Helicopter Emergency Medical Services Utilization
| Autor: | M. Riccardo Colella, Elena A. Kossyreva, Timothy J. Lenz |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Adolescent MEDLINE Emergency Nursing Young Adult Wisconsin Chart review Emergency medical services Medicine Humans Aged Retrospective Studies business.industry Patient Selection Significant difference Air Ambulances Middle Aged medicine.disease Transportation of Patients Practice Guidelines as Topic Emergency Medicine Professional association Female Medical emergency Guideline Adherence business Facilities and Services Utilization |
| Zdroj: | Air medical journal. 38(4) |
| ISSN: | 1532-6497 |
| Popis: | The decision to utilize HEMS is a complex process that involves many considerations. Professional associations and agencies have published guidelines to assist providers with decision making for the utilization of helicopter transport.Determine if requests for HEMS align with recently published utilization guidelines.A retrospective chart review was performed during a six-month period. Reviewers versed in Wisconsin HEMS Utilization, NAEMSP, and CAMTS guidelines determined if transport criteria were met. Charts were categorized according to whether or not criteria for each set of recommendations were followed.514 charts were reviewed; 439 consisted of completed patient transports. CAMTS, NAEMSP, and WI HEMS guidelines satisfied 85.4%, 83.4%, and 53.1% of requests, respectively. Statistically significant differences existed when comparing rates meeting criteria between WI HEMS and CAMTS and between WI HEMS and NAEMSP guidelines (p-value0.0001). This was true in all subgroups except STEMI, which did not show significant difference. No difference existed between rates for CAMTS and NAEMSP guidelines in any group.Significant difference between Wisconsin HEMS utilization versus NAEMSP guidelines, and between Wisconsin HEMS utilization and CAMTS guidelines in all subgroups except STEMI patients exist. No statistically significant difference existed between NAEMSP and CAMTS guidelines. |
| Databáze: | OpenAIRE |
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