Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom

McQueen, Carl; Crombie, Nick; Cormack, Stef; George, Arun; Wheaton, Steve

doi:10.1016/j.injury.2014.10.067

Cited by 6 publications

(10 citation statements)

References 7 publications

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“…One study was rated ‘strong’20 due to its case–control design. One abstract23 was rated ‘weak’ due to a lack of published information and four other papers were rated ‘weak’ as a result of study design and data collection methods 17–19 24. The qualitative study was rated as ‘valuable’ using the CASP Qualitative Research Checklist 14.…”

Section: Resultsmentioning

confidence: 99%

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Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: a systematic review

et al. 2023

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ObjectiveIn the UK there are around 5400 deaths annually from injury. Tranexamic acid (TXA) prevents bleeding and has been shown to reduce trauma mortality. However, only 5% of UK major trauma patients who are at risk of haemorrhage receive prehospital TXA. This review aims to examine the evidence regarding factors influencing the prehospital administration of TXA to trauma patients.DesignSystematic literature review.Data sourcesAMED, CENTRAL, CINAHL, Cochrane Database of Systematic Reviews, Conference Proceedings Citation Index—Science, Embase and MEDLINE were searched from January 2010 to 2020; searches were updated in June 2022. Clinicaltrials.gov and OpenGrey were also searched and forward and backwards citation chasing performed.Eligibility criteriaAll primary research reporting factors influencing TXA administration to trauma patients in the prehospital setting was included.Data extraction and synthesisTwo independent reviewers performed the selection process, quality assessment and data extraction. Data were tabulated, grouped by setting and influencing factor and synthesised narratively.ResultsTwenty papers (278 249 participants in total) were included in the final synthesis; 13 papers from civilian and 7 from military settings. Thirteen studies were rated as ‘moderate’ using the Effective Public Health Practice Project Quality Assessment Tool. Several common factors were identified: knowledge and skills; consequences and social influences; injury type (severity, injury site and mechanism); protocols; resources; priorities; patient age; patient sex.ConclusionsThis review highlights an absence of high-quality research. Preliminary evidence suggests a host of system and individual-level factors that may be important in determining whether TXA is administered to trauma patients in the prehospital setting.Funding and registrationThis review was supported by Research Capability Funding from the South Western Ambulance Service NHS Foundation Trust and the National Institute for Health Research Applied Research Collaboration South West Peninsula.PROSPERO registration numberCRD42020162943.

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Section: Resultsmentioning

confidence: 99%

“…All but five of the studies were retrospective, and data collection was often incomplete. However, all of the studies explained patient dropouts or exclusions except the abstract 23…”

Section: Resultsmentioning

confidence: 99%

Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: a systematic review

et al. 2023

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“…18 An earlier study highlighted that dispatch by experienced flight paramedics showed a marked improvement in sensitivity and specificity of deployment, 15 yet again this study lacked robust methodology. A majority of other articles listed dispatch desks crewed by non-clinical staff 7,21 or HEMS paramedics, 16,23 or did not discuss this at all.…”

Section: Identifying Cases In Call Screeningmentioning

confidence: 99%

“…A majority of the literature within this review focused on HEMS use to trauma cases, 4,13,14,18,19,21,22 although only one system solely responded to trauma. 23 In this article and others, 4,18,20 overtriage was common to traumatic incidents.…”

Section: Incident Typementioning

confidence: 99%

HEMS dispatch: A systematic review

Eaton

Brown

Raitt

2017

Trauma

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Introduction: Helicopter emergency medical services dispatch is a contentious issue in modern prehospital services. Whilst the link between helicopter emergency medical services and improved patient outcome is well evidenced, allocation to the most appropriate incidents remains problematic. It is unclear which model of deployment is the most efficient at targeting major trauma and whether this can be improved with a change in dispatch process. The objective of this study was to have an overview of the evidence for dispatch models of helicopter emergency medical services to critically ill or injured patients. Methods: This systematic review was conducted in accordance with a protocol developed from the PRISMA guidelines. MEDLINE, Embase, CINAHL and the Cochrane library were searched focusing on keywords involving dispatch of helicopter emergency medical services resources. Results: Ninety-seven articles were screened and 14 articles were eligible for inclusion. Most were of low quality, with three of moderate quality. Heterogeneity in the methodology of included articles precluded meta-analysis, so a narrative review was performed. Conclusions: This review demonstrates the lack of evidence surrounding helicopter emergency medical services dispatch models. Whilst it is not possible to identify a method of dispatch that will optimize helicopter emergency medical services allocation, common themes within the literature indicate that helicopter emergency medical services use is region specific and dispatch criteria should be designed to match specific systems. Additionally, mechanism of injury as well as physiological data from scene was shown to be the most accurate indicator for helicopter emergency medical services attendance.

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“…In 2011, the letter of intent was signed by ten hospital trauma care experts from trauma regions on both sides of the West German border in the study region [7]. Recently, the letter of intent was expanded with the signatures of trauma care providers from the pre-hospital setting.…”

Section: Introductionmentioning

confidence: 99%

Agreements and practical experience of trauma care cooperation in Central Europe: The “Boundless Trauma Care Central Europe” (BTCCE) project

Jabakhanji

Meier

Kuijk

et al. 2015

Injury

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Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom

Cited by 6 publications

References 7 publications

Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: a systematic review

Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: a systematic review

HEMS dispatch: A systematic review

Agreements and practical experience of trauma care cooperation in Central Europe: The “Boundless Trauma Care Central Europe” (BTCCE) project

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