Aeromedical evacuation of rural victims of nontraumatic cardiac arrest.
| Autor: | Lindbeck GH; Department of Medicine, University of Virginia Health Sciences Center, Charlottesville., Groopman DS, Powers RD |
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| Jazyk: | angličtina |
| Zdroj: | Annals of emergency medicine [Ann Emerg Med] 1993 Aug; Vol. 22 (8), pp. 1258-62. |
| DOI: | 10.1016/s0196-0644(05)80103-9 |
| Abstrakt: | Study Objectives: To determine if the deployment of a helicopter-borne nurse/paramedic team contributed to survival of victims of nontraumatic cardiac arrest in a rural setting. Design: Retrospective chart review. Setting: A university hospital-based helicopter aeromedical program serving a primarily rural region with a volunteer basic life support/advanced life support ground emergency medical services system. Participants: Victims of nontraumatic cardiac arrest, older than 15 years, in cardiac arrest at the time of request for air evacuation. Measurements and Main Results: Eighty-four patients were identified who met the study inclusion criteria between January 1, 1986, and December 31, 1989. Basic life support care was always available before aeromedical crew arrival; advanced life support care was available in 58% of cases before helicopter arrival. Resuscitative efforts were terminated in the field in 55 cases; of 29 patients transported to the emergency department, only ten (12%) survived to hospital admission. Only one patient (1%) survived to hospital discharge; this patient was resuscitated by ground advanced life support providers before helicopter arrival. Conclusion: Despite providing improved availability of advanced life support care in some cases, deployment of aeromedical teams had a negligible effect on patient survival from nontraumatic cardiac arrest in a rural setting. |
| Databáze: | MEDLINE |
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