Table 4 Managment of pneumothorax, femoral fracture and myocardial infarction by crew
Crew
Para-CAAp value vs WNAA crewsPara-WNAAp value vs DrLed-WNAADrLed-WNAA
Invasive thoracic procedures
    Needle decompression (N)871
    Chest drain* (N)4112
    Overall utility0.4%<0.001 vs WP+WD1.7%NS vs WD1.7%
Femoral fracture analgesia/anaesthesia
    No of cases108NS11NS vs WD31
    No of cases with land doctor assistance6<0.001 vs WP6NA
    Morphine67%NS72%NS vs WD32%
    Ketamine*5%<0.001 vs WP+WD18%NS vs WD26%
    Femoral nerve block*1%<0.0001 vs WP+WD27%NS vs WD10%
    RSI*0%<0.0001 vs WP+WD9%NS vs WD33%
Myocardial infarction
    All patients5NS7NS vs WD6
    Prehospital thrombolysis3NS1NS vs WD3
    Transfer for PCI263
  • *Indicates procedure performed by land-based prehospital doctor supporting air ambulance paramedic crew.

  • PCI, percutaneous coronary intervention; RSI, rapid sequence induction; Para-County, double paramedic crew, County Air Ambulance; Para-WNAA, double paramedic crew Warwickshire and Northamptonshire Air Ambulance; DrLed-WNAA, doctor/paramedic crew Warwickshire and Northamptonshire Air Ambulance; WP-WNAA, double paramedic crew Warwickshire and Northamptonshire Air Ambulance; WD-WNAA doctor/paramedic crew Warwickshire and Northamptonshire Air Ambulance.