Prehospital response model and time to CT scan in blunt trauma patients; an exploratory analysis of data from the head injury retrieval trial
| Autor: | Kristy Mann, Michael L Puntis, Val Gebski, Andrew Weatherall, Susan Dashey, Elwyn Poynter, Alan Garner |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
CT scan
Adult Male medicine.medical_specialty Emergency Medical Services Time Factors medicine.medical_treatment Psychological intervention Allied Health Personnel Poison control Computed tomography Critical Care and Intensive Care Medicine Trauma Time Injury Severity Score Head Injuries Closed Physicians Injury prevention medicine Emergency medical services Intubation Humans Glasgow Coma Scale Prehospital Original Research HEMS Patient Care Team medicine.diagnostic_test business.industry Head injury Air Ambulances Middle Aged medicine.disease Blunt trauma Physician Emergency medicine Emergency Medicine Workforce Female Medical emergency business Tomography X-Ray Computed |
| Zdroj: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| ISSN: | 1757-7241 |
| Popis: | Background It has been suggested that prehospital care teams that can provide advanced prehospital interventions may decrease the transit time through the ED to CT scan and subsequent surgery. This study is an exploratory analysis of data from the Head Injury Retrieval Trial (HIRT) examining the relationship between prehospital team type and time intervals during the prehospital and ED phases of management. Methods Three prehospital care models were compared; road paramedics, and two physician staffed Helicopter Emergency Medical Services (HEMS) - HIRT HEMS and the Greater Sydney Area (GSA) HEMS. Data on prehospital and ED time intervals for patients who were randomised into the HIRT were extracted from the trial database. Additionally, data on interventions at the scene and in the ED, plus prehospital entrapment rate was also extracted. Subgroups of patients that were not trapped or who were intubated at the scene were also specifically examined. Results A total of 3125 incidents were randomised in the trial yielding 505 cases with significant injury that were treated by road paramedics, 302 patients treated by the HIRT HEMS and 45 patients treated by GSA HEMS. The total time from emergency call to CT scan was non-significantly faster in the HIRT HEMS group compared with road paramedics (medians of 1.9 hours vs. 2.1 hours P = 0.43) but the rate of prehospital intubation was 41% higher in the HIRT HEMS group (46.4% vs. 5.3% P |
| Databáze: | OpenAIRE |
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