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Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea

The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HE...

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Autores principales: Jung, Kyoungwon, Huh, Yo, Lee, John CJ, Kim, Younghwan, Moon, Jonghwan, Youn, Seok Hwa, Kim, Jiyoung, Kim, Tea-Youn, Kim, Juryang, Kim, Hyoju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999411/
https://www.ncbi.nlm.nih.gov/pubmed/27550497
http://dx.doi.org/10.3346/jkms.2016.31.10.1656
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author Jung, Kyoungwon
Huh, Yo
Lee, John CJ
Kim, Younghwan
Moon, Jonghwan
Youn, Seok Hwa
Kim, Jiyoung
Kim, Tea-Youn
Kim, Juryang
Kim, Hyoju
author_facet Jung, Kyoungwon
Huh, Yo
Lee, John CJ
Kim, Younghwan
Moon, Jonghwan
Youn, Seok Hwa
Kim, Jiyoung
Kim, Tea-Youn
Kim, Juryang
Kim, Hyoju
author_sort Jung, Kyoungwon
collection PubMed
description The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HEMS (Group P; n = 100) or nonphysician-staffed HEMS (Group NP; n = 80). Basic patient characteristics, transport time, treatment procedures, and medical treatment outcomes assessed using the Trauma and Injury Severity Score (TRISS) were compared between groups. We also assessed patients who were transported to the hospital within 3 h of injury in Groups P (Group P3; n = 50) and NP (Group NP3; n = 74). The severity of injury was higher, transport time was longer, and time from hospital arrival to operation room transfer was shorter for Group P than for Group NP (P < 0.001). Although Group P patients exhibited better medical treatment outcomes compared with Group NP, the difference was not statistically significant (P = 0.134 vs. 0.730). However, the difference in outcomes was statistically significant between Groups P3 and NP3 (P = 0.035 vs. 0.546). Under the current domestic trauma patient transport system in South Korea, physician-staffed HEMS are expected to increase the survival of patients with severe trauma. In particular, better treatment outcomes are expected if dedicated trauma resuscitation teams actively intervene in the medical treatment process from the transport stage and if patients are transported to a hospital to receive definitive care within 3 hours of injury.
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spelling pubmed-49994112016-10-01 Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea Jung, Kyoungwon Huh, Yo Lee, John CJ Kim, Younghwan Moon, Jonghwan Youn, Seok Hwa Kim, Jiyoung Kim, Tea-Youn Kim, Juryang Kim, Hyoju J Korean Med Sci Original Article The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HEMS (Group P; n = 100) or nonphysician-staffed HEMS (Group NP; n = 80). Basic patient characteristics, transport time, treatment procedures, and medical treatment outcomes assessed using the Trauma and Injury Severity Score (TRISS) were compared between groups. We also assessed patients who were transported to the hospital within 3 h of injury in Groups P (Group P3; n = 50) and NP (Group NP3; n = 74). The severity of injury was higher, transport time was longer, and time from hospital arrival to operation room transfer was shorter for Group P than for Group NP (P < 0.001). Although Group P patients exhibited better medical treatment outcomes compared with Group NP, the difference was not statistically significant (P = 0.134 vs. 0.730). However, the difference in outcomes was statistically significant between Groups P3 and NP3 (P = 0.035 vs. 0.546). Under the current domestic trauma patient transport system in South Korea, physician-staffed HEMS are expected to increase the survival of patients with severe trauma. In particular, better treatment outcomes are expected if dedicated trauma resuscitation teams actively intervene in the medical treatment process from the transport stage and if patients are transported to a hospital to receive definitive care within 3 hours of injury. The Korean Academy of Medical Sciences 2016-10 2016-08-12 /pmc/articles/PMC4999411/ /pubmed/27550497 http://dx.doi.org/10.3346/jkms.2016.31.10.1656 Text en © 2016 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jung, Kyoungwon
Huh, Yo
Lee, John CJ
Kim, Younghwan
Moon, Jonghwan
Youn, Seok Hwa
Kim, Jiyoung
Kim, Tea-Youn
Kim, Juryang
Kim, Hyoju
Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
title Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
title_full Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
title_fullStr Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
title_full_unstemmed Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
title_short Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
title_sort reduced mortality by physician-staffed hems dispatch for adult blunt trauma patients in korea
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999411/
https://www.ncbi.nlm.nih.gov/pubmed/27550497
http://dx.doi.org/10.3346/jkms.2016.31.10.1656
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