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The primary aim of this study was to describe the long-term outcome of critically ill or severely injured patients not in cardiac arrest treated by an EMS physician.
The aim of helicopter emergency medical services (HEMS) is to supplement ground EMS units in the care of prehospital patients. The need for advanced airway management in critical out-of-hospital patients can be considered as one indicator of the severity of the patient's condition.
A recent European initiative suggested advanced airway management to be included in the top five research priorities for physician-provided prehospital care.To our knowledge, no previous studies describe the long-term outcome of critical prehospital patients treated by an EMS physician.
The primary aim of this study was to describe the long-term outcome of critically ill or severely injured patients not in cardiac arrest treated by an EMS physician. Our secondary aims were to determine the indications and causes for EMS physician performed prehospital endotracheal intubation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HEMS treated patients | Patients whose airways were secured by the HEMS physician. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intubation | Procedure | HEMS physician prehospital intubation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Glasgow Outcome Score (GOS) | GOS 1 = Death GOS 2 = Poor neurological outcome GOS 3 = Good neurological outcome Modified from the original 5 - step classification. | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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All non-cardiac arrest patients, whose airway was secured by the HEMS physician.
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| Name | Affiliation | Role |
|---|---|---|
| Arvi Yli-Hankala, professor | Tampere University Hospital | Study Director |
| Toni VS Pakkanen, MD | Tampere University Hospital | Principal Investigator |
| Ilkka Virkkunen, MD, PhD | Tampere University Hospital | Study Chair |
| Tom Silfvast, MD, PhD | Helsinki University Central Hospital | Study Chair |
| Tarja Randell, MD, PhD | Helsinki University Central Hospital | Study Chair |
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| ID | Title | Description |
|---|---|---|
| FG000 | HEMS Treated Patients | Patients whose airways were secured by the HEMS physician. Intubation: HEMS physician prehospital intubation |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | HEMS Treated Patients | Patients whose airways were secured by the HEMS physician. Intubation: HEMS physician prehospital intubation |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mortality | Posted | Number | percentage of one year mortality | 1 year |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | HEMS Treated Patients | Patients whose airways were secured by the HEMS physician. Intubation: HEMS physician prehospital intubation |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Toni Pakkanen, MD | Tampere University Hospital | 358408227209 | toni.pakkanen@icloud.com |
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| ID | Term |
|---|---|
| D007440 | Intubation |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D008919 | Investigative Techniques |
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| years |
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| Gender | Count of Participants | Participants |
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| Secondary | Glasgow Outcome Score (GOS) | GOS 1 = Death GOS 2 = Poor neurological outcome GOS 3 = Good neurological outcome Modified from the original 5 - step classification. | Posted | Number | percentage of good neurological outcome | 1 year |
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