scholarly journals Neonatal Transport in the Practice of the Crews of the Polish Medical Air Rescue: A Retrospective Analysis

Author(s):  
Ewa Rzońca ◽  
Stanisław Paweł Świeżewski ◽  
Robert Gałązkowski ◽  
Agnieszka Bień ◽  
Arkadiusz Kosowski ◽  
...  

The aim of the study was to present characteristics of patients transported in incubators by crews of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) of the Polish Medical Air Rescue as well as the character of their missions. The study was based on the method of retrospective analysis of neonatal transports with the use of transport incubators by the crews of HEMS and EMS of the Polish Medical Air Rescue. The study covered 436 medical and rescue transports of premature babies and full-term newborns in the period between January 2012 and December 2018. The study group consisted mainly of male patients (55.05%) who, on the basis of the date of delivery, were qualified as full-term newborns (54.59%). During the transport their average age was 37.53 (standard deviation, SD 43.53) days, and their average body weight was 3121.18 (SD 802.64) grams. A vast majority of neonatal transports were provided with the use of a plane (84.63%), and these were medical transports (79.36%). The average transport time was 49.92 (SD 27.70) minutes with the average distance of 304.27 km (SD 93.05). Significant differences between premature babies and full-term newborns were noticed in terms of age and body weight at the moment of transport, diagnosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10), the most commonly used medications (prostaglandin E1, glucose, furosemide, vitamins), National Advisory Committee for Aeronautics (NACA) scale rate as well as the mission type and the presence of an accompanying person.

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 557
Author(s):  
Ewa Rzońca ◽  
Grażyna Bączek ◽  
Marcin Podgórski ◽  
Robert Gałązkowski

The purpose of the study was to present the characteristics of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) interventions concerning newborns in Poland. The study involved a retrospective analysis of missions by Polish Medical Air Rescue crews concerning newborns, carried out in Poland between January 2011 and December 2020. Polish Medical Air Rescue crews were most commonly dispatched to urban areas (86.83%), for patient transfer (59.67%), using an airplane (65.43%), between 7 AM and 6:59 PM (93.14%), and in the summer (28.67%). Further management involved handing over the neonatal patient to a ground neonatal ambulance team. Most of the patients studied were male (58.02%), and the most common diagnosis requiring the HEMS or EMS intervention was a congenital heart defect (31.41%). The most common medical emergency procedure performed by Polish Medical Air Rescue crew members for the neonatal patients was intravenous cannulation (43.07%). The odds ratio for congenital malformations was higher in male newborns. The type of Polish Medical Air Rescue mission was associated with the location of the call, time of the call, ICD-10 diagnosis associated with the dispatch, selected clinical findings, most commonly performed medical emergency procedures, and mission duration and distance covered.


2018 ◽  
Vol 19 (1) ◽  
pp. 59-66
Author(s):  
Z. J. Mutalova ◽  
H. P. Alimova ◽  
V. H. Sharipova

Current retrospective analysis contains detailed information on prevalence, character and methods of treatment of polytraumatic injuries in children in Uzbekistan from 1995 to 2015. Analysis of mortality, disability and total number of injuries are given in accordance to three separate phases development and establishment of Emergency Medical Service in Uzbekistan.


2012 ◽  
Vol 20 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Philipp Mommsen ◽  
Nikolas Bradt ◽  
Christian Zeckey ◽  
Hagen Andruszkow ◽  
Max Petri ◽  
...  

2018 ◽  
Vol 19 (1) ◽  
pp. 48-54 ◽  
Author(s):  
A. L. Ershov ◽  
A. G. Miroshnichenko ◽  
A. A. Bojkov ◽  
A. Yu. Schurov

This research is devoted to a retrospective analysis of the number of missions of the emergency medical service to adult patients that suffer from acute respiratory failure (ARF) of various severity in St. Petersburg during 2017. Gender and age characteristics of the groups of patients with ARF are presented. Nosologic forms of diseases that tend to be the most common reason of ARF are also identified. The analysis of immediate results of missions to the patients is presented.


2019 ◽  
Vol 72 (3) ◽  
pp. 500-505 ◽  
Author(s):  
Patryk Rzońca ◽  
Piotr Tomaka ◽  
Robertn Gałązkowski

Introduction: Burns are a huge problem for public health and a challenge for healthcare systems all around the world. They are responsible for 180.000 deaths worldwide each year. In order to ensure high quality treatment and rehabilitation of these patients burn centres are established in many countries. Another vital factor influencing the prognosis of patients with burns is quick transport that in many countries, including Poland is carried out by Helicopter Emergency Medical Service (HEMS). The aim: To describe the operations carried out by HEMS with particular stress put on the target medical facility. Materials and methods: The research was conducted with the method of retrospective analysis of operations performed by HEMS crews. All missions from January 2011 to December 2018 were included in the study and 2534 cases were qualified for the final analysis. Results: The study group was predominantly male (72.72%) aged 18 years old and less (36.65%). Nearly two thirds of the patients were transported to hospitals with a burn ward (61.88%). Opioid analgesics as well as crystalloids were the most commonly administered drugs (respectively 68.55% and 64.76%). Statistical analysis showed that HEMS arrival time (20.77 minutes vs 18.60 minutes) and duration of the transport to designated hospital (40.11 minutes vs 19.66 minutes) were significantly higher in the cases of deciding to transport the patient to the hospital with the burns department (p<0.001). Conclusions: Presented results showed that HEMS crews are more often assigned to help ground-based Medical Rescue Teams in case of patients who required treatment in burn centres. Moreover, the time and distance to the hospital with burn ward was significantly longer compared to other healthcare facilities. This confirms that the assigning of HEMS crews for the patients with severe burns was reasonable.


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
RJ Moors Xavier ◽  
B Oude Alink Michelle ◽  
JM Bouman Stef ◽  
Dennis Den Hartog ◽  
Jan Houmes Robert ◽  
...  

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