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Helicopter emergency medical rescue for the traumatized: experience in the metropolitan region of Campinas, Brazil.
Cardoso, Ricardo Galesso; Francischini, Carina Fontana; Ribera, Jorge Michel; Vanzetto, Ricardo; Fraga, Gustavo Pereira.
Afiliação
  • Cardoso RG; Health Secretariat, São Paulo State, SP, Brazil.
  • Francischini CF; Faculty of Medical Sciences, State University of Campinas, Campinas, SP, Brazil.
  • Ribera JM; Health Secretariat, São Paulo State, SP, Brazil.
  • Vanzetto R; Health Secretariat, São Paulo State, SP, Brazil.
  • Fraga GP; Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Campinas, SP, Brazil.
Rev Col Bras Cir ; 41(4): 236-44, 2014.
Article em En, Pt | MEDLINE | ID: mdl-25295983
OBJECTIVE: To analyze the profile of patients served by the air medical rescue system in the Metropolitan Region of Campinas, evaluating: triage and mobilization criteria; response time; on-site care and transport time; invasive procedures performed in the Pre-Hospital Care (PHC); severity of patients; morbidity and mortality. METHODS: We conducted a prospective, descriptive study in which we analyzed medical records of patients rescued between July 2010 and December 2012. During this period, 242 victims were taken to the HC-Unicamp. Of the 242 patients, 22 were excluded from the study. RESULTS: of the 220 cases evaluated, 173 (78.6%) were male, with a mean age of 32 years. Blunt trauma was the most prevalent (207 cases - 94.1%), motorcycle accidents being the most common mechanisms of injury (66 cases - 30%), followed by motor vehicle collisions (51 cases - 23.2%). The average response time was 10 ± 4 minutes and the averaged total pre-hospital time was 42 ± 11 minutes. The mean values of the trauma indices were: RTS = 6.2 ± 2.2; ISS = 19.2 ± 12.6; and TRISS = 0.78 ± 0.3. Tracheal intubation in the pre-hospital environment was performed in 77 cases (35%); 43 patients (19.5%) had RTS of 7.84 and ISSd"9, being classified as over-triaged. Of all patients admitted, the mortality was 15.9% (35 cases). CONCLUSION: studies of air medical rescue in Brazil are required due to the investments made in the pre-hospital care in a country without an organized trauma system. The high rate of over-triage found highlights the need to improve the triage and mobilization criteria.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ferimentos e Lesões / Resgate Aéreo Tipo de estudo: Observational_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ferimentos e Lesões / Resgate Aéreo Tipo de estudo: Observational_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil