Baxt W G, Moody P
JAMA. 1987 Jun 19;257(23):3246-50.
To determine whether the presence of a physician in the prehospital setting influences patient outcome, the predicted mortality of 258 patients with blunt trauma treated and transported by a medical helicopter staffed by a flight nurse and flight paramedic was compared with that of 316 similar patients with blunt trauma treated and transported by a medical helicopter staffed by a flight nurse and flight physician. All patients were randomized between the two treatment teams. The mortality of the patients treated by the flight nurse/flight paramedic team was that predicted by the methodology. The mortality of the patients treated by the flight nurse/flight physician team was 35% lower than that predicted, and significantly lower than that of the flight nurse/flight paramedic-staffed helicopter.
为了确定院前环境中医师的存在是否会影响患者的治疗结果，研究人员将由飞行护士和飞行护理人员配备的医疗直升机治疗并转运的258例钝性创伤患者的预测死亡率，与由飞行护士和飞行医生配备的医疗直升机治疗并转运的316例类似钝性创伤患者的预测死亡率进行了比较。所有患者在两个治疗团队之间随机分配。飞行护士/飞行护理人员团队治疗的患者死亡率为该方法预测的死亡率。飞行护士/飞行医生团队治疗的患者死亡率比预测的低35%，且显著低于由飞行护士/飞行护理人员配备的直升机治疗的患者死亡率。
