Document Detail


A rural emergency medical retrieval service: the first year.
MedLine Citation:
PMID:  16921078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: We describe the first year of operation of a rural emergency medical retrieval service (EMRS), staffed by emergency medicine and anaesthetic consultants and providing air based retrieval of critically ill and injured patients from general practitioner led community hospitals in rural west Scotland.
METHODS: Data were collected on all patients referred to the service, both those subsequently transported and those where transport by the service was not indicated, for a period of 1 year from 1 October 2004 to 30 September 2005. Data collected included information on demographics, physiology, and medical interventions. Detailed data were collected regarding advanced airway care and any complications relating to transfer.
RESULTS: Forty patients were attended and advice was given on a further 21 patients. Twenty one of the 40 patients (53%) required rapid sequence intubation prior to transfer. The median Injury Severity Score (ISS) for trauma patients was 26 (range 2-59). The median Acute Physiology and Chronic Health Evaluation (APACHE) II score for all patients was 11 (range 2-37).
CONCLUSION: Our data show a high level of acuity among this patient group and a need for advanced medical intervention to ensure safe transfer.
Authors:
A R Corfield; L Thomas; A Inglis; S Hearns
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  23     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-21     Completed Date:  2007-07-12     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  679-83     Citation Subset:  IM    
Affiliation:
Emergency Medicine, Royal Alexandra Hospital, Paisley, PA2 9PN, UK. alasdair.corfield@rah.scot.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
APACHE
Adolescent
Adult
Aged
Aged, 80 and over
Air Ambulances / statistics & numerical data*
Female
Humans
Intubation, Intratracheal / statistics & numerical data
Male
Middle Aged
Prospective Studies
Rural Health Services / statistics & numerical data*
Scotland
Survival Analysis
Trauma Severity Indices
Wounds and Injuries / classification,  therapy
Comments/Corrections

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


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