A review of trauma patients taken to hospital by air ambulance

2010 ◽  
Vol 2 (4) ◽  
pp. 169-173
Author(s):  
Eleanor Whittingham ◽  
Tony Bleetman
Keyword(s):  
Trauma Patients ◽  
Air Ambulance

scholarly journals Cover art

2017 ◽  
Vol 86 (1) ◽  
Author(s):  
Alice Yi
Keyword(s):  
Short Distance ◽  
Large Population ◽  
Health Sciences ◽  
Disaster Medicine ◽  
Trauma Patients ◽  
Air Ambulances ◽  
Air Ambulance ◽  
Patient Transport ◽  
London Health ◽  
Cover Art

Cover art by Alice Yi. Description: An air ambulance sits on a helipad a short distance away from a hospital. At first glance, these buildings look like they can be from anywhere, but upon closer inspection, the unmistakable countours of Victoria Hospital reveal themselves. Victoria Hospital is the only hospital in the London Health Sciences network that services trauma patients, and is the designated Lead Trauma Hospital for all of Southwestern Ontario. Due to the large population that LHSC serves—and large distances between populations—air ambulances are often essential for timely patient transport. These helicopters have become a sign of how far technology and infrastructure have come in trauma and disaster medicine, and how we can bring further advancements to the field.

Factors associated with non-optimal resource utilization of air ambulance for interfacility transfer of injured patients

CJEM ◽  
2020 ◽  
Vol 22 (S2) ◽  
pp. S45-S54
Author(s):  
Andrew Quirion ◽  
Mahvareh Ahghari ◽  
Brodie Nolan
Keyword(s):  
Risk Factors ◽  
Resource Utilization ◽  
Resource Use ◽  
Optimal Transport ◽  
Clinical Status ◽  
Trauma Patients ◽  
Air Ambulance ◽  
Timely Access ◽  
Optimal Resource ◽  
Injured Patients

ABSTRACTObjectiveTimely access to definitive care is associated with improved outcomes in trauma patients. The goal of this study is to identify patient, institutional and paramedic risk factors for non-optimal resource utilization for interfacility transfers of injured adult patients transported by air ambulance to a LTC.MethodsThis is a retrospective cohort study of adult emergent interfacility transports via Ornge with data collected on patient demographics, clinical status, sending facilities, transport details and paramedic qualifications. A logistic regression model was used to analyze data.Results1777 injured patients undergoing transport with Ornge were analyzed with 805 of these undergoing non-optimal transport. Patients who had an optimal resource use were found to be older and mechanically ventilated. Risk factors increasing odds of non-optimal transport included patients transported from a nursing station (OR 1.94), transport with primary or advanced care paramedics (OR 6.57 and 1.44, respectively) and transport between both 0800-1700 and 1700-0000 (OR 1.40 and 1.54, respectively). The median delay to arrival to receiving facility if a patient had a non-optimal resource use was 40 minutes.ConclusionsThree main risk factors were identified in this study. We believe that nursing stations as a sending facility and type of paramedics crew transporting patients resulted in non-optimal resource utilization primarily due to triage of lower acuity patients. However the timing of day is more likely to be a resource availability issue and something that can be further studied and potentially improved moving forward.

Aeromedical evacuation in Bosnia

1997 ◽  
Vol 83 (1) ◽  
pp. 8-13
Author(s):  
A K Dashfield ◽  
H R Smith ◽  
P C Young
Keyword(s):  
Rural Area ◽  
Secondary Care ◽  
Care Facility ◽  
Rural Setting ◽  
Trauma Patients ◽  
Air Ambulance ◽  
Aeromedical Evacuation ◽  
National Division ◽  
Care Facilities

The objective of this study was to assess the value of aeromedical evacuation when compared to road ambulance transportation in predominantly trauma patients in a rural area. Uniquely, trauma was the most common presenting condition (75%), di stances to secondary care facilities were long and road routes were poor with a risk of being mined. Data were coll ected of all Briti sh aeromedical flights in Multi-National Division Southwest, Bosnia-Herzegovina, over a six-month period, and benefit to the patient was assessed by a panel of experts when compared to calcul ated road ambulance evacuation. Sixty-nine patients were evacuated by air on 57 fli ghts and transported to a secondary care facility for further management. The panel of experts found that only 15 of the 69 patients (22%) had benefited from aeromedical evacuation. This study again shows the low benefit to the patient from indiscriminate use of aeromedical evacuation, despite the air ambulance being operated in apparently ideal conditi ons of a high percentage of trauma, a rural setting and poor road communications. Crew safety and the high costs further highlight the need to devise a system that can screen out unnecessary flights and identify those patients who would benefit most.

Venous thromboembolism in a general hospital. An update with low molecular weight heparin prophylaxis

VASA ◽  
2007 ◽  
Vol 36 (1) ◽  
pp. 17-22
Author(s):  
Schulz ◽  
Kesselring ◽  
Seeberger ◽  
Andresen
Keyword(s):  
Molecular Weight ◽  
Pulmonary Embolism ◽  
Venous Thromboembolism ◽  
Low Molecular Weight ◽  
Trauma Patients ◽  
Vte Prophylaxis ◽  
Vein Thrombosis ◽  
Patients At Risk ◽  
Hospital Stays ◽  
Event Rates

Background: Patients admitted to hospital for surgery or acute medical illnesses have a high risk for venous thromboembolism (VTE). Today’s widespread use of low molecular weight heparins (LMWH) for VTE prophylaxis is supposed to have reduced VTE rates substantially. However, data concerning the overall effectiveness of LMWH prophylaxis is sparse. Patients and methods: We prospectively studied all patients with symptomatic and objectively confirmed VTE seen in our hospital over a three year period. Event rates in different wards were analysed and compared. VTE prophylaxis with Enoxaparin was given to all patients at risk during their hospital stay. Results: A total of 50 464 inpatients were treated during the study period. 461 examinations were carried out for symptoms suggestive of VTE and yielded 89 positive results in 85 patients. Seventy eight patients were found to have deep vein thrombosis, 7 had pulmonary embolism, and 4 had both deep venous thrombosis and pulmonary embolism. The overall in hospital VTE event rate was 0.17%. The rate decreased during the study period from 0.22 in year one to 0,16 in year two and 0.13 % in year three. It ranged highest in neurologic and trauma patients (0.32%) and lowest (0.08%) in gynecology-obstetrics. Conclusions: With a simple and strictly applied regimen of prophylaxis with LMWH the overall rate of symptomatic VTE was very low in our hospitalized patients. Beside LMWH prophylaxis, shortening hospital stays and substantial improvements in surgical and anasthesia techniques achieved during the last decades probably play an essential role in decreasing VTE rates.

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