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Effects of physician-based emergency medical service dispatch in severe traumatic brain injury on prehospital run time

التفاصيل البيبلوغرافية
العنوان: Effects of physician-based emergency medical service dispatch in severe traumatic brain injury on prehospital run time
المؤلفون: J. van der Naalt, Gaby Franschman, Teuntje M. J. C. Andriessen, Saskia M. Peerdeman, Nico Hoogerwerf, S. Greuters, Christa Boer, J.P. Valk, V. Brens-Heldens, Pieter E. Vos, N. Verburg, Patrick Schober, H.M.T. Christiaans
المساهمون: Anesthesiology, Neurosurgery, ICaR - Circulation and metabolism, Molecular Neuroscience and Ageing Research (MOLAR)
المصدر: Injury. International Journal of the Care of the Injured, 43(11), 1838-1842. Elsevier Limited
Injury-International Journal of the Care of the Injured, 43(11), 1838-1842. ELSEVIER SCI LTD
Injury : International Journal of the Care of the Injured, 43, 11, pp. 1838-42
Franschman, G, Verburg, N, Brens-Heldens, V, Andriessen, T M J C, van der Naalt, J, Peerdeman, S M, de Valk, J P, Hoogerwerf, N, Greuters, S, Schober, P, Vos, P E, Christiaans, H M T & Boer, C 2012, ' Effects of physician-based emergency medical service dispatch in severe traumatic brain injury on prehospital run time ', Injury. International Journal of the Care of the Injured, vol. 43, no. 11, pp. 1838-1842 . https://doi.org/10.1016/j.injury.2012.05.020
Injury : International Journal of the Care of the Injured, 43, 1838-42
سنة النشر: 2012
مصطلحات موضوعية: Male, Emergency Medical Services, Time Factors, IMPACT, medicine.medical_treatment, Poison control, Transportation, Emergency medical service, Injury Severity Score, Traumatic brain injury, Outcome Assessment, Health Care, Emergency medical services, Intubation, ADVANCED LIFE-SUPPORT, General Environmental Science, Mobile medical team, Head injury, Prognosis, Practice Guidelines as Topic, Workforce, Female, Guideline Adherence, Adult, medicine.medical_specialty, ON-SCENE TIMES, Physicians, Intubation, Intratracheal, medicine, Humans, Glasgow Coma Scale, DCN NN - Brain networks and neuronal communication, Prehospital, Retrospective Studies, HEMS, TEAM INVOLVEMENT, business.industry, MORTALITY, HEAD-INJURY, Air Ambulances, CARE, medicine.disease, Advanced life support, Brain Injuries, Emergency medicine, General Earth and Planetary Sciences, business
الوصف: Contains fulltext : 107714.pdf (Publisher’s version ) (Closed access) INTRODUCTION: Prehospital care by physician-based helicopter emergency medical services (P-HEMS) may prolong total prehospital run time. This has raised an issue of debate about the benefits of these services in traumatic brain injury (TBI). We therefore investigated the effects of P-HEMS dispatch on prehospital run time and outcome in severe TBI. METHODS: Prehospital run times of 497 patients with severe TBI who were solely treated by a paramedic EMS (n=125) or an EMS/P-HEMS combination (n=372) were retrospectively analyzed. Other study parameters included the injury severity score (ISS), Glasgow Coma Scale (GCS), prehospital endotracheal intubation and predicted and observed outcome rates. RESULTS: Patients who received P-HEMS care were younger and had higher ISS values than solely EMS-treated patients (10%; P=0.04). The overall prehospital run time was 74+/-54min, with similar out-of-hospital times for EMS and P-HEMS treated patients. Prehospital endotracheal intubation was more frequently performed in the P-HEMS group (88%) than in the EMS group (35%; P
وصف الملف: application/pdf
تدمد: 0020-1383
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6c4442d529f98c8e9788423be5c6dce3
https://hdl.handle.net/2066/107714
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....6c4442d529f98c8e9788423be5c6dce3
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00201383