Helicopter rescue involving the winching of a physician.

نویسندگان

  • Jocelyn Corniche
  • Mathieu Pasquier
  • Bertrand Yersin
  • Christian Kern
  • Patrick Schoettker
چکیده

INTRODUCTION We sought to study the operational and medical aspects of helicopter rescue missions involving the use of a winch. SETTING A single helicopter-based medical service of a pre-alpine region of Switzerland. METHODS We prospectively studied consecutive primary rescue interventions involving winching of a physician, from October 1, 1998 to October 1, 2002. Demographic, medical and operational aspects as well as outcome at 48 hours were analyzed. RESULTS We included 133 patients. Most (74%) were male, with traumatic injuries (77%). The median scene time of the nine severely injured patients (Injury Severity Scale [ISS] > 15) was significantly longer compared with the other patients (54 vs 37 minutes; P < .05). The main medical procedures performed were orotracheal intubation (n = 5), fracture reductions (n = 5), major analgesia with sedation (n = 4), and intravenous fluid administration of more than 1,500 mL (n = 4). Fourteen (10%) patients suffering from minor injuries were triaged by the physician and not airlifted to the hospital. All 133 patients were alive at 48 hours. Sixty-nine (52%) were still hospitalized. No secondary interhospital transfer was required. CONCLUSION Our study provides a better knowledge of injury profile, medical aspects, and outcomes of patients rescued necessitating a winching procedure.

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عنوان ژورنال:
  • Air medical journal

دوره 31 2  شماره 

صفحات  -

تاریخ انتشار 2012