RT Journal Article
SR Electronic
T1 A rural emergency medical retrieval service: the first year
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 679
OP 683
DO 10.1136/emj.2006.034355
VO 23
IS 9
A1 A R Corfield
A1 L Thomas
A1 A Inglis
A1 S Hearns
YR 2006
UL http://emj.bmj.com/content/23/9/679.abstract
AB Introduction: We describe the first year of operation of a rural emergency medical retrieval service (EMRS), staffed by emergency medicine and anaesthetic consultants and providing air based retrieval of critically ill and injured patients from general practitioner led community hospitals in rural west Scotland. Methods: Data were collected on all patients referred to the service, both those subsequently transported and those where transport by the service was not indicated, for a period of 1 year from 1 October 2004 to 30 September 2005. Data collected included information on demographics, physiology, and medical interventions. Detailed data were collected regarding advanced airway care and any complications relating to transfer. Results: Forty patients were attended and advice was given on a further 21 patients. Twenty one of the 40 patients (53%) required rapid sequence intubation prior to transfer. The median Injury Severity Score (ISS) for trauma patients was 26 (range 2–59). The median Acute Physiology and Chronic Health Evaluation (APACHE) II score for all patients was 11 (range 2–37). Conclusion: Our data show a high level of acuity among this patient group and a need for advanced medical intervention to ensure safe transfer.