Document Detail


Transport of winter resort injuries to regional trauma centers.
MedLine Citation:
PMID:  16413424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: This study examined the epidemiology of winter resort injuries presenting to regional trauma centers by helicopter (HEMS) or ground (GEMS) ambulance. METHODS: Five hundred seventy-five patients (GEMS 289; HEMS 286) were identified from trauma registries and HEMS transport records. Demographic data, hospital interventions, and discharge status were examined. RESULTS: HEMS patients had a significantly lower Glasgow coma score (GCS) and trauma score (TS), longer intensive care unit (ICU) length of stay (LOS), and more deaths than did GEMS patients (P < 0.05). Despite this, significantly more HEMS patients were discharged home from the emergency department (24.5% vs. 4.8%; P < 0.001). HEMS patients had more isolated head/facial injuries and multiple injuries, with less isolated extremity injuries than did GEMS patients (P < 0.05). Regardless of transport mode, patients with multiple injuries, thoracoabdominal injuries, or head injuries with a GCS < or = 13 were more likely to require immediate interventions (intubation, chest tube, blood products). Patients with isolated extremity injuries rarely needed immediate care. CONCLUSION: HEMS patients had a higher acuity and different injury pattern when compared to GEMS patients. Approximately 24.5% of HEMS patients were discharged home from the ED. This reflects significant overtriage of patients to HEMS. A prospective study examining the initial triage of patients injured at winter resorts would help to determine which subset of patients are best served by HEMS transport.
Authors:
Christy L McCowan; Frank Thomas; Eric R Swanson; Stephen Hartsell; Janet Cortez; Sue Day; Diana L Handrahan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Air medical journal     Volume:  25     ISSN:  1067-991X     ISO Abbreviation:  Air Med. J.     Publication Date:    2006 Jan-Feb
Date Detail:
Created Date:  2006-01-17     Completed Date:  2006-03-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9312325     Medline TA:  Air Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  26-34     Citation Subset:  H    
Affiliation:
Emergency Department Clinical Operations, University of Utah Health Sciences Center, Salt Lake City, Utah 84143, USA. Christy.mccowan@hsc.utah.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Air Ambulances*
Cold Temperature*
Female
Humans
Leisure Activities
Male
Retrospective Studies
Seasons*
Transportation of Patients*
Utah / epidemiology
Wounds and Injuries / classification,  epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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