Falcone R E, Herron H, Johnson R, Childress S, Lacey P, Scheiderer G
Grant Medical Center, Columbus, OH 43215, USA.
Air Med J. 1995 Oct-Dec;14(4):197-203; discussion 204-5. doi: 10.1016/1067-991x(95)90002-0.
Air medical response and transport for the injured patient in cardiopulmonary arrest remain controversial. This study is a large, single-program experience.
A retrospective chart review and descriptive study of all injured patients requiring cardiopulmonary resuscitation (CPR) immediately before or during air medical transport. The crew functioned under advanced cardiac life support/advanced trauma life support protocols.
The patients, when transported, went to a variety of facilities, with the majority of patients transported to a level-I trauma center. The service area was primarily rural.
During 1985 to 1994, inclusive, there were 12,518 completed missions. A total of 320 injured patients required CPR (284 with blunt injury and 36 with penetrating injury), six of the 320 patients (1.9%) survived. Survivors and nonsurvivors did not differ significantly in age, mechanism of injury, time from initiation of CPR to arrival in the emergency department (ED), year of injury or initial cardiac rhythm. All survivors did, however, present to the ED in normal sinus rhythm with a palpable blood pressure.
Air medical transport for the injured patient without signs of life following prehospital intervention appears futile.
对于心肺骤停的受伤患者，空中医疗救援和转运仍存在争议。本研究是一项基于单一项目的大型经验总结。
对所有在进行空中医疗转运之前或转运过程中需要进行心肺复苏（CPR）的受伤患者进行回顾性病历审查和描述性研究。机组人员按照高级心脏生命支持/高级创伤生命支持方案开展工作。
患者转运至各种不同的医疗机构，大多数患者被转运至一级创伤中心。服务区域主要为农村地区。
在1985年至1994年（含）期间，共完成12,518次任务。共有320名受伤患者需要进行心肺复苏（284例钝器伤，36例穿透伤），320名患者中有6例（1.9%）存活。存活者与非存活者在年龄、受伤机制、从开始心肺复苏到抵达急诊科（ED）的时间、受伤年份或初始心律方面无显著差异。然而，所有存活者抵达急诊科时均为正常窦性心律且血压可测。
对于在院前干预后无生命迹象的受伤患者，空中医疗转运似乎徒劳无功。
