Criteria for choosing the method of inter-hospital transportation of patients with severe trauma

Q4 Medicine

Sklifosovsky Journal Emergency Medical Care Pub Date : 2022-01-19 DOI:10.24884/2072-6716-2021-22-4-12-17

R. R. Kasimov, A. I. Makhnovskiy, A. Zavrazhnov, I. Samokhvalov, A. Miroshnichenko, M. Derkach

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引用次数: 1

Abstract

Objective: substantiate the criteria for choosing a method for inter-hospital transportation of patients with severe trauma for the territorial system of medical support for the troops of the Western Military District.Materials and methods. We studied 121 cases of inter-hospital transportation of patients with severe trauma in the territorial system of medical support for the troops of the Western Military District for the period 2015–2020. The time of inter-hospital transportation of patients by an ambulance car of class C and by helicopter was studied at various distances between medical organizations: up to 70 km, from 70 to 200 km, more than 200 km.Results and discussion. At distances between medical organizations of more than 200 km, the average time of medical aviation evacuation of patients with severe injuries by helicopter was 176±35 minutes, and the average time of medical evacuation of patients in a class C ambulance was 290±43 minutes (p=0,04). When the distance between medical organizations is less than 200 km, the average time of medical aviation evacuation of patients with severe trauma by helicopter was 126±43 minutes, and the average time of medical evacuation of patients in a class C ambulance was 137±37 minutes (p=0,85).Conclusions. The main factor in choosing a method for carrying out inter-hospital transportation of patients with severe trauma in the territorial system of medical support for the troops of the Western Military District is the distance between medical organizations. It is advisable to plan medical aviation evacuation of patients with severe trauma by helicopter when the distance between medical organizations is more than 200 km.

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重型创伤患者院际转运方式选择标准

目的:确定西部军区属地医疗保障系统重型创伤患者医院间转运方法的选择标准。材料和方法。对2015-2020年西部军区部队属地医疗保障系统中121例重症创伤患者的院际转运进行了研究。在医疗机构之间的不同距离上，研究了C类救护车和直升机在医院间运送病人的时间:70公里以内，70至200公里，200公里以上。结果和讨论。在医疗机构间距离大于200 km的情况下，直升机对重伤员的医疗航空后送平均时间为176±35 min, C级救护车对重伤员的医疗后送平均时间为290±43 min (p= 0.04)。当医疗机构间距离小于200 km时，直升机对严重创伤患者进行医疗航空后送的平均时间为126±43 min, C级救护车对患者进行医疗后送的平均时间为137±37 min (p=0,85)。在西部军区部队属地医疗保障系统中，选择医院间转运重症创伤患者的主要因素是医疗机构之间的距离。当医疗机构之间的距离超过200公里时，建议使用直升机对严重创伤患者进行医疗航空后送。

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来源期刊

Sklifosovsky Journal Emergency Medical Care Medicine-Emergency Medicine

CiteScore

0.90

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： The Journal "Neotlozhnaia meditsinskaia pomoshch" (parallel titles: Zhurnal im. N.V. Sklifosovskogo "Neotlozhnai︠a︡ medit︠s︡inskai︠a︡ pomoshch", "Sklifosovsky Journal of Emergency Medical Care") seeks to publish original research articles, literature reviews, case reports, brief reports on clinical practice, and other suitable material submitted by professionals involved in the diagnosis and treatment of acute medical and surgical conditions.