Wejnarski Arkadiusz, Leszczyński Piotr Konrad, Biadun Maja, Malm Maria, Mitura Kryspin, Sholokhova Daryna, Rzońca Patryk, Gałązkowski Robert, Marzec Leszek
Department of Medical and Health Sciences, University of Siedlce, 08-110 Siedlce, Poland.
Department of Medical Informatics and Statistics with e-Health Lab, Medical University of Lublin, 20-090 Lublin, Poland.
J Clin Med. 2024 Dec 18;13(24):7738. doi: 10.3390/jcm13247738.
The World Health Organization (WHO) estimates that 180,000 patients die from burns every year, which is considered a serious public health issue. Patients with burns require immediate pre-hospital care and transport to specialized treatment facilities. The aim of this study was to outline the profile of the burn patient from the perspective of the Polish Medical Air Rescue (PMAR), as well as to analyze the medical procedures being implemented. The study includes 2154 interventions by air emergency medical teams (AEMS) which provided aid for burn patients. The analysis covered the period from 2018 to 2022, including nationwide data made available from the IT systems of the PMAR. Statistical design was used, allowing for correlations of variables, at a significance level of < 0.05. Patients' ages ranged from 1 month to 96 years (mean 35.05; SD ± 26.88). Adult patients ( = 1409; 65.41%) constituted the vast majority. The number of interventions to children below 1-year-old was noticeable ( = 394; 18.29%). Men were the most likely to suffer burns, up to three times more often than women ( = 1574, 73.07% vs. = 570, 26.46%. T29-burns to multiple body areas ( = 890)-and T21-burns to the trunk ( = 255)-were most frequently reported as diagnoses according to the ICD-10 classification. A statistically significant association was found between age group and ICD-10 diagnosis ( < 0.001). The vast majority of patients were transported from the scene directly to Burn Treatment Centers ( = 1373; 63.74%). Treatment of pain by helicopter emergency medical services (HEMS) crews appeared to be effective ( < 0.001), and other interventions consisted of administering medications-ketamine (23.72%), rocuronium bromide (15.78%), propofol (14.02%)-and procedures such as sedation (30.87%), as well as intubation (13.42%) and mechanical ventilation (13.23%). The burn patient profile indicates men with a mean age of 35 years. Nevertheless, HEMS crews often carry out missions to infants and newborns. The most common diagnosis was extensive body burns. In 63.74% of the missions, patients were transported to the Burn Treatment Center. The HEMS crews implement effective pharmacological analgesia, and handle rescue medications and procedures to stabilize the patient's condition.
世界卫生组织（WHO）估计，每年有18万名患者死于烧伤，这被视为一个严重的公共卫生问题。烧伤患者需要立即接受院前护理并转运至专业治疗机构。本研究的目的是从波兰医疗空中救援（PMAR）的角度概述烧伤患者的概况，并分析正在实施的医疗程序。该研究包括空中急救医疗队（AEMS）对烧伤患者提供援助的2154次干预行动。分析涵盖了2018年至2022年期间，包括从PMAR的IT系统获取的全国性数据。采用了统计设计，允许变量之间进行相关性分析，显著性水平<0.05。患者年龄从1个月至96岁不等（平均35.05岁；标准差±26.88）。成年患者（n = 1409；65.41%）占绝大多数。1岁以下儿童的干预次数也较为显著（n = 394；18.29%）。男性最容易遭受烧伤，其烧伤几率是女性的三倍多（n = 1574，73.07%对n = 570，26.46%）。根据ICD - 10分类，多部位烧伤（n = 890）和躯干烧伤（n = 255）是最常报告的诊断。年龄组与ICD - 10诊断之间存在统计学上的显著关联（<0.001）。绝大多数患者从现场直接被转运至烧伤治疗中心（n = 1373；63.74%）。直升机紧急医疗服务（HEMS）机组人员对疼痛的治疗似乎是有效的（<0.001），其他干预措施包括使用药物——氯胺酮（23.72%）、罗库溴铵（15.78%）、丙泊酚（14.02%）——以及诸如镇静（30.87%）、插管（13.42%）和机械通气（13.23%）等操作。烧伤患者概况显示为平均年龄35岁的男性。然而，HEMS机组人员经常执行针对婴儿和新生儿的任务。最常见的诊断是大面积身体烧伤。在63.74%的任务中，患者被转运至烧伤治疗中心。HEMS机组人员实施有效的药物镇痛，并处理救援药物和操作以稳定患者病情。
