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Early aeromedical transfer after acute coronary syndromes.
MedLine Citation:
PMID:  20581380     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Aims To investigate the safety and efficacy of early aeromedical transfer after acute coronary syndromes (ACS). The Island of Jersey is 160 km from the UK and as no catheter laboratory facilities exist locally, patients with ACS are transferred to tertiary centres by air ambulance in the UK for further investigations. Methods All patients transferred to the UK for investigation after ACS in 2008 were identified retrospectively from coronary care admission records and the local flight transfer database. Data were collected on patient demographics, diagnosis, time from presentation, flight duration, accompanying personnel and in-flight complications. Significant complications were defined as death, cardiac or respiratory arrest, sustained arrhythmia requiring electrical cardioversion or the need for endotracheal intubation. Results 65 patients (mean age 61.7 years; 80.0% male) were transferred for cardiac catheterisation after non-ST elevation myocardial infarction (n=30, 46.2%) or ST elevation myocardial infarction (n=23, 35.4%), or with unstable angina (n=12, 18.5%). Patients were transferred 3.6±3.4 days after presentation; mean transfer time was 171.6±38.8 min. The majority (90.8%) of patients were transferred with both a doctor and a nurse. There were no significant complications during transfer. Intra-transport medication with nitrates, diuretics, analgesia, antiemetics or antiarrhythmics was required in 15 (23.1%) patients. Conclusions Aeromedical transfer after ACS is safe within 3 days of presentation. Given the minor nature of in-flight complications, a paramedic and coronary care nurse are sufficient medical escort for these patients.
Authors:
Alexander Michael Stewart; Ryan McNay; Ranji Thomas; Andrew R J Mitchell
Publication Detail:
Type:  Journal Article     Date:  2010-06-26
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  28     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  325-7     Citation Subset:  IM    
Affiliation:
Jersey Heart & Lung Unit, General Hospital, Gloucester Street, St Helier, Jersey JE1 3QS, UK; mail@jerseycardiologist.com.
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