scholarly journals Efficacy of the Drip and Ship Method in 24-h Helicopter Transportation and Teleradiology for Isolated Islands

2019 ◽  
Vol 59 (12) ◽  
pp. 504-510 ◽  
Author(s):  
Takeshi HIU ◽  
Keisuke OZONO ◽  
Ichiro KAWAHARA ◽  
Kazumi YAMASAKI ◽  
Kei SATOH ◽  
...  
2018 ◽  
Vol 84 (10) ◽  
pp. 1630-1634 ◽  
Author(s):  
Navpreet K. Dhillon ◽  
Nikhil T. Linaval ◽  
Kavita A. Patel ◽  
Christos Colovos ◽  
Ara Ko ◽  
...  

Rapid transfer of trauma patients to a trauma center for definitive management is essential to increase survival. The utilization of helicopter transportation for this purpose remains heavily debated. The purpose of this study was to characterize the trends in helicopter transportations of trauma patients in the United States over the last decade. Subjects with a primary mode of either ground or helicopter transportation were selected from the National Trauma Data Bank datasets 2007 to 2015. Over this period, the proportion of patients transported by a helicopter decreased significantly in a linear fashion from 17 per cent in 2007 to 10.2 per cent in 2015 ( P < 0.001). The overall mortality of this population was 7.6 per cent and remained unchanged over the study period ( P = 0.545). Almost 3 of 10 subjects (29.4%) transported by a helicopter had an Injury Severity Score <9. The proportion of elderly (>65 years) patients requiring helicopter transportation increased by 69.1 per cent, whereas their associated mortality decreased by 21.5 per cent. The use of a helicopter for the transportation of trauma patients has significantly decreased over the last decade without any significant change in mortality, possibly indicating more effective utilization of available resources. Overtriage of patients with minor injuries remained relatively unchanged.


2016 ◽  
Vol 85 ◽  
pp. 194-204 ◽  
Author(s):  
Felipe A.C. Nascimento ◽  
Arnab Majumdar ◽  
Washington Y. Ochieng ◽  
Wolfgang Schuster ◽  
Milena Studic

Burns ◽  
2002 ◽  
Vol 28 (1) ◽  
pp. 70-72 ◽  
Author(s):  
H. Slater ◽  
M.S. O'Mara ◽  
I.W. Goldfarb

2019 ◽  
Vol 10 (2) ◽  
pp. 532-543
Author(s):  
Laura A. Tennant ◽  
Ben M. Vaage ◽  
David L. Ward

Abstract Trucks and aircraft typically transport rare or endangered fishes in large unsealed tanks containing large volumes of water (typically hundreds of liters) during conservation efforts. However, to reduce weight and overall shipping costs, fish breeders commonly send ornamental fishes by mail in small sealed plastic bags filled with oxygen, minimal water, and a small amount of sedative. Our goal was to evaluate if we could also use these “minimal-water” methods used for shipping ornamental fishes to safely transport endangered Humpback Chub Gila cypha into remote locations within Grand Canyon on foot to eliminate helicopter transportation costs associated with conservation actions. In the laboratory, we placed 20 (mean = 193.9 g of fish/L, SD = 37.8) juvenile Bonytail Gila elegans or Humpback Chub in plastic bags containing 1 L of water and pure oxygen for 4, 8, and 12 h. Treatments contained either no sedative or one of three sedatives—AquaCalm (metomidate hydrochloride), Tricaine-S (tricaine methanesulfonate or MS-222), or Aqui-S 20E (eugenol)—to evaluate the effectiveness of minimal-water methods for use in fish transport. Aqui-S 20E and the control without sedatives exhibited the highest survival (logistic regression, Aqui-S 20E, p = 0.994, 95% CI [0.978, 0.998]; control, p = 0.995, 95% CI [0.981, 0.998]), followed by Tricaine-S (p = 0.933, 95% CI [0.902, 0.955]) and AquaCalm (p = 0.355, 95% CI [0.307, 0.406]). We also conducted a field trial in which we placed 240 juvenile Humpback Chub in shipping bags (n = 20 fish/bag/L of water; mean = 143.2 g of fish/L, SD = 9.72) with no sedative or 10.0 mg/L of Aqui-S 20E and transported them by vehicle and on foot. No fish perished during transport, indicating fisheries personnel can use these minimal-water methods to safely, and at little expense, transport endangered Humpback Chub into remote locations.


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