Early management of multiply injured patients with maxillofacial injuries transferred to hospital by helicopter
| Autor: | Hugh Cannell, M.B. O'Regan, K.C. Silvester |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Adolescent Aircraft Hemorrhage Injury Severity Score Tracheostomy London Emergency medical services Helicopter emergency medical service Humans Medicine Aged Retrospective Studies Trauma Severity Indices Medical treatment Multiple Trauma business.industry Respiration Multiple injury Trauma Severity Indexes Retrospective cohort study Middle Aged medicine.disease Advanced trauma life support Surgery Survival Rate Epistaxis Transportation of Patients Otorhinolaryngology Female Maxillofacial Injuries Medical emergency Oral Surgery business |
| Zdroj: | British Journal of Oral and Maxillofacial Surgery. 31:207-212 |
| ISSN: | 0266-4356 |
| DOI: | 10.1016/0266-4356(93)90140-r |
| Popis: | It has been suggested that early intensive medical treatment will improve the outcome for trauma patients with severe injuries. A Helicopter Emergency Medical Service (HEMS) based in an urban area was inaugurated by The Royal London Hospital. Specially trained medical and paramedical personnel flew with the helicopter to accident scenes. On return to the hospital, multi-disciplinary teams, including maxillofacial, were called to manage the patients. Operations from its own helipad commenced from the end of August 1990. A retrospective study of 192 patients transferred by HEMS to the Royal London Hospital during 16 months was undertaken. 18% (34) patients had facial injuries recognised at primary and secondary surveys according to Advanced Trauma Life Support (ATLS) protocols. The problems of early management are described and routine techniques for the control of haemorrhage from the maxillofacial area were developed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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