Evidence map›Paper›PMID 32962739›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2020

Pre-hospital care & interfacility transport of 385 COVID-19 emergency patients: an air ambulance perspective.

Peter Hilbert-Carius, Jörg Braun, Fikri Abu-Zidan, Jörn Adler, Jürgen Knapp, Didier Dandrifosse, Désirée Braun, Urs Pietsch, Patrick Adamczuk, Leif Rognås and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Biosafety Issues in Patient Transport during COVID-19: A Case Study on the Portuguese Emergency Services.International journal of environmental research and public health · 2024
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  6. Review
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  9. Healthcare Supply Chain Reliability: The Case of Medical Air Transport.International journal of environmental research and public health · 2022
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  13. Considerations for acute care staffing during a pandemic.Best practice & research. Clinical anaesthesiology · 2021
    Review
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  15. Observational
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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

11 authors.

Peter Hilbert-CariusDepartment of Anaesthesiology, Intensive Care and Emergency Medicine, Pain Therapy, BG-Klinikum Bergmannstrost Halle (Saale), Merseburgerstr 165, 06112, Halle (Saale), Germany. peter.hilbert@bergmannstrost.de.
Jörg BraunFaculty of Medicine -Wissenschaftlicher Arbeitskreis der DRF Stiftung Luftrettung (German Air Rescue) gemeinnützige AG, Filderstadt, Germany.
Fikri Abu-ZidanDepartment of Surgery, College of Medicine and Health Science, UAE University, Al-Ain, United Arab Emirates.
Jörn AdlerLAR-Luxembourg Air Rescue, Sandweiler, Luxembourg.
Jürgen KnappDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Didier DandrifosseLAR-Luxembourg Air Rescue, Sandweiler, Luxembourg.
Désirée BraunFaculty of Medicine -Wissenschaftlicher Arbeitskreis der DRF Stiftung Luftrettung (German Air Rescue) gemeinnützige AG, Filderstadt, Germany.
Urs PietschSwiss Air Rescue Rega, Zürich, Switzerland.
Patrick AdamczukLAR-Luxembourg Air Rescue, Sandweiler, Luxembourg.
Leif RognåsDepartment of Anaesthesia, Aarhus University Hospital, Aarhus, Denmark.
Roland AlbrechtSwiss Air Rescue Rega, Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19, the pandemic caused by the severe acute respiratory syndrome coronavirus-2, is challenging healthcare systems worldwide. Little is known about problems faced by emergency medical services-particularly helicopter services-caring for suspected or confirmed COVID-19 patients. We aimed to describe the issues faced by air ambulance services in Europe as they transport potential COVID-19 patients.

methodsNine different HEMS providers in seven different countries across Europe were invited to share their experiences and to report their data regarding the care, transport, and safety measures in suspected or confirmed COVID-19 missions. Six air ambulance providers in six countries agreed and reported their data regarding development of special procedures and safety instructions in preparation for the COVID-19 pandemic. Four providers agreed to provide mission related data. Three hundred eighty-five COVID-19-related missions were analysed, including 119 primary transport missions and 266 interfacility transport missions.

resultsAll providers had developed special procedures and safety instructions in preparation for COVID-19. Ground transport was the preferred mode of transport in primary missions, whereas air transport was preferred for interfacility transport. In some countries the transport of COVID-19 patients by regular air ambulance services was avoided. Patients in interfacility transport missions had a significantly higher median (range) NACA Score 4 (2-5) compared with 3 (1-7), needed significantly more medical interventions, were significantly younger (59.6 ± 16 vs 65 ± 21 years), and were significantly more often male (73% vs 60.5%).

conclusionsAll participating air ambulance providers were prepared for COVID-19. Safe care and transport of suspected or confirmed COVID-19 patients is achievable. Most patients on primary missions were transported by ground. These patients were less sick than interfacility transport patients, for whom air transport was the preferred method.

Indexed as

BetacoronavirusPandemicsAir AmbulancesCoronavirus InfectionsCOVID-19Emergency Service, HospitalEuropeFemaleHumansMaleMiddle AgedPneumonia, ViralRetrospective StudiesSARS-CoV-2Transportation of PatientsCOVID-19Emergency medicineFixed wing aircraftHelicopterInfectionMedical staffPrevention

Identifiers

PMID32962739
PMCPMC7506825

What OpenQuestion holds

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LicenceCC BY
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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.