Autor: |
Olav Helge Førde, Hans Morten Lossius, O. V. Eielsen, Ragnar Hotvedt, Petter Andreas Steen, S. A. Hapnes, Eldar Søreide |
Rok vydání: |
2002 |
Předmět: |
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Zdroj: |
Acta Anaesthesiologica Scandinavica. 46:771-778 |
ISSN: |
0001-5172 |
DOI: |
10.1034/j.1399-6576.2002.460703.x |
Popis: |
Background: The benefit of prehospital advanced life support (ALS) is disputed, as is the prehospital use of specially trained, hospital-based physicians. The purpose of the study was to assess the health benefit from an anesthesiologist-manned prehospital emergency medical service (EMS), and to separate the benefit of the anesthesiologist from that of rapid transport. Methods: The anesthesiologist-manned helicopter and rapid response car service at Rogaland Central Hospital assisted 1106 patients at the scene during the 18-month study period. Two expert panels assessed patients with a potential health benefit for life years gained (LYG) using a modified Delphi technique. The probability of survival as a result of the studied EMS was multiplied by the life expectancy of each patient. The benefit was attributed either to the anesthesiologist, the rapid transport or a combination of both. Results: The expert panels estimated a benefit of 504 LYG in 74 patients (7% of the total study population), with a median age of 54 years (range 0–88). The cause of the emergency was cardiac diseases (including cardiac arrest) in 61% of the 74 pa |
Databáze: |
OpenAIRE |
Externí odkaz: |
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