrolled. The HEMS records on the time of notification, injury point and destination address, and time required were reviewed. The GEMS data on distance and the predicted time required were acquired using open-source social navigation systems. Comparison analyses between the two types of transportation were conducted. Further, linear logistic regression analyses were performed on the distance and time of the two options.ResultsA total of 183 patients were enrolled. There was no statistical difference (p=0.3021) in the distance between the two types of transportation, and the HEMS time was significantly shorter than that of GEMS (61.31 vs. 116.92 minutes, p<0.001). The simple linear curves for HEMS and GEMS were separately secured, and two graphs presented the statistical significance (p) as well as reasonable goodness-of-fit (R2). In general, the HEMS graph demonstrates a more gradual slope and narrow distribution compared to that of GEMS. ConclusionIdeally, HEMS is identified as a better transportation modality because it has a shorter transportation time (56 minutes saved) and a low possibility of potential time delays (larger R2).Running tileHelicopter vs. navigation-based ground ambulance

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Time-saving Effects Using Helicopter Transportation: Comparison to a Ground Transportation Time Predicted Using a Social Navigation Software

Jang

Kim

2021

Preprint

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“…Beyond controversies, the "golden hour" is a well-known lexicon among trauma surgeons and EMS providers, and the underlying tenet of this adage suggests an injured patient has 60 minutes to receive de nitive care from time of injury, after which chances of morbidity and mortality signi cantly increase. [3,24,25] In our results, HEMS can enable the injured patients who are in over one-hour distances from hospital to arrive at the emergency centers within the "golden hour. "…”

Section: Discussionmentioning

confidence: 80%

Time-saving effects using helicopter transportation: comparison to a ground transportation time predicted using a social navigation software

Jang

Kwon

Moon

et al. 2020

Preprint

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BackgroundPrevious comparison studies regarding two types of transportation, helicopter (HEMS) versus ground emergency medical services (GEMS), have shown underlying heterogeneity as these options have completely different routes and consequent times with reference to one patient. To compare the two types of transportation on a case-by-case basis, we analyzed the retrospectively reviewed HEMS and predicted GEMS data using an open-source navigation software.MethodsPatients transferred by military HEMS from 2016 to 2019 were retrospectively enrolled. The HEMS records on the time of notification, injury point and destination addresses, and time required were reviewed. The GEMS data on distance and the predicted time required were acquired using open-source social navigation systems. Comparison analyses between the two types of transportation were conducted. Further, linear logistic regression analyses were performed on the distance and time of the two options.ResultsA total of 183 patients were enrolled. There was no statistical difference (p=0.3021) in the distance between the two types of transportation, and the HEMS time was significantly shorter than that of GEMS (61.31 vs. 116.92 minutes, p<0.001). The simple linear curves for HEMS and GEMS were separately secured, and two graphs presented the statistical significance (p) as well as reasonable goodness-of-fit (R2). In general, the HEMS graph demonstrates a more gradual slope and narrow distribution compared to that of GEMS.ConclusionIdeally, HEMS is identified as a better transportation modality because it has a shorter transportation time (56 minutes saved) and a low possibility of potential time delays (larger R2). With a strict patient selection, HEMS can rescue injured or emergent patients who are “out of the golden hour.”

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“…HEMS is generally accepted to have a shorter prehospital time than ground-based medical transportation, information which can be used to save patients by timing their arrival at the hospital within the “golden hour” [ 2 ]. Consequently, HEMS has a substantial influence on saving lives when used in rural or island settings.…”

Section: Introductionmentioning

confidence: 99%

Emergency Air Transport of Patients with Acute Chest Pain in the Adriatic Islands of Croatia: A Four-Year Analysis

Zanic

Kovačić

Jukic

2023

IJERPH

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Background: An efficient first-aid system usually supports ground services with a helicopter emergency medical service (HEMS). An HEMS is important for patients with acute chest pain on remote islands. The current study sought to identify the characteristics of HEMS in acute chest pain cases on the Croatian Adriatic islands over a four-year period. Methods: We conducted a four-year observational study to investigate HEMS from Adriatic islands. The study population consisted of all patients with acute coronary syndrome or pulmonary embolisms who were urgently transferred by HEMS to the University Hospital in Split 1 June 2018–1 June 2022. Results: During the observation period, 222 adult patients (67 females, or 30.2%) were urgently transferred. The mean age was 71.81 ± 13.42 years. The most common diagnosis was ST-elevated myocardial infarction (113, 50.9%). Most of the HEMS cases were from Hvar (91, 41.0%). The mean call-to-flight time was 19.10 ± 10.94 min, and the total time from call to hospital was 68.50 ± 22.29 min. The total time from call to hospital was significantly correlated with call-to-flight time (r = 0.761, P < 0.001). Of the 222 participants, 5 (2.25%) were transported for more than 120 min, and 35 (15.8%) were transported for more than 90 min. Conclusion: This study provided a detailed insight into HEMS in the area of the Croatian Adriatic islands. The average time from the call to the helicopter taking off was 19.10 min. An increase in dispatching time has a significant impact on the prolongation of the total time for the hospital admission. Shortening the response time is critical to reducing hospital arrival time.

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Relative Mortality Analysis Of The “Golden Hour”: A Comprehensive Acuity Stratification Approach To Address Disagreement In Current Literature

Cited by 12 publications

References 26 publications

Time-saving Effects Using Helicopter Transportation: Comparison to a Ground Transportation Time Predicted Using a Social Navigation Software

Time-saving Effects Using Helicopter Transportation: Comparison to a Ground Transportation Time Predicted Using a Social Navigation Software

Time-saving effects using helicopter transportation: comparison to a ground transportation time predicted using a social navigation software

Emergency Air Transport of Patients with Acute Chest Pain in the Adriatic Islands of Croatia: A Four-Year Analysis

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