Air Medical Journal最新文献

筛选
英文 中文
General Information 一般信息
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/S1067-991X(24)00231-1
{"title":"General Information","authors":"","doi":"10.1016/S1067-991X(24)00231-1","DOIUrl":"10.1016/S1067-991X(24)00231-1","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Page 473"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ABCs for HEMS HEMS的基础知识
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.010
David J. Dries MSE, MD, FACS, MCCM
{"title":"ABCs for HEMS","authors":"David J. Dries MSE, MD, FACS, MCCM","doi":"10.1016/j.amj.2024.09.010","DOIUrl":"10.1016/j.amj.2024.09.010","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Page 478"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extraluminal Bougie-Assisted Endotracheal Tube Exchange Performed by Helicopter Emergency Medical Services 由直升机紧急医疗服务执行的腔外布基辅助气管插管交换
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.004
Katherine M. Connelly MD, NRP, FP-C , David Hindle MD , Peter Rankin RN , Trevor Johnson RN , Andrew Cathers MD
{"title":"Extraluminal Bougie-Assisted Endotracheal Tube Exchange Performed by Helicopter Emergency Medical Services","authors":"Katherine M. Connelly MD, NRP, FP-C ,&nbsp;David Hindle MD ,&nbsp;Peter Rankin RN ,&nbsp;Trevor Johnson RN ,&nbsp;Andrew Cathers MD","doi":"10.1016/j.amj.2024.09.004","DOIUrl":"10.1016/j.amj.2024.09.004","url":null,"abstract":"<div><div>The transport of intubated patients is a common but high-risk scenario for air medical transport crews. In the case presented, a physician-nurse HEMS crew responded for the interfacility transfer of a patient with severe angioedema who had undergone awake fiberoptic nasotracheal intubation in the referring emergency department. The endotracheal tube had been damaged, however, and could not be adequately secured for transport. To facilitate tube securement, the crew elected to convert from nasotracheal to orotracheal intubation. Recognizing the high likelihood of anatomic difficulty and to minimize the risk of airway loss, the crew performed an airway exchange by passing a bougie adjacent to the existing endotracheal tube, while using the in situ tube to provide continued ventilation. This case highlights the importance of familiarity with airway exchange procedures and presents a novel technique of extraluminal bougie-assisted endotracheal tube exchange.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 572-574"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Air Medical Personnel Intubation Success Rates Using Direct, Channeled Video-Assisted, and Unchanneled Video-Assisted Laryngoscopy 比较空气医务人员使用直接、通道视频辅助和非通道视频辅助喉镜插管的成功率
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.08.005
Christopher L. Hunter MD, PhD, Linh Nguyen MD, Linda Papa MD, MSc
{"title":"Comparing Air Medical Personnel Intubation Success Rates Using Direct, Channeled Video-Assisted, and Unchanneled Video-Assisted Laryngoscopy","authors":"Christopher L. Hunter MD, PhD,&nbsp;Linh Nguyen MD,&nbsp;Linda Papa MD, MSc","doi":"10.1016/j.amj.2024.08.005","DOIUrl":"10.1016/j.amj.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to determine the first-pass intubation success rates of air medical providers using direct laryngoscopy, channeled blade video laryngoscopy, and nonchanneled blade video laryngoscopy.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort study of the Orlando Health Air Care Team (ACT) airway quality registry over a 5-year period. The ACT had 3 approved approaches for endotracheal intubation: direct laryngoscopy, the King Vision (Ambu, Ballerup Denmark) channeled blade laryngoscope, or the C-MAC (Karl-Storz, Tuttlingen Germany) (nonchanneled) laryngoscope. The main outcome was the first-pass success rate. The secondary outcomes included the number of attempts, the overall success rate, and complications.</div></div><div><h3>Results</h3><div>Of 517 intubations, 312 were performed with direct laryngoscopy, 126 with a channeled video laryngoscope, and 79 with a nonchanneled laryngoscope. The mean number of attempts was 1.26, and the overall success rate was 93%. Use of the nonchanneled video laryngoscope had a higher first-pass success rate than direct or channeled laryngoscopy (92% vs. 76% and 78%, <em>P</em> = .006), required fewer attempts (1.09 [95% confidence interval (CI), 1.01-1.17] vs. 1.29 [95% CI, 1.23-1.35] and 1.28 [95% CI, 1.18-1.38], <em>P</em> &lt; .001), and a higher overall success rate for intubation (99% vs. 90% and 95%, <em>P</em> = .018).</div></div><div><h3>Conclusion</h3><div>The use of a nonchanneled video laryngoscope provided higher first-pass success rates, fewer total attempts, and higher overall success rates.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 523-527"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Air Rescue Missions for Suicide: A Retrospective Analysis of a 12-Year Period From a German Rescue Helicopter Base 自杀的空中救援任务:对德国救援直升机基地12年的回顾分析
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.003
Mark D. Frank MD , Bastian Heuschild MD , Omar Abdelhafiz , Ute Lewitzka , Jörg Braun MD , Desiree Braun , Katja Petrowski MD
{"title":"Air Rescue Missions for Suicide: A Retrospective Analysis of a 12-Year Period From a German Rescue Helicopter Base","authors":"Mark D. Frank MD ,&nbsp;Bastian Heuschild MD ,&nbsp;Omar Abdelhafiz ,&nbsp;Ute Lewitzka ,&nbsp;Jörg Braun MD ,&nbsp;Desiree Braun ,&nbsp;Katja Petrowski MD","doi":"10.1016/j.amj.2024.09.003","DOIUrl":"10.1016/j.amj.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>Typical reasons for calling the rescue helicopter are medical emergencies, such as heart disease, trauma, and neurologic emergencies. However, there are also a small number of patients with attempted or completed suicide. The aim of this article was a general analysis and evaluation of the specific circumstances of emergencies related to suicide or attempted suicide in the prehospital environment involving the rescue helicopter (helicopter emergency medical services) Christoph 38 of the DRF Stiftung Luftrettung gAG based in Dresden, Germany.</div></div><div><h3>Methods</h3><div>The data of all emergency interventions performed by the helicopter emergency medical services in Dresden, Germany, between January 1, 2008, and December 31, 2020, were analyzed by examining the DIVI rescue protocols and electronic data (MEDAT and HEMSDER (Convexis, Germany)) with regard to suicide-related variables. The time, methods and information about the reason, sociodemographic data, and results of medical treatment were recorded and retrospectively analyzed.</div></div><div><h3>Results</h3><div>There were a total of 17,754 emergencies during the study period. Of these, 277 cases (1.56%) were due to suicide. The average time for the emergency services to arrive at the scene of the emergency was 11.14 minutes. There were 52 patients with a completed suicide, 183 with a suicide attempt, and 42 patients with a suicide threat. Eleven were pronounced dead before or at the time of arrival of the emergency doctor. Of the 241 patients who were still alive when the emergency physician arrived, 101 were endotracheally intubated and mechanically ventilated, and 25 patients received cardiopulmonary resuscitation. In 19.57% of the patients, health problems were noted as the primary reason for attempted/completed suicide. In a further 12.68%, partnership problems or the loss of a partner were cited. The most common method used was an overdose (49.39%) followed by leaping from a great height (20%) and hanging (15.51%). Stab wounds and gunshot wounds were observed in 24% of the cases. The overall mortality rate was 18.77%. The method used, sex, and a suicide note were identified as possible influencing factors for the fatal outcome of a suicide.</div></div><div><h3>Conclusion</h3><div>The number of suicide victims is low compared with the total number of 17,754 deployments. However, the mortality rate for these missions is quite high at 18%. Although some factors and circumstances could be identified in this study, many backgrounds and explanations are still missing. Therefore, this study shows a general need for more research in regard to better prevention as well as improved education and training of emergency response teams.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 535-543"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Helicopter Air Ambulance Accidents in the United States From 2010 to 2021 2010 - 2021年美国直升机空中救护事故分析
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.07.009
Gustavo Sanchez M.S. , Shantanu Gupta Ph.D. , Mary E. Johnson Ph.D.
{"title":"Analysis of Helicopter Air Ambulance Accidents in the United States From 2010 to 2021","authors":"Gustavo Sanchez M.S. ,&nbsp;Shantanu Gupta Ph.D. ,&nbsp;Mary E. Johnson Ph.D.","doi":"10.1016/j.amj.2024.07.009","DOIUrl":"10.1016/j.amj.2024.07.009","url":null,"abstract":"<div><h3>Objective</h3><div>Helicopter air ambulance (HAA) services are essential to air medical transport in the United States. However, HAA accidents, incidents, and fatalities have been a reason for concern for HAA operations. This article analyzes the numbers, proportions, contributing or causal factors, and defining events of HAA accidents in the United States from 2010 to 2021.</div></div><div><h3>Methods</h3><div>The National Transportation Safety Board final investigation reports, defining events, findings, and summary data were analyzed for 83 HAA accidents in the United States from 2010 to 2021. The 2 proportions test was used to compare the proportions of fatal HAA accidents between 2010-2015 and 2016-2021.</div></div><div><h3>Results</h3><div>The data show that 21/47 (45%) of HAA accidents in 2010-2015 and 6/36 (17%) in 2016-2021 were fatal, representing a significant (P &lt; .01) reduction in the proportion of fatal accidents in 2016-2021 from 2010-2015 time period. VFR encounter IMC events accounted for 9/47 (19%) of HAA accidents in 2010-2015 and 1/36 (3%) accident in 2016-2021, representing a significant (P &lt; .05) reduction in VFR encounter IMC accidents.</div></div><div><h3>Conclusion</h3><div>There was a statistically significant decrease in the proportion of fatal HAA accidents from 2010-2015 to 2016-2021, which may be attributable to the changes in the regulatory framework, training protocols, safety awareness initiatives, and technological advancements to address HAA safety.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 499-507"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trauma Scores Show Limited Utility for Predicting In-Flight Deterioration in Air Medical Patients 创伤评分在预测空中医疗病人飞行中病情恶化方面效用有限
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.002
Benjamin Powell BSc, PGDipHSM, MBBS, GCertTM, MPH, DipPHRM, FACEM , Susanna Cramb PhD
{"title":"Trauma Scores Show Limited Utility for Predicting In-Flight Deterioration in Air Medical Patients","authors":"Benjamin Powell BSc, PGDipHSM, MBBS, GCertTM, MPH, DipPHRM, FACEM ,&nbsp;Susanna Cramb PhD","doi":"10.1016/j.amj.2024.09.002","DOIUrl":"10.1016/j.amj.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to determine the utility of the Triage Revised Trauma Score (TRTS), Glasgow Coma Scale/Age/systolic Pressure (GAP) score, and Shock Index (SI) in predicting in-flight hypotension and the need for critical care interventions in air medical trauma patients.</div></div><div><h3>Methods</h3><div>A retrospective review of 3,582 air medical trauma cases from a 3-year period in Queensland was conducted. An initial TRTS, GAP score, and SI were calculated for each patient, and the lowest in-flight mean arterial pressure and systolic blood pressure were determined. The institution of in-flight critical care interventions was also recorded, including fluid resuscitation, vasopressors, and surgical procedures. The utility of the TRTS, GAP score, and SI for predicting in-flight hypotension was then examined using receiver operating characteristic curves.</div></div><div><h3>Results</h3><div>All 3 approaches showed minor predictive value, with the GAP score performing slightly better than TRTS and SI for predicting in-flight interventions. The GAP score had a receiver operating characteristic area under the curve of 0.76 compared with 0.74 for the TRTS and SI.</div></div><div><h3>Conclusion</h3><div>No score demonstrated sufficient predictive ability for deterioration in transit to be used clinically.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 528-534"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Keyword-Based Early Request for Helicopter Emergency Medical Services in Acute Aortic Dissection: A Registry-Based Study 基于关键词的急性主动脉夹层直升机紧急医疗服务早期请求:一项基于登记的研究
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.006
Hiroaki Taniguchi MD, Hiroki Nagasawa MD, PhD, Tatsuro Sakai MD, Hiromichi Ohsaka MD, PhD, Kazuhiko Omori MD, PhD, Youichi Yanagawa MD, PhD
{"title":"Keyword-Based Early Request for Helicopter Emergency Medical Services in Acute Aortic Dissection: A Registry-Based Study","authors":"Hiroaki Taniguchi MD,&nbsp;Hiroki Nagasawa MD, PhD,&nbsp;Tatsuro Sakai MD,&nbsp;Hiromichi Ohsaka MD, PhD,&nbsp;Kazuhiko Omori MD, PhD,&nbsp;Youichi Yanagawa MD, PhD","doi":"10.1016/j.amj.2024.09.006","DOIUrl":"10.1016/j.amj.2024.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>Acute aortic dissection (AAD) is a life-threatening condition that necessitates rapid medical intervention. In Japan, helicopter emergency medical services (HEMS) are deployed using either keyword-based early requests or standard requests from ground emergency medical services (GEMS). This study evaluates the impact of these request methods on patient outcomes.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study using data from the Japanese Society for Aeromedical Services registry from April 2015 to March 2020. A total of 342 AAD patients transported by HEMS were analyzed, excluding those with out-of-hospital cardiac arrest. Patients were categorized based on whether HEMS was requested using a keyword method or after initial GEMS contact. We compared the groups on time intervals, prehospital interventions, and outcomes including Cerebral Performance Category.</div></div><div><h3>Results</h3><div>The time from GEMS awareness to HEMS contact was significantly shorter in the keyword methods group compared with the control group (median 27 vs. 33 minutes, respectively; <em>P</em> &lt; .001). No significant difference was observed in the time from contact to departure from the scene. Patient characteristics, vital signs at HEMS staff contact, and medical interventions provided by HEMS staff showed no statistically significant differences. Changes in vital signs from HEMS staff contact to hospital arrival included a significant decrease in the respiratory rate and systolic blood pressure. Patients in the keyword methods group had a significantly higher proportion of favorable outcomes in terms of Cerebral Performance Category compared with the control group (77.2% vs. 66.5%, <em>P</em> = .03). However, logistic analysis did not show significant differences (odds ratio = 1.007; 95% confidence interval, 0.987-1.016; <em>P</em> = .814).</div></div><div><h3>Conclusion</h3><div>Keyword methods for early HEMS requests may appear to reduce time to specialty care and suggest improvement of outcomes for patients with AAD.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 544-547"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Articles That May Change Your Practice: Whole Blood for Traumatic Hemorrhagic Shock 文章可能改变你的做法:全血治疗创伤性失血性休克
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.07.010
Russell D. MacDonald MD, MPH, FCFP, FRCPC, DRCPSC, Blake A. Forte MD, MHS, MS, Michael D. Stocker MD, MPH, Aaron J. Lacy MD, FAWN
{"title":"Articles That May Change Your Practice: Whole Blood for Traumatic Hemorrhagic Shock","authors":"Russell D. MacDonald MD, MPH, FCFP, FRCPC, DRCPSC,&nbsp;Blake A. Forte MD, MHS, MS,&nbsp;Michael D. Stocker MD, MPH,&nbsp;Aaron J. Lacy MD, FAWN","doi":"10.1016/j.amj.2024.07.010","DOIUrl":"10.1016/j.amj.2024.07.010","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 479-480"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The RACE Scale for Large Vessel Stroke Diversion to a Comprehensive Stroke Center by Helicopter Air Ambulance: A Retrospective Cohort Study 直升机空中救护将大血管卒中转移到综合卒中中心的RACE量表:一项回顾性队列研究
Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.07.011
William Krebs DO, RDMS, EMT-P , Melina Alexander DO , Alisha Fujita DO , Quinci Copeland MD , Nancy Buderer MS , Osama Zaidat MD , Eugene Lin MD
{"title":"The RACE Scale for Large Vessel Stroke Diversion to a Comprehensive Stroke Center by Helicopter Air Ambulance: A Retrospective Cohort Study","authors":"William Krebs DO, RDMS, EMT-P ,&nbsp;Melina Alexander DO ,&nbsp;Alisha Fujita DO ,&nbsp;Quinci Copeland MD ,&nbsp;Nancy Buderer MS ,&nbsp;Osama Zaidat MD ,&nbsp;Eugene Lin MD","doi":"10.1016/j.amj.2024.07.011","DOIUrl":"10.1016/j.amj.2024.07.011","url":null,"abstract":"<div><h3>Objective</h3><div>Acute ischemic stroke caused by large vessel occlusion (LVO) occurs frequently and benefits from endovascular therapies available at comprehensive stroke centers (CSCs). Prehospital stroke severity tools have been devised to detect LVO. The goal of this study was to assess the value of the Rapid Arterial Occlusion Evaluation (RACE) score in helicopter air ambulance (HAA) activation.</div></div><div><h3>Methods</h3><div>A retrospective assessment of RACE scales &gt; 4 performed by prehospital providers was used in order to activate HAAs. Descriptive statistics were obtained for patients transported, with the primary goal of determining the positive predictive values of the RACE scale for LVO occlusions. The secondary outcomes assessed if patients without LVO had other conditions requiring a CSC.</div></div><div><h3>Results</h3><div>Data from 136 subjects were analyzed; 53 (39.0%) were true LVO cases as defined by computed tomographic imaging, computed tomography angiographic imaging, or magnetic resonance imaging. Mechanical thrombectomy occurred in 30 cases (22.1%), with 63 (46.4%) requiring a neurologic intervention. There were 83 (61%) false positives (no LVO on imaging). Of these false positives, 28 (20.6%) were non-LVO strokes, 22 (16.1%) were intracranial hemorrhages, and 8 (5.9%) had neurologic conditions requiring CSC care.</div></div><div><h3>Conclusion</h3><div>A RACE scale &gt; 4 is an effective triage tool that delivers potential thrombectomy candidates to CSCs. When there is a false positive, the majority of patients require CSC care and benefit from direct transport from the scene.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 508-511"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信