Luft- versus Landrettung bei Kindernotfällen

Koc, Lisa und Wolf, Gerhard K. (2020): Luft- versus Landrettung bei Kindernotfällen. In: Notarzt, Bd. 36, Nr. 3: S. 143-150

Abstract

Air-and ground rescue calls of pediatric patients in an alpine region of Germany were analyzed with respect to diagnosis, length of mission, interventions, severity of illness, and follow-up data such as length of hospital stay. The results were 1) two age groups were especially prevalent, 0 - 2 years and 13 - 15 years;2) surgical emergencies were more prevalent in air-transport, whereas medical and neurological emergencies did not differ between air- and ground transport;3) time on the scene was equivalent, whereas time to the scene and transport time from the scene to the hospital were significantly shorter for ground transport;4) over 20% of patients had NACA scores of 1 or 2, not justifying the dispatch of an emergency physician to the scene;5) 50% of air rescue calls had a NACA score of 3, not justifying air medical transport and 6) one third of the patients were discharged from the hospital on the day of admission. At least in retrospective analysis, overutilization of the helicopter seems high. Opportunities to improve triaging could be a more accurate description of the call, improved communication with the emergency personnel on scene, as well as telemedicine between the communication center and the scene of the accident.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0177-2309
• Sprache: Deutsch