Cargando…

Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung

BACKGROUND: Tyrol, a province of Austria with about 760,000 inhabitants, was one of the first regions in Europe, along with northern Italy, to be affected by the pandemic spread of the coronavirus in spring 2020. A lockdown with far-reaching restrictions in all areas of life occurred from 16 March 2...

Descripción completa

Detalles Bibliográficos
Autores principales: Unterpertinger, Regina, Schmelzer, Paul, Martini, Judith, Putzer, Gabriel, Gasteiger, Lukas, Thaler, Markus, Hell, Tobias, Voelckel, Wolfgang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610328/
https://www.ncbi.nlm.nih.gov/pubmed/36301309
http://dx.doi.org/10.1007/s00101-022-01212-w
_version_ 1784819241884581888
author Unterpertinger, Regina
Schmelzer, Paul
Martini, Judith
Putzer, Gabriel
Gasteiger, Lukas
Thaler, Markus
Hell, Tobias
Voelckel, Wolfgang
author_facet Unterpertinger, Regina
Schmelzer, Paul
Martini, Judith
Putzer, Gabriel
Gasteiger, Lukas
Thaler, Markus
Hell, Tobias
Voelckel, Wolfgang
author_sort Unterpertinger, Regina
collection PubMed
description BACKGROUND: Tyrol, a province of Austria with about 760,000 inhabitants, was one of the first regions in Europe, along with northern Italy, to be affected by the pandemic spread of the coronavirus in spring 2020. A lockdown with far-reaching restrictions in all areas of life occurred from 16 March 2020. Restrictions were imposed in the areas of gastronomy, trade and free mobility as well as in recreational sports. The ski resorts were closed and due to the strong winter tourism in Tyrol, this meant that about 340,000 people left the region. In the province of Tyrol comprehensive emergency medical care is provided by 13 ground-based emergency medical systems (NEF) in combination with air rescue (16 emergency medical helicopters, some of which are seasonal). Normally, this system provides emergency medical care for approx. 1 million people; however, in spring 2020 during the first lockdown, the number of people to be cared for was approx. 30% less. In order to protect the emergency medical teams as best as possible from infections and thus the system from failures, the Integrated Control Center Tyrol (Landesleitstelle Tirol GmbH) adapted the release order for emergency medical resources. The aim of the study is to describe the influence of the pandemic in spring 2020 on the emergency medical services in Tyrol in comparison to the three preceding years. METHODS: A retrospective survey of all emergency helicopter missions and ground-based emergency physician missions in Tyrol in the period 15 March 2020–15 May 2020, as well as in the same period of the previous years 2017–2019, was conducted. Detailed figures on medical procedures and patient-related data were collected from 6 ÖAMTC helicopter bases. In addition, all ground-based emergency physician missions from all 13 physician systems including appeal mission diagnoses were collected in the same period. RESULTS: The total number of emergency helicopter missions and ground-based emergency physician missions showed a significant decrease during the observational period (67.3% and 39.8%, respectively). In the area of ground-based emergency medical resources, there was a significant increase in respiratory and CNS diseases during the observational period. The range of emergency helicopter missions showed a significant shift from sports and leisure missions to internal medicine and neurological emergencies and the duration of missions was significantly longer. The NACA score was higher with a significant decrease in NACA 3 scores in favor of NACA 4 and 5. The circulatory status of patients during the observational period was significantly more often documented as unstable. Hypertension, impending shock and circulatory arrest occurred more frequently in the trend. Cardiac massage, oxygen administration, circulatory drugs and specific monitoring were used more frequently in 2020. Analgesics were administered less frequently. In air rescue, there was no infection of rescue workers in the field. CONCLUSION: The first pandemic wave in Tyrol and the consecutive lockdown from 16 March 2020 had a massive impact on emergency medical care in Tyrol, both quantitatively and in terms of the spectrum of operations and emergency medical interventions. The decline in patient numbers was highly relevant, especially in air rescue and can be explained in part by the discontinuation of tourism, the general exit restrictions and the restrictive disengagement order. This decline primarily affected patients in the NACA 3 category and the analgesic administration measure. The patients treated had a higher NACA score and the emergency procedures were more extensive during the observational period. The measures to protect the emergency helicopter team from infections were presumably successful as no infections occurred.
format Online
Article
Text
id pubmed-9610328
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer Medizin
record_format MEDLINE/PubMed
spelling pubmed-96103282022-10-28 Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung Unterpertinger, Regina Schmelzer, Paul Martini, Judith Putzer, Gabriel Gasteiger, Lukas Thaler, Markus Hell, Tobias Voelckel, Wolfgang Anaesthesiologie Originalien BACKGROUND: Tyrol, a province of Austria with about 760,000 inhabitants, was one of the first regions in Europe, along with northern Italy, to be affected by the pandemic spread of the coronavirus in spring 2020. A lockdown with far-reaching restrictions in all areas of life occurred from 16 March 2020. Restrictions were imposed in the areas of gastronomy, trade and free mobility as well as in recreational sports. The ski resorts were closed and due to the strong winter tourism in Tyrol, this meant that about 340,000 people left the region. In the province of Tyrol comprehensive emergency medical care is provided by 13 ground-based emergency medical systems (NEF) in combination with air rescue (16 emergency medical helicopters, some of which are seasonal). Normally, this system provides emergency medical care for approx. 1 million people; however, in spring 2020 during the first lockdown, the number of people to be cared for was approx. 30% less. In order to protect the emergency medical teams as best as possible from infections and thus the system from failures, the Integrated Control Center Tyrol (Landesleitstelle Tirol GmbH) adapted the release order for emergency medical resources. The aim of the study is to describe the influence of the pandemic in spring 2020 on the emergency medical services in Tyrol in comparison to the three preceding years. METHODS: A retrospective survey of all emergency helicopter missions and ground-based emergency physician missions in Tyrol in the period 15 March 2020–15 May 2020, as well as in the same period of the previous years 2017–2019, was conducted. Detailed figures on medical procedures and patient-related data were collected from 6 ÖAMTC helicopter bases. In addition, all ground-based emergency physician missions from all 13 physician systems including appeal mission diagnoses were collected in the same period. RESULTS: The total number of emergency helicopter missions and ground-based emergency physician missions showed a significant decrease during the observational period (67.3% and 39.8%, respectively). In the area of ground-based emergency medical resources, there was a significant increase in respiratory and CNS diseases during the observational period. The range of emergency helicopter missions showed a significant shift from sports and leisure missions to internal medicine and neurological emergencies and the duration of missions was significantly longer. The NACA score was higher with a significant decrease in NACA 3 scores in favor of NACA 4 and 5. The circulatory status of patients during the observational period was significantly more often documented as unstable. Hypertension, impending shock and circulatory arrest occurred more frequently in the trend. Cardiac massage, oxygen administration, circulatory drugs and specific monitoring were used more frequently in 2020. Analgesics were administered less frequently. In air rescue, there was no infection of rescue workers in the field. CONCLUSION: The first pandemic wave in Tyrol and the consecutive lockdown from 16 March 2020 had a massive impact on emergency medical care in Tyrol, both quantitatively and in terms of the spectrum of operations and emergency medical interventions. The decline in patient numbers was highly relevant, especially in air rescue and can be explained in part by the discontinuation of tourism, the general exit restrictions and the restrictive disengagement order. This decline primarily affected patients in the NACA 3 category and the analgesic administration measure. The patients treated had a higher NACA score and the emergency procedures were more extensive during the observational period. The measures to protect the emergency helicopter team from infections were presumably successful as no infections occurred. Springer Medizin 2022-10-27 2023 /pmc/articles/PMC9610328/ /pubmed/36301309 http://dx.doi.org/10.1007/s00101-022-01212-w Text en © The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Originalien
Unterpertinger, Regina
Schmelzer, Paul
Martini, Judith
Putzer, Gabriel
Gasteiger, Lukas
Thaler, Markus
Hell, Tobias
Voelckel, Wolfgang
Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung
title Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung
title_full Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung
title_fullStr Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung
title_full_unstemmed Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung
title_short Notärztliche Einsätze in Tirol im Frühjahr 2020: Der Einfluss von COVID-19 – eine retrospektive Beobachtungsstudie mit Fokus Luftrettung
title_sort notärztliche einsätze in tirol im frühjahr 2020: der einfluss von covid-19 – eine retrospektive beobachtungsstudie mit fokus luftrettung
topic Originalien
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610328/
https://www.ncbi.nlm.nih.gov/pubmed/36301309
http://dx.doi.org/10.1007/s00101-022-01212-w
work_keys_str_mv AT unterpertingerregina notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT schmelzerpaul notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT martinijudith notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT putzergabriel notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT gasteigerlukas notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT thalermarkus notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT helltobias notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung
AT voelckelwolfgang notarztlicheeinsatzeintirolimfruhjahr2020dereinflussvoncovid19eineretrospektivebeobachtungsstudiemitfokusluftrettung