It's All About Location, Location, Location: A New Perspective on Trauma Transport

@article{Shaw2016ItsAA,
  title={It's All About Location, Location, Location: A New Perspective on Trauma Transport},
  author={Joshua J. Shaw and Charles M. Psoinos and Heena P. Santry},
  journal={Annals of Surgery},
  year={2016},
  volume={263},
  pages={413–418}
}
Objective:To determine the effect of aeromedical transport on trauma mortality when accounting for geographic factors. Background:The existing literature on the mortality benefit of aeromedical transport on trauma mortality is controversial. Studies examining patient and injury characteristics find higher mortality, whereas studies measuring injury severity find a protective effect. Previous studies have not adjusted for the time and distance that would have been traveled had a helicopter not… 
View on Wolters Kluwer
europepmc.org
21 Citations
Background Citations
2
Methods Citations
2

21 Citations

Citation Type

Citation Type

Impact of a New Helicopter Base on Transport Time and Survival in a Rural Adult Trauma Population.
TLDR
This study demonstrates the important role of helicopter transport within a regional trauma system and the impact that expanded access to rapid air transport can have on mortality.
Geographic distribution of trauma centers and injury-related mortality in the United States
TLDR
Geographic distribution of trauma centers correlates with injury mortality, with more clustered state trauma centers associated with lower fatality rates, which may be a result of access relative to population density.
Comparison of Helicopter Emergency Medical Services Transport Types and Delays on Patient Outcomes at Two Level I Trauma Centers
  • B. Nolan, H. Tien, +4 authors A. Ackery
  • Medicine
    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
  • 2017
TLDR
Differences exist between the types of transports done by HEMS for trauma patients, and many identified reasons for delay to HEMS transport are modifiable and have practical solutions.
Hospital Mortality Based on the Mode of Emergency Medical Services Transportation.
TLDR
Patients transported by HEMS may have different characteristic features and outcomes when compared with GEMS, and further work is needed to identify the subgroups of trauma patients who clearly benefit from the use of HEMS.
Helicopter Transport of Trauma Patients Improves Survival Irrespective of Transport Time
TLDR
Those transported by air had a significant improvement in the likelihood of survival compared with those transported by ground even when adjusting for both ISS and time.
Speed is not everything: Identifying patients who may benefit from helicopter transport despite faster ground transport
TLDR
Patients with abnormal respiratory rate, Glasgow Coma Scale score of 8 or less, and hemo/pneumothorax benefit from HEMS transport even when GEMS transport was faster, indicating that these patients benefit primarily from Hems care, rather than simply faster transport to a trauma center.
Distance matters: Effect of geographic trauma system resource organization on fatal motor vehicle collisions
TLDR
increasing distance to the nearest TSR is associated with increasing fatal MVC rate, and geospatial analysis can allow data-driven changes to potentially improve outcome.
Comparison of physician-staffed helicopter with ground-based emergency medical services for trauma patients.
TLDR
HEMS may provide equal treatment opportunities and minimize trauma deaths for patients transported from a greater distance to an emergency medical center compared to GEMS for patients transporting from nearby regions.
Is It Safe to Fly Patients with Penetrating Trauma in a Rural State?
BACKGROUND There is limited data pertaining to the triage and transportation of patients with penetrating trauma in rural states. Large urban trauma centers have found rapid transport to be…
Early Hospital Discharge After Helicopter Transport of Pediatric Trauma Patients: Analysis of Rates of Over and Undertriage.
TLDR
Triage of pediatric trauma patients to HAA remains difficult, particularly as regards interhospital HAA overtriage, but well developed transfer protocols (such in-state protocols) may help.
...
1
2
3
...

References

SHOWING 1-10 OF 38 REFERENCES
Association of direct helicopter versus ground transport and in-hospital mortality in trauma patients: a propensity score analysis.
TLDR
HEMS transport was associated with a decreased hazard of mortality among certain patients transported from the scene of injury directly to definitive care, and refinements in scene triage and transport guidelines are needed.
Use of a geographic information system to determine appropriate means of trauma patient transport.
TLDR
Whether a geographic information system (GIS) and historical transport data can be used to create a map that identifies locations from which either ambulance or helicopter transport will result in shorter out-of-hospital times is investigated.
Helicopters and the civilian trauma system: national utilization patterns demonstrate improved outcomes after traumatic injury.
TLDR
Trauma patients transported by helicopter were more severely injured, had longer transport times, and required more hospital resources than those transported by ground, but despite concerns regarding helicopter utilization in the civilian setting, this study shows that HT has merit and impacts outcome.
Distance Impacts Mortality in Trauma Patients with an Intubation Attempt
TLDR
Prehospital intubation is associated with increased mortality among trauma patients at all distances from the hospital, whereas helicopter transport was associated with improved survival.
Helicopter scene transport of trauma patients with nonlife-threatening injuries: a meta-analysis.
TLDR
The majority of trauma patients transported from the scene by helicopter have nonlife-threatening injuries, and efforts to more accurately identify those patients who would benefit most from helicopter transport from the accident scene to the trauma center are needed to reduce helicopter overutilization.
Air versus ground transport of major trauma patients to a tertiary trauma centre: a province-wide comparison using TRISS analysis.
TLDR
The transport of trauma patients with an ISS = 12 by a provincially dedicated rotor wing air medical service was associated with statistically significantly better outcomes than those transported by standard ground ambulance.
Cost-effectiveness of helicopter versus ground emergency medical services for trauma scene transport in the United States.
TLDR
The minimum mortality reduction that helicopter emergency medical services (EMS) should provide relative to ground EMS for the scene transport of trauma victims to offset higher costs, inherent transport risks, and inevitable overtriage of patients with minor injury is determined.
Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre.
TLDR
Patients transported by helicopter to an urban trauma centre were more severely injured, required more interventions and had improved survival than those arriving by other means of transport.
Association between helicopter vs ground emergency medical services and survival for adults with major trauma.
TLDR
Among patients with major trauma admitted to level I or level II trauma centers, transport by helicopter compared with ground services was associated with improved survival to hospital discharge after controlling for multiple known confounders.
The effect of Helicopter Emergency Medical Services on trauma patient mortality in the Netherlands.
TLDR
HEMS treatment is associated with a non-significantly higher risk of in-hospital mortality for patients with TBI and a non -significantly lower risk for patients without TBI, and the results indicate that HEMS does not have a positive impact on survival.
...
1
2
3
4
...