Rzońca Ewa, Bączek Grażyna, Podgórski Marcin, Gałązkowski Robert
Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland.
Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, 00-575 Warsaw, Poland.
Children (Basel). 2021 Jun 29;8(7):557. doi: 10.3390/children8070557.
The purpose of the study was to present the characteristics of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) interventions concerning newborns in Poland. The study involved a retrospective analysis of missions by Polish Medical Air Rescue crews concerning newborns, carried out in Poland between January 2011 and December 2020. Polish Medical Air Rescue crews were most commonly dispatched to urban areas (86.83%), for patient transfer (59.67%), using an airplane (65.43%), between 7 AM and 6:59 PM (93.14%), and in the summer (28.67%). Further management involved handing over the neonatal patient to a ground neonatal ambulance team. Most of the patients studied were male (58.02%), and the most common diagnosis requiring the HEMS or EMS intervention was a congenital heart defect (31.41%). The most common medical emergency procedure performed by Polish Medical Air Rescue crew members for the neonatal patients was intravenous cannulation (43.07%). The odds ratio for congenital malformations was higher in male newborns. The type of Polish Medical Air Rescue mission was associated with the location of the call, time of the call, ICD-10 diagnosis associated with the dispatch, selected clinical findings, most commonly performed medical emergency procedures, and mission duration and distance covered.
本研究的目的是呈现波兰直升机紧急医疗服务（HEMS）和紧急医疗服务（EMS）针对新生儿的干预特点。该研究对2011年1月至2020年12月期间波兰医疗空中救援机组人员在波兰执行的涉及新生儿的任务进行了回顾性分析。波兰医疗空中救援机组人员最常被派往城市地区（86.83%），任务是患者转运（59.67%），使用飞机执行任务（65.43%），出动时间在上午7点至下午6点59分之间（93.14%），且多在夏季（28.67%）。后续管理工作包括将新生儿患者移交给地面新生儿急救团队。大多数研究对象为男性（58.02%），需要HEMS或EMS干预的最常见诊断是先天性心脏病（31.41%）。波兰医疗空中救援机组人员对新生儿患者最常实施的医疗急救操作是静脉插管（43.07%）。男性新生儿先天性畸形的比值比更高。波兰医疗空中救援任务的类型与呼叫地点、呼叫时间、与派遣相关的国际疾病分类第十版（ICD - 10）诊断、选定的临床发现、最常实施的医疗急救操作以及任务持续时间和覆盖距离有关。
