Polytrauma: Vergleich des Spitalverlaufes nach Luft- (mit Notarzt) versus Bodentransport (ohne Notarzt). [Polytrauma: comparison of the hospital course after air- (with emergency physician) versus ground transport (without emergency physician)]

Details

Serval ID
serval:BIB_E6C9B9E49954
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Polytrauma: Vergleich des Spitalverlaufes nach Luft- (mit Notarzt) versus Bodentransport (ohne Notarzt). [Polytrauma: comparison of the hospital course after air- (with emergency physician) versus ground transport (without emergency physician)]
Journal
Helvetica Chirurgica Acta
Author(s)
Graf  M., Demartines  N., Harder  F., Scheidegger  D.
ISSN
0018-0181 (Print)
Publication state
Published
Issued date
03/1993
Volume
59
Number
4
Pages
649-53
Notes
Comparative Study
English Abstract
Journal Article --- Old month value: Mar
Abstract
We analyzed the influence of initial intensive care at the accident site performed by an emergency physician and followed by helicopter transport on the course during hospital stay in patients with multiple trauma. We therefore compared the dates of 107 patients transported by the swiss air rescue (REGA) and an emergency physician with 131 patients transported by an ambulance and paramedic staff. By similar case material the REGA-patients showed a higher injury severity grade. Mortality of the REGA-patients was significantly higher (21%) than of the ambulance-patients (10%), but length of stay was significantly shorter and morbidity identical. We suspect, that the higher mortality of the REGA-patients is explained by the large number of surgically nontreatable severe traumas. None of the REGA-patients arrived at hospital with circulatory insufficiency whereas 4 of the ambulance-patients were in state of shock. We assume that first of all primary treatment of the scene of injury by an emergency physician and eventually also transport by helicopter have a positive effect on the course of patients with multiple trauma during hospital stay.
Keywords
Adult *Aircraft *Ambulances Female First Aid Humans Length of Stay Male Multiple Trauma/*mortality/therapy *Patient Care Team Retrospective Studies *Transportation of Patients
Pubmed
Web of science
Create date
28/01/2008 8:53
Last modification date
20/08/2019 16:09
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