Imach Sebastian, Deschler Andreas, Sammito Stefan, Reis Miguel, Michaelis Sylta, Marche Beneditk, Paffrath Thomas, Bouillon Bertil, Tjardes Thorsten
Department of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, 51109 Cologne, Germany.
Special Air Mission Wing, Federal Ministry of Defence, 51147 Cologne, Germany.
J Clin Med. 2023 Jul 8;12(14):4556. doi: 10.3390/jcm12144556.
On 17 April 2019, a coach with tourists from Germany crashed in Madeira, requiring repatriation by the German Air Force. The Advanced Trauma Life Support (ATLS) concept was the central component of patient care. Data in Madeira were collected through a structured interview. The analysis of the Aeromedical Evacuation was based on intensive care transport records. In Germany, all available medical data sheets were reviewed for data collection. Quality of life (HRQoL) was evaluated by the 12-item Short Form Health Survey (SF-12). Twenty-eight prehospital patients were transported to the Level III Trauma Center in Funchal (Madeira). Five operative procedures were performed. Fifteen patients were eligible for Aeromedical Evacuation (AE). In the second hospital phase in Germany, in total 82 radiological images and 9 operations were performed. Hospital stay lasted 11 days (median, IQR 10-18). Median follow-up (14 of 15 patients) was 16 months (IQR 16-21). Eighty percent (8 out of 10) showed an increased risk for post-traumatic stress disorder (PTSD). Six key findings were identified in this study: divergent injury classification, impact of AE mission on health status, lack of communication, need of PTSD prophylaxis, patient identification, and media coverage. Those findings may improve AE missions in the future, e.g., when required after armed conflicts.
2019年4月17日，一辆载有德国游客的长途客车在马德拉岛坠毁，需要德国空军进行遣返。高级创伤生命支持（ATLS）理念是患者护理的核心组成部分。在马德拉岛的数据是通过结构化访谈收集的。航空医疗后送分析基于重症监护运输记录。在德国，为收集数据查阅了所有可用的医疗数据表。生活质量（HRQoL）通过12项简短健康调查问卷（SF-12）进行评估。28名院前患者被转运至丰沙尔（马德拉岛）的三级创伤中心。实施了5台手术。15名患者符合航空医疗后送（AE）条件。在德国的第二阶段住院治疗中，总共进行了82次影像学检查和9台手术。住院时间为11天（中位数，四分位间距10 - 18天）。中位随访时间（15名患者中的14名）为16个月（四分位间距16 - 21个月）。80%（10名中的8名）显示创伤后应激障碍（PTSD）风险增加。本研究确定了六个关键发现：损伤分类存在差异、航空医疗后送任务对健康状况的影响、缺乏沟通、需要预防性治疗创伤后应激障碍、患者识别以及媒体报道。这些发现可能会改善未来的航空医疗后送任务，例如在武装冲突后有需求时。
