Assessment of helicopter versus ground emergency medical services in reducing mortality rate and the length of stay in adult trauma patients between 2002 and 2014 recorded in King Abdulaziz Medical City trauma registry

2020 ◽  
pp. 15-19
Author(s):  
Shahad Aldelaijan ◽  
Mona Alsanae ◽  
Maysan almegbel ◽  
Nouf Alsadoun ◽  
Shahad Altoyan ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Length Of Stay ◽  
Emergency Medical Services ◽  
Trauma Registry ◽  
Medical Services ◽  
Trauma Patients ◽  
Emergency Medical ◽  
Medical City

scholarly journals P095: Who, what, where: a critical assessment of helicopter emergency medical services transport and transfer times on patient outcomes at two level 1 trauma centres

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S110-S110
Author(s):  
B. Nolan ◽  
A. Ackery ◽  
H. Tien ◽  
B. Sawadsky ◽  
S. Rizoli ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Emergency Medical Services ◽  
Trauma Centre ◽  
Medical Services ◽  
Trauma Patients ◽  
Helicopter Emergency Medical Services ◽  
Trauma Centres ◽  
Emergency Medical ◽  
Level 1 ◽  
Mode Of Transport

Introduction: Helicopter emergency medical services (HEMS) have become an engrained component of trauma systems to expedite transportation to a trauma centre. Ornge is a provincially run, paramedic-staffed HEMS that is responsible for all air ambulance service within Ontario, Canada. They provide transportation for trauma patients through one of three ways: scene call, modified scene call or interfacility transfer. In this study we report the characteristics of patients transported by each of these methods to two level 1 trauma centres and assess for any impact on morbidity or mortality. Methods: A local trauma registry was used to identify all patients transported to our two trauma centres by HEMS over a 36-month period. Data surrounding patient demographic, arrival characteristics, transport times and in-hospital course were abstracted from the registry. Statistical analysis will be used to compare methods of transport and characterize any association between mode of transport and mortality. Results: From January 1st, 2012 to December 31st, 2014 HEMS transferred a total of 911 patients to our trauma centers with an overall mortality rate of 11%. Of these patients 139 were scene calls with a mortality rate of 8%, 333 were modified scene calls with a mortality rate of 14% and 439 were interfacility transfers with a mortality rate of 10%. Conclusion: Identifying any association between the type of HEMS transport and morbidity and mortality, we may be able to predict those that need more urgent transfer to a trauma centre and find ways to decrease our overall pre-trauma center time.

Diagnostic value of emergency medical services provider judgement in the identification of head injuries among trauma patients

2018 ◽  
Vol 26 (2) ◽  
pp. 274-280
Author(s):  
E. A. J. van Rein ◽  
D. Jochems ◽  
R. D. Lokerman ◽  
R. van der Sluijs ◽  
R. M. Houwert ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Head Injuries ◽  
Diagnostic Value ◽  
Medical Services ◽  
Trauma Patients ◽  
Emergency Medical

scholarly journals Study on patient satisfaction among patients with trauma admitted to trauma centre and emergency medical services ward

2019 ◽  
Vol 6 (4) ◽  
pp. 1219
Author(s):  
Mrutyunjay I. Uppin ◽  
Kapildev K. Hannurkar ◽  
Archana M. Uppin
Keyword(s):  
Patient Satisfaction ◽  
Emergency Medical Services ◽  
Trauma Center ◽  
Road Traffic ◽  
Trauma Centre ◽  
Medical Services ◽  
Research Centre ◽  
Trauma Patients ◽  
Quality Health Care ◽  
Emergency Medical

Background: Patient satisfaction is an important key factor for determining the quality health care and services offered by the emergency departments in the hospital. The objectives of the study were to assess the satisfaction of the trauma patients attending the trauma center with the services provided by the KLES Dr. Prabhakar Kore Hospital and Research Centre, Belagavi, Karnataka.Methods: Fifty trauma patients admitted and treated in trauma center and emergency medical services ward (TCEMS) at KLES Dr. Prabhakar Kore Hospital and Research Centre, Belagavi, over a period of 3 months (from November 2014 till January 2015) were interviewed. After obtaining an informed consent, the required data was collected using a pre-designed and pre-tested questionnaire.Results: Out of the 50 patients interviewed, 86% were males and 14% were females. Out of them 74% were road traffic accident victims. 67.5% of these victims were between the age group of 21 and 50 yrs. The overall satisfaction was good with all the services provided at the center. 80% were satisfied with the care provided by the doctors, 80% with communication by doctors, more than 75% with accessory services, more than 65% with the wait times at various levels and more than 85% satisfaction with amenities in the ward.Conclusions: In conclusion our study revealed that the availability of consultant in triage area, improvements in communication, quick service at the Casualty Pharmacy, reducing the perceived waiting times at various levels and improvement in the ambience of the unit would further enhance the patient satisfaction with TCEMS.

scholarly journals Priority accuracy by dispatch centers and Emergency Medical Services professionals in trauma patients: a cohort study

2021 ◽  
Author(s):  
Job F. Waalwijk ◽  
◽  
Robin D. Lokerman ◽  
Rogier van der Sluijs ◽  
Audrey A. A. Fiddelers ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Priority Setting ◽  
Injury Severity ◽  
Medical Services ◽  
Trauma Patients ◽  
Trauma Centers ◽  
Reference Standard ◽  
Emergency Medical ◽  
Specialized Care ◽  
Primary Reference

Abstract Purpose Priority-setting by dispatch centers and Emergency Medical Services professionals has a major impact on pre-hospital triage and times of trauma patients. Patients requiring specialized care benefit from expedited transport to higher-level trauma centers, while transportation of these patients to lower-level trauma centers is associated with higher mortality rates. This study aims to evaluate the accuracy of priority-setting by dispatch centers and Emergency Medical Services professionals. Methods This observational study included trauma patients transported from the scene of injury to a trauma center. Priority-setting was evaluated in terms of the proportion of patients requiring specialized trauma care assigned with the highest priority (i.e., sensitivity), undertriage, and overtriage. Patients in need of specialized care were defined by a composite resource-based endpoint. An Injury Severity Score ≥ 16 served as a secondary reference standard. Results Between January 2015 and December 2017, records of 114,459 trauma patients were collected, of which 3327 (2.9%) patients were in need of specialized care according to the primary reference standard. Dispatch centers and Emergency Medical Services professionals assigned 83.8% and 74.5% of these patients with the highest priority, respectively. Undertriage rates ranged between 22.7 and 65.5% in the different prioritization subgroups. There were differences between dispatch and transport priorities in 17.7% of the patients. Conclusion The majority of patients that required specialized care were assigned with the highest priority by the dispatch centers and Emergency Medical Services professionals. Highly accurate priority criteria could improve the quality of pre-hospital triage.

scholarly journals Examining emergency medical services' prehospital transport times for trauma patients during COVID-19

2021 ◽  
Vol 44 ◽  
pp. 33-37
Author(s):  
Stephanie Jarvis ◽  
Kristin Salottolo ◽  
Gina M. Berg ◽  
Matthew Carrick ◽  
Rachel Caiafa ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Medical Services ◽  
Trauma Patients ◽  
Emergency Medical
Sign in / Sign up

Export Citation Format

Share Document