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Pre-hospital care & interfacility transport of 385 COVID-19 emergency patients: an air ambulance perspective.
Hilbert-Carius, Peter; Braun, Jörg; Abu-Zidan, Fikri; Adler, Jörn; Knapp, Jürgen; Dandrifosse, Didier; Braun, Désirée; Pietsch, Urs; Adamczuk, Patrick; Rognås, Leif; Albrecht, Roland.
  • Hilbert-Carius P; Department of Anaesthesiology, Intensive Care and Emergency Medicine, Pain Therapy, BG-Klinikum Bergmannstrost Halle (Saale), Merseburgerstr 165, 06112, Halle (Saale), Germany. peter.hilbert@bergmannstrost.de.
  • Braun J; DRF-Luftrettung (German Air Rescue), HEMS Christoph 84 and Christoph 85 Halle (Saale), Halle (Saale), Germany. peter.hilbert@bergmannstrost.de.
  • Abu-Zidan F; Faculty of Medicine -Wissenschaftlicher Arbeitskreis der DRF Stiftung Luftrettung (German Air Rescue) gemeinnützige AG, Filderstadt, Germany.
  • Adler J; Department of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates.
  • Knapp J; LAR-Luxembourg Air Rescue, Sandweiler, Luxembourg.
  • Dandrifosse D; Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Braun D; LAR-Luxembourg Air Rescue, Sandweiler, Luxembourg.
  • Pietsch U; Faculty of Medicine -Wissenschaftlicher Arbeitskreis der DRF Stiftung Luftrettung (German Air Rescue) gemeinnützige AG, Filderstadt, Germany.
  • Adamczuk P; Swiss Air Rescue Rega, Zürich, Switzerland.
  • Rognås L; Department of Anaesthesiology and Intensive Care Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
  • Albrecht R; LAR-Luxembourg Air Rescue, Sandweiler, Luxembourg.
Scand J Trauma Resusc Emerg Med ; 28(1): 94, 2020 Sep 22.
Article in English | MEDLINE | ID: covidwho-781501
Semantic information from SemMedBD (by NLM)
1. 2019 novel coronavirus CAUSES COVID-19
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
COVID-19
2. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
3. 2019 novel coronavirus CAUSES COVID-19
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
COVID-19
4. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

COVID-19, the pandemic caused by the severe acute respiratory syndrome coronavirus-2, is challenging healthcare systems worldwide. Little is known about problems faced by emergency medical services-particularly helicopter services-caring for suspected or confirmed COVID-19 patients. We aimed to describe the issues faced by air ambulance services in Europe as they transport potential COVID-19 patients.

METHODS:

Nine different HEMS providers in seven different countries across Europe were invited to share their experiences and to report their data regarding the care, transport, and safety measures in suspected or confirmed COVID-19 missions. Six air ambulance providers in six countries agreed and reported their data regarding development of special procedures and safety instructions in preparation for the COVID-19 pandemic. Four providers agreed to provide mission related data. Three hundred eighty-five COVID-19-related missions were analysed, including 119 primary transport missions and 266 interfacility transport missions.

RESULTS:

All providers had developed special procedures and safety instructions in preparation for COVID-19. Ground transport was the preferred mode of transport in primary missions, whereas air transport was preferred for interfacility transport. In some countries the transport of COVID-19 patients by regular air ambulance services was avoided. Patients in interfacility transport missions had a significantly higher median (range) NACA Score 4 (2-5) compared with 3 (1-7), needed significantly more medical interventions, were significantly younger (59.6 ± 16 vs 65 ± 21 years), and were significantly more often male (73% vs 60.5%).

CONCLUSIONS:

All participating air ambulance providers were prepared for COVID-19. Safe care and transport of suspected or confirmed COVID-19 patients is achievable. Most patients on primary missions were transported by ground. These patients were less sick than interfacility transport patients, for whom air transport was the preferred method.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Transportation of Patients / Coronavirus Infections / Air Ambulances / Emergency Service, Hospital / Pandemics / Betacoronavirus Type of study: Controlled clinical trial / Observational study / Risk factors Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Scand J Trauma Resusc Emerg Med Journal subject: Emergency Medicine / Traumatology Year: 2020 Document Type: Article Affiliation country: S13049-020-00789-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Transportation of Patients / Coronavirus Infections / Air Ambulances / Emergency Service, Hospital / Pandemics / Betacoronavirus Type of study: Controlled clinical trial / Observational study / Risk factors Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Scand J Trauma Resusc Emerg Med Journal subject: Emergency Medicine / Traumatology Year: 2020 Document Type: Article Affiliation country: S13049-020-00789-8