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Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira

On 17 April 2019, a coach with tourists from Germany crashed in Madeira, requiring repatriation by the German Air Force. The Advanced Trauma Life Support (ATLS) concept was the central component of patient care. Data in Madeira were collected through a structured interview. The analysis of the Aerom...

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Autores principales: Imach, Sebastian, Deschler, Andreas, Sammito, Stefan, Reis, Miguel, Michaelis, Sylta, Marche, Beneditk, Paffrath, Thomas, Bouillon, Bertil, Tjardes, Thorsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380882/
https://www.ncbi.nlm.nih.gov/pubmed/37510671
http://dx.doi.org/10.3390/jcm12144556
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author Imach, Sebastian
Deschler, Andreas
Sammito, Stefan
Reis, Miguel
Michaelis, Sylta
Marche, Beneditk
Paffrath, Thomas
Bouillon, Bertil
Tjardes, Thorsten
author_facet Imach, Sebastian
Deschler, Andreas
Sammito, Stefan
Reis, Miguel
Michaelis, Sylta
Marche, Beneditk
Paffrath, Thomas
Bouillon, Bertil
Tjardes, Thorsten
author_sort Imach, Sebastian
collection PubMed
description On 17 April 2019, a coach with tourists from Germany crashed in Madeira, requiring repatriation by the German Air Force. The Advanced Trauma Life Support (ATLS) concept was the central component of patient care. Data in Madeira were collected through a structured interview. The analysis of the Aeromedical Evacuation was based on intensive care transport records. In Germany, all available medical data sheets were reviewed for data collection. Quality of life (HRQoL) was evaluated by the 12-item Short Form Health Survey (SF-12). Twenty-eight prehospital patients were transported to the Level III Trauma Center in Funchal (Madeira). Five operative procedures were performed. Fifteen patients were eligible for Aeromedical Evacuation (AE). In the second hospital phase in Germany, in total 82 radiological images and 9 operations were performed. Hospital stay lasted 11 days (median, IQR 10–18). Median follow-up (14 of 15 patients) was 16 months (IQR 16–21). Eighty percent (8 out of 10) showed an increased risk for post-traumatic stress disorder (PTSD). Six key findings were identified in this study: divergent injury classification, impact of AE mission on health status, lack of communication, need of PTSD prophylaxis, patient identification, and media coverage. Those findings may improve AE missions in the future, e.g., when required after armed conflicts.
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spelling pubmed-103808822023-07-29 Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira Imach, Sebastian Deschler, Andreas Sammito, Stefan Reis, Miguel Michaelis, Sylta Marche, Beneditk Paffrath, Thomas Bouillon, Bertil Tjardes, Thorsten J Clin Med Article On 17 April 2019, a coach with tourists from Germany crashed in Madeira, requiring repatriation by the German Air Force. The Advanced Trauma Life Support (ATLS) concept was the central component of patient care. Data in Madeira were collected through a structured interview. The analysis of the Aeromedical Evacuation was based on intensive care transport records. In Germany, all available medical data sheets were reviewed for data collection. Quality of life (HRQoL) was evaluated by the 12-item Short Form Health Survey (SF-12). Twenty-eight prehospital patients were transported to the Level III Trauma Center in Funchal (Madeira). Five operative procedures were performed. Fifteen patients were eligible for Aeromedical Evacuation (AE). In the second hospital phase in Germany, in total 82 radiological images and 9 operations were performed. Hospital stay lasted 11 days (median, IQR 10–18). Median follow-up (14 of 15 patients) was 16 months (IQR 16–21). Eighty percent (8 out of 10) showed an increased risk for post-traumatic stress disorder (PTSD). Six key findings were identified in this study: divergent injury classification, impact of AE mission on health status, lack of communication, need of PTSD prophylaxis, patient identification, and media coverage. Those findings may improve AE missions in the future, e.g., when required after armed conflicts. MDPI 2023-07-08 /pmc/articles/PMC10380882/ /pubmed/37510671 http://dx.doi.org/10.3390/jcm12144556 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Imach, Sebastian
Deschler, Andreas
Sammito, Stefan
Reis, Miguel
Michaelis, Sylta
Marche, Beneditk
Paffrath, Thomas
Bouillon, Bertil
Tjardes, Thorsten
Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira
title Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira
title_full Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira
title_fullStr Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira
title_full_unstemmed Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira
title_short Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira
title_sort performing advanced trauma life support (atls) across borders: midterm follow-up of the aeromedical evacuation after civilian bus accident at madeira
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380882/
https://www.ncbi.nlm.nih.gov/pubmed/37510671
http://dx.doi.org/10.3390/jcm12144556
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