Evidence map›Paper›PMID 30296878›Full record

Observational studyScandinavian journal of primary health care2018

Treatment, transport, and primary care involvement when helicopter emergency medical services are inaccessible: a retrospective study.

Dag Ståle Nystøyl, Steinar Hunskaar, Hans Johan Breidablik, Øyvind Østerås, Erik Zakariassen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of primary health care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Dag Ståle Nystøyla Department of Research , Norwegian Air Ambulance Foundation , Drøbak , Norway.
Steinar Hunskaarb Research Group for General Practice, Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.
Hans Johan Breidablikd Centre of Health Research, Førde Hospital Trust , Førde , Norway.
Øyvind Østeråse Department of Anaesthesia and Intensive Care , Haukeland University Hospital , Bergen , Norway.
Erik Zakariassenb Research Group for General Practice, Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.
Uni Research (Norway) · NOHaukeland University Hospital · NOHelse Førde · NOStiftelsen Norsk Luftambulanse · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine handling of cancelled helicopter emergency medical services (HEMS) missions with a persisting medical indication.

designRetrospective observational study. SETTING AND SUBJECTS: Cancelled HEMS missions with persisting medical indication within Sogn og Fjordane county in Norway during the period of 2010-2013. Both primary and secondary missions were included.

main outcome measuresPrimary care involvement, treatment and cooperation within the prehospital system.

resultsOur analysis included 172 missions with 180 patients. Two-thirds of the patients (118/180) were from primary missions. In 95% (112/118) of primary missions, GPs were alerted, and they examined 62% (70/112) of these patients. Among the patients examined by a GP, 30% (21/70) were accompanied by a GP during transport to hospital. GP involvement did not differ according to time of day (p = 0.601), diagnostic group (p = 0.309), or patient's age (p = 0.409). In 41% of primary missions, the patients received no treatment or oxygen only during transport. Among the secondary missions, 10% (6/62) of patients were intubated or received non-invasive ventilation and were accompanied by a physician or nurse anaesthetist during transport.

conclusionsAmbulance workers and GPs have an important role when HEMS is unavailable. Our findings indicated good collaboration among the prehospital personnel. Many of the patients were provided minimal or no treatment, and treatment did not differ according to GP involvement. Key Points Knowledge about handling and involvement of prehospital services in cancelled helicopter emergency medical services (HEMS) missions are scarce. Ambulance workers and general practitioners have an important role when HEMS is unavailable Minimal or no treatment was given to a large amount of the patients, regardless of which health personnel who encountered the patient.

Indexed as

Air AmbulancesAircraftHealth Services AccessibilityAdultAgedEmergency Medical ServicesFamily PracticeFemaleHumansMaleMiddle AgedPrimary Health CareRetrospective StudiesTransportation of Patientsair ambulancesEmergency medical servicesgeneral practitionersHEMSNorwayprimary health care

Identifiers

PMID30296878
PMCPMC6381543
OpenAlexW2897106394

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.