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A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited

AIM: We review the case of a severely injured patient to evaluate the system of delivering medical staff by helicopter in areas with limited medical resources. METHODS: The patient's chart was reviewed, summarized, and presented. RESULTS: A 22‐year‐old woman attempted a suicidal fall after usin...

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Autores principales: Ishikawa, Kohei, Omori, Kazuhiko, Ohsaka, Hiromichi, Jitsuiki, Kei, Yoshizawa, Toshihiko, Oode, Yasumasa, Sakurada, Mutsumi, Mogami, Atsuhiko, Yanagawa, Youichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667304/
https://www.ncbi.nlm.nih.gov/pubmed/29123840
http://dx.doi.org/10.1002/ams2.231
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author Ishikawa, Kohei
Omori, Kazuhiko
Ohsaka, Hiromichi
Jitsuiki, Kei
Yoshizawa, Toshihiko
Oode, Yasumasa
Sakurada, Mutsumi
Mogami, Atsuhiko
Yanagawa, Youichi
author_facet Ishikawa, Kohei
Omori, Kazuhiko
Ohsaka, Hiromichi
Jitsuiki, Kei
Yoshizawa, Toshihiko
Oode, Yasumasa
Sakurada, Mutsumi
Mogami, Atsuhiko
Yanagawa, Youichi
author_sort Ishikawa, Kohei
collection PubMed
description AIM: We review the case of a severely injured patient to evaluate the system of delivering medical staff by helicopter in areas with limited medical resources. METHODS: The patient's chart was reviewed, summarized, and presented. RESULTS: A 22‐year‐old woman attempted a suicidal fall after using a knife to stab herself. She was transported to a local hospital. A radiological study revealed fractures to the patient's face and the base of her skull, pneumocephalus, traumatic subarachnoid hemorrhage, stab wounds to the neck and chest, pneumothorax, unstable pelvic fracture, and right femoral shaft fracture. Her circulation status became unstable. We sent medical staff members to the local hospital by doctor helicopter. The patient underwent tracheal intubation and the insertion of a chest drain, and was evacuated by doctor helicopter. After aggressive intensive treatments in our hospital, the patient finally obtained social rehabilitation. CONCLUSION: In an area where medical resources are limited, sending trained physicians to a referring hospital to appropriately prepare a severely wounded patient for transportation might be the key for the patient to maximize his or her chance of survival.
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spelling pubmed-56673042017-11-09 A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited Ishikawa, Kohei Omori, Kazuhiko Ohsaka, Hiromichi Jitsuiki, Kei Yoshizawa, Toshihiko Oode, Yasumasa Sakurada, Mutsumi Mogami, Atsuhiko Yanagawa, Youichi Acute Med Surg Brief Communication AIM: We review the case of a severely injured patient to evaluate the system of delivering medical staff by helicopter in areas with limited medical resources. METHODS: The patient's chart was reviewed, summarized, and presented. RESULTS: A 22‐year‐old woman attempted a suicidal fall after using a knife to stab herself. She was transported to a local hospital. A radiological study revealed fractures to the patient's face and the base of her skull, pneumocephalus, traumatic subarachnoid hemorrhage, stab wounds to the neck and chest, pneumothorax, unstable pelvic fracture, and right femoral shaft fracture. Her circulation status became unstable. We sent medical staff members to the local hospital by doctor helicopter. The patient underwent tracheal intubation and the insertion of a chest drain, and was evacuated by doctor helicopter. After aggressive intensive treatments in our hospital, the patient finally obtained social rehabilitation. CONCLUSION: In an area where medical resources are limited, sending trained physicians to a referring hospital to appropriately prepare a severely wounded patient for transportation might be the key for the patient to maximize his or her chance of survival. John Wiley and Sons Inc. 2016-08-05 /pmc/articles/PMC5667304/ /pubmed/29123840 http://dx.doi.org/10.1002/ams2.231 Text en © 2016 The Authors Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Brief Communication
Ishikawa, Kohei
Omori, Kazuhiko
Ohsaka, Hiromichi
Jitsuiki, Kei
Yoshizawa, Toshihiko
Oode, Yasumasa
Sakurada, Mutsumi
Mogami, Atsuhiko
Yanagawa, Youichi
A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
title A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
title_full A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
title_fullStr A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
title_full_unstemmed A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
title_short A system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
title_sort system of delivering medical staff members by helicopter to manage severely wounded patients in an area where medical resources are limited
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667304/
https://www.ncbi.nlm.nih.gov/pubmed/29123840
http://dx.doi.org/10.1002/ams2.231
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