Volume 4, Issue 2 (Winter 2019)                   Health in Emergencies and Disasters Quarterly 2019, 4(2): 63-70 | Back to browse issues page

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Abdi K, Ghaderi S, Nuri B, Karimian A. Dispatcher Criteria and Therapeutic Measurement by Air Emergency Ambulance of Kurdistan Province, Iran, 2017. Health in Emergencies and Disasters Quarterly 2019; 4 (2) :63-70
URL: http://hdq.uswr.ac.ir/article-1-234-en.html
1- Department of Anesthesiology, School of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran.
2- Department of Emergency Medical Sciences, School of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4- Department of Emergency Medical Sciences, School of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran. , ar.nurse@yahoo.com
Abstract:   (5407 Views)
Background: How to manage patients, transmission times, and therapeutic measurement executed during air transmission can improve training, protocols, and management decisions. The current study aimed at investigating the dispatch criteria and the way of handling patients during transport by air emergency medical services of Kurdistan Province, Iran, in 2017.
Materials and Methods: In the current study, information of patients transported by air emergency ambulance of Kurdistan Province in 2017 was collected from the recorded mission forms. To analyze the information, version 12 of STATA software was employed. Descriptive statistics was used to analyze the qualitative variables and draw frequency distribution table and mean and standard deviation to utilize quantitative variables.
Results: Out of 50 transported patients, trauma caused by traffic accidents was the most important cause of patient transport (38%). In terms of clinical symptoms, weakness and lethargy and decreased consciousness were the most common symptoms. The most important therapeutic measures executed during transport were oxygen therapy, various body fixations, and serum therapy, respectively. The average time spent at scene was 10.7 minutes and the mean total mission time was 93.72 minutes with a standard deviation of 45.53.
Conclusion: The results of the study indicated that the air emergency performance of Kurdistan Province was desirable in terms of dispatch criteria, time of transport and treatment during transportation, but there were weaknesses in the administration of medications during transportation and recording missions and measures in the specific sheets (forms).
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Type of Study: Applicable | Subject: Special
Received: 2018/05/10 | Accepted: 2018/10/25 | Published: 2019/01/1

1. Bouzat P, Ageron FX, Brun J, Levrat A, Berthet M, Rancurel E, et al. A regional trauma system to optimize the pre-hospital triage of trauma patients. Critical Care. 2015; 19(1):111. [DOI:10.1186/s13054-015-0835-7] [PMID] [PMCID] [DOI:10.1186/s13054-015-0835-7]
2. Rhee P, Joseph B, Pandit V, Aziz H, Vercruysse G, Kulvatunyou N, et al. Increasing trauma deaths in the United States. Annals of Surgery. 2014; 260(1):13-21. [DOI:10.1097/SLA.0000000000000600] [PMID] [DOI:10.1097/SLA.0000000000000600]
3. LaGrone L, Riggle K, Joshipura M, Quansah R, Reynolds T, Sherr K, et al. Uptake of the world health organization's trauma care guidelines: A systematic review. Bulletin of the World Health Organization. 2016; 94(8):585-98C. [DOI:10.2471/BLT.15.162214] [PMID] [PMCID] [DOI:10.2471/BLT.15.162214]
4. Galvagno Jr SM, Sikorski R, Hirshon JM, Floccare D, Stephens C, Beecher D, et al. Helicopter emergency medical services for adults with major trauma. Cochrane Database of Systematic Reviews. 2013; 28; (3):CD009228. [DOI:10.1002/14651858.CD009228.pub2] [DOI:10.1002/14651858.CD009228.pub2]
5. Aylwin CJ, Konig TC, Brennan NW, Shirley PJ, Davies G, Walsh MS, et al. Reduction in critical mortality in urban mass casualty incidents: Analysis of triage. The Lancet. 2006; 368(9554):2219-25. [DOI:10.1016/S0140-6736(06)69896-6] [DOI:10.1016/S0140-6736(06)69896-6]
6. Assa A, Landau DA, Barenboim E, Goldstein L. Role of air-medical evacuation in mass-casualty incidents-atrain collision experience. Prehospital and Disaster Medicine. 2009; 24(3):271-6. [DOI:10.1017/S1049023X00006920] [PMID] [DOI:10.1017/S1049023X00006920]
7. Butler DP, Anwar I, Willett K. Is it the H or the EMS in HEMS that has an impact on trauma patient mortality? A systematic review of the evidence. Emergency Medicine Journal. 2010; 27(9):692-701. [DOI:10.1136/emj.2009.087486] [PMID] [DOI:10.1136/emj.2009.087486]
8. Spano SJ, Campagne D, Stroh G, Shalit M. A lightning multiple casualty incident in sequoia and kings canyon national parks. Wilderness & Environmental Medicine. 2015; 26(1):43-53. [DOI:10.1016/j.wem.2014.06.010] [DOI:10.1016/j.wem.2014.06.010]
9. Vercruysse GA, Friese RS, Khalil M, Ibrahim-Zada I, Zangbar B, Hashmi A, et al. Overuse of helicopter transport in the minimally injured: A health care system problem that should be corrected. Journal of Trauma and Acute Care Surgery. 2015; 78(3):510-5. [DOI:10.1097/TA.0000000000000553] [PMID] [DOI:10.1097/TA.0000000000000553]
10. Carter G, Couch R, O'Brien DJ. The evolution of air transport systems: A pictorial review. Journal of Emergency Medicine. 1988; 6(6):499-504. [DOI:10.1016/0736-4679(88)90408-8] [DOI:10.1016/0736-4679(88)90408-8]
11. Johnsen AS, Fattah S, Sollid SJM, Rehn M. Utilisation of helicopter emergency medical services in the early medical response to major incidents: A systematic literature review. BMJ Open. 2016; 6(2):e010307. [DOI:10.1136/bmjopen-2015-010307] [PMID] [PMCID] [DOI:10.1136/bmjopen-2015-010307]
12. Black JJM, Ward ME, Lockey DJ. Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: An algorithm. Emergency Medicine Journal. 2004; 21(3):355-61. [DOI:10.1136/emj.2002.004473] [PMID] [PMCID] [DOI:10.1136/emj.2002.004473]
13. Baxt WG, Moody P. The Impact of a Rotorcraft Aeromedical Emergency Care Service on Trauma Mortality. The Journal of the American Medical Association. 1983; 249(22):3047-51. [DOI:10.1001/jama.1983.03330460029027] [DOI:10.1001/jama.1983.03330460029027]
14. Alamdari Sh, Kalantari Meibodi M, Mohammadi P, Kariman H. [Study of the demography of transferred patients to Tehran Imam Khomeini Hospital by relief helicopter (Persian)]. Quarterly Scientific Journal of Rescue and Relief. 2010; 1(4).
15. Osteras O, Brattebø G, Heltne JK. Helicopter-based emergency medical services for a sparsely populated region: A study of 42,500 dispatches. Acta Anaesthesiologica Scandinavica. 2016; 60(5):659-67. [DOI:10.1111/aas.12673] [PMID] [PMCID] [DOI:10.1111/aas.12673]
16. Nicholl JP, Brazier JE, Snooks HA. Effects of London helicopter emergency medical service on survival after trauma. British Medical Journal. 1995; 311(6999):217-22. [DOI:10.1136/bmj.311.6999.217] [PMID] [PMCID] [DOI:10.1136/bmj.311.6999.217]
17. Brown JB, Gestring ML, Stassen NA, Forsythe RM, Billiar TR, Peitzman AB, et al. Geographic variation in outcome benefits of helicopter transport for trauma in the United States: A retrospective cohort study. Annals of Surgery. 2016; 263(2):406-12. [DOI:10.1097/SLA.0000000000001047] [PMID] [PMCID] [DOI:10.1097/SLA.0000000000001047]
18. Shojamoradi, M, Alavi, E, Zarrabi, B, Pilehvari, Z, Kaviani, A. [Evaluation of the patients transported by Tehran Helicopter Emergency Medical Service: The necessity of using appropriate triage criteria (Persian)]. Razi Journal of Medical Sciences. 2008; 15(59):99-106
19. Østerås Ø, Heltne JK, Vikenes BC, Assmus J, Brattebø G. Factors influencing on-scene time in a rural Norwegian helicopter emergency medical service: A retrospective observational study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2017; 25(1):97. [DOI:10.1186/s13049-017-0442-5] [PMID] [PMCID] [DOI:10.1186/s13049-017-0442-5]
20. Chen X, Gestring ML, Rosengart MR, Peitzman AB, Billiar TR, Sperry JL, et al. Logistics of air medical transport: When and where does helicopter transport reduce prehospital time for trauma. The Journal of Trauma and Acute Care Surgery. 2018; 85(1):174-81. [DOI:10.1097/TA.0000000000001935] [PMID] [DOI:10.1097/TA.0000000000001935]
21. Abe T, Nagano T, Ochiai H. Potential benefit of physician-staffed helicopter emergency medical service for regional trauma care system activation: An observational study in rural Japan. Journal of Rural Medicine. 2017; 12(1):12-19. [DOI:10.2185/jrm.2919] [PMID] [PMCID] [DOI:10.2185/jrm.2919]
22. Sunde GA, Heltne JK, Lockey D, Burns B, Sandberg M, Fredriksen K, et al. Airway management by physician-staffed helicopter emergency medical services: A prospective, multicentre, observational study of 2,327 patients. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2015; 7(23):57. [DOI:10.1186/s13049-015-0136-9] [PMID] [PMCID] [DOI:10.1186/s13049-015-0136-9]
23. Wigman LD, van Lieshout EMM, de Ronde G, Patka P, Schipper IB. Trauma-related dispatch criteria for helicopter emergency medical services in Europe. International Journal of the Care of the Injured. 2011; 42(5):525-33. [DOI:10.1016/j.injury.2010.03.015] [PMID] [DOI:10.1016/j.injury.2010.03.015]
24. Giannakopoulos GF, Bloemers FW, Lubbers WD, Christiaans HMT, van Exter P, De Lange-de Klerk ESM, et al. Criteria for cancelling Helicopter Emergency Medical Services (HEMS) dispatches. Emergency Medicine Journal. 2012; 29(7):582-6. [DOI:10.1136/emj.2011.112896] [PMID] [DOI:10.1136/emj.2011.112896]

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