지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 157 - 165 (9page)
이용수
초록· 키워드
오류제보하기
Objective: The purpose of this study is to analyze the results of doctor helicopter emergencymedical service (HEMS) in traumatic brain injury (TBI) patients and to understand the effectand improvement of doctor HEMS. Methods: We included TBI patients transferred by doctor HEMS of our hospital betweenFebruary 2016 and December 2017. Basic characteristics, HEMS data, treatment and resultsdata were analyzed retrospectively. We divided the patients into 3 groups as regarding severityof patient, relevance of treatment and transfer. We investigated the preventable trauma deathrate (PTDR) of these groups to increase the reliability of the treatment outcome. Results: TBI patients using doctor HEMS were indicated in 98 patients (18.7%) among 522 overallHEMS patients. The overall mortality was consisted in 21.4% and 43.2% was resulted in Glasgowoutcome scale 4 or 5. The group of proper transport and treatment for severe TBI was consisted in62.2% including 13 mortality cases and no preventable death. The group of delayed transport ortreatment for severe TBI was 18.3% including 8 mortality cases and 1 preventable death. The PTDRof TBI afer doctor HEMS was signifcantly lower than that of overall TBI (4.8% vs. 11.6%, p=0.045). Conclusion: In patients with severe TBI, doctor HEMS can improve treatment outcomesby reducing treatment delay and unnecessary examinations and this result was evidencedthat the PTDR were decreased signifcantly afer doctor HEMS transport. The appropriatetreatment is mandatory for real-time communication with the emergency doctor andtreatment preparation of the trauma team during the HEMS transport.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Andruszkow H / 2013 / Survival benefit of helicopter emergency medical services compared to ground emergency medical services in traumatized patients / Crit Care 17:R124
Andruszkow H / 2016 / Impact of helicopter emergency medical service in traumatized patients: which patient benefits most? / PLoS One 11:e0146897
Aydin S / 2010 / The association of mobile medical team involvement on on-scene times and mortality in trauma patients / J Trauma 69:589~594
Bekelis K / 2015 / Prehospital helicopter transport and survival of patients with traumatic brain injury / Ann Surg 261:579~585
Brown JB / 2010 / Helicopters and the civilian trauma system : national utilization patterns demonstrate improved outcomes after traumatic injury / J Trauma 69:1030~1034
Andruszkow H / 2016 / Impact of helicopter emergency medical service in traumatized patients: which patient benefits most? / PLoS One 11:e0146897
Aydin S / 2010 / The association of mobile medical team involvement on on-scene times and mortality in trauma patients / J Trauma 69:589~594
Bekelis K / 2015 / Prehospital helicopter transport and survival of patients with traumatic brain injury / Ann Surg 261:579~585
Brown JB / 2010 / Helicopters and the civilian trauma system : national utilization patterns demonstrate improved outcomes after traumatic injury / J Trauma 69:1030~1034
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