Facultad de Enfermería y Fisioterapia Salus Infirmorum

A review of the burns caseload of a physician-based helicopter emergency medical service / (Record no. 12892)

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control field OSt
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007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION
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022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1742-6723
040 ## - CATALOGING SOURCE
Transcribing agency Salus Infirmorum
245 00 - TITLE STATEMENT
Title A review of the burns caseload of a physician-based helicopter emergency medical service /
Statement of responsibility, etc. Karina Hall, Brian Burns
500 ## - GENERAL NOTE
General note PDF en biblioteca
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note Bibliografía: p. 443<br/>
520 8# - SUMMARY, ETC.
Summary, etc. Objectives: The aim of this study was to describe patient demographics, injuries, physiology and interventions performed by retrieval physicians in the care of burns patients in both a pre-hospital and interhospital setting.<br/>Methods: A retrospective review of patient records from a large Australian Helicopter Emergency Medical Service was conducted. Demographics, injury, burn type, physiology and intervention data were extracted into a database for statistical analysis. Basic descriptive statistics were calculated, and patient physiology measures were compared at arrival and destination.<br/>Results: A total of 490 burns cases were identified from a 5 year period (January 2010–August 2015). The majority (78.6%) were interhospital transfers conducted by road (49.4%) or helicopter (36.9%). Patients were predominantly men (75.7%) with a median age of 37 years (interquartile range [IQR] 23–50). Median estimated total body surface area burned was 15% (IQR 8.5–20) and<br/>18% (IQR 10–30) in pre-hospital and interhospital groups, respectively; however, retrieval physicians tended to overestimate total body surface area burned in comparison to destination burns units. Flash burn or explosion were the predominant aetiology of burn (49.4%), although the majority (95.3%) of patients had no associated traumatic injuries. Sixty patients were intubated by the Service. Escharotomies were performed on eight occasions resulting in improvement in circulation or ventilation. Overall mortality<br/>was 3.7% at 24 h.<br/>Conclusions: The Service cares for 80–100 burns patients annually, a proportion of whom require complex interventions such as intubation and escharotomy, which was performed by retrieval physicians appropriately.<br/>Associated traumatic injuries were infrequent in patients who sustained burns from flashes or explosions.
653 14 - INDEX TERM--UNCONTROLLED
Uncontrolled term burns
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Uncontrolled term emergency medicine
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Uncontrolled term helicopter
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Uncontrolled term pre-hospital
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Uncontrolled term retrieval
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Uncontrolled term thermal
773 ## - HOST ITEM ENTRY
Related parts -- 2017, v. 29, p. 438–443
Title Emergency Medicine Australasia
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Universal Decimal Classification
Koha item type Artículo de revista
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection code Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Universal Decimal Classification     Non-fiction Revistas y artículos Revistas y artículos 28/10/2020   PP 5542 28/10/2020 28/10/2020 Artículo de revista

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