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The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isola...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625314/ https://www.ncbi.nlm.nih.gov/pubmed/34828492 http://dx.doi.org/10.3390/healthcare9111446 |
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author | Herrlin Jensen, Alice Sonne, Asger Rasmussen, Lars S. |
author_facet | Herrlin Jensen, Alice Sonne, Asger Rasmussen, Lars S. |
author_sort | Herrlin Jensen, Alice |
collection | PubMed |
description | Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isolated islands with a focus on the role of a physician-staffed helicopter. The data were obtained from Danish national registries and databases. We included data on emergency calls from isolated islands from the time of emergency call to discharge. We identified 1130 emergency calls from which 775 patients were registered with a hospital admission. Of these, 41% were transported by the HEMS and 36% by a ground ambulance. The median time to admission was 83 min (IQR 66–104) and 90 min (IQR 45–144) for the HEMS and ground ambulance, respectively (p = 0.26). The overall 30-day mortality was 6.2% (95% CI: 4.6–8.1%), and 37% of all the patients were admitted to the hospital with an unspecified diagnosis. The emergency calls from isolated islands led to the dispatch of the HEMS in 41% of the cases. The use of the HEMS did not significantly reduce the time to admission but was used in a greater proportion of patients with an acute cardiac disease (66%) or stroke (67%). |
format | Online Article Text |
id | pubmed-8625314 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86253142021-11-27 The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands Herrlin Jensen, Alice Sonne, Asger Rasmussen, Lars S. Healthcare (Basel) Article Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isolated islands with a focus on the role of a physician-staffed helicopter. The data were obtained from Danish national registries and databases. We included data on emergency calls from isolated islands from the time of emergency call to discharge. We identified 1130 emergency calls from which 775 patients were registered with a hospital admission. Of these, 41% were transported by the HEMS and 36% by a ground ambulance. The median time to admission was 83 min (IQR 66–104) and 90 min (IQR 45–144) for the HEMS and ground ambulance, respectively (p = 0.26). The overall 30-day mortality was 6.2% (95% CI: 4.6–8.1%), and 37% of all the patients were admitted to the hospital with an unspecified diagnosis. The emergency calls from isolated islands led to the dispatch of the HEMS in 41% of the cases. The use of the HEMS did not significantly reduce the time to admission but was used in a greater proportion of patients with an acute cardiac disease (66%) or stroke (67%). MDPI 2021-10-26 /pmc/articles/PMC8625314/ /pubmed/34828492 http://dx.doi.org/10.3390/healthcare9111446 Text en © 2021 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 Herrlin Jensen, Alice Sonne, Asger Rasmussen, Lars S. The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands |
title | The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands |
title_full | The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands |
title_fullStr | The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands |
title_full_unstemmed | The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands |
title_short | The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands |
title_sort | role of a physician-staffed helicopter in emergency care of patients on isolated danish islands |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625314/ https://www.ncbi.nlm.nih.gov/pubmed/34828492 http://dx.doi.org/10.3390/healthcare9111446 |
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