Evidence map›Paper›PMID 37510671›Full record

ArticleJournal of clinical medicine2023

Performing Advanced Trauma Life Support (ATLS) across Borders: Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira.

Sebastian Imach, Andreas Deschler, Stefan Sammito, Miguel Reis, Sylta Michaelis, Beneditk Marche, Thomas Paffrath, Bertil Bouillon, Thorsten Tjardes

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 5 institutions in 2 countries.

Sebastian ImachDepartment of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, 51109 Cologne, Germany.
Andreas DeschlerSpecial Air Mission Wing, Federal Ministry of Defence, 51147 Cologne, Germany.
Stefan SammitoExperimental Aerospace Medicine Research, German Air Force Centre of Aerospace Medicine, 51147 Cologne, Germany.ORCID 0000-0001-5605-1040
Miguel ReisDepartment of Surgery, Serviço Regional de Saúde da Madeira, 6180 Funchal, Portugal.
Sylta MichaelisDepartment of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, 51109 Cologne, Germany.
Beneditk MarcheDepartment of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, 51109 Cologne, Germany.
Thomas PaffrathDepartment of Trauma Surgery, Hospital of the Augustinerinnen, 50678 Cologne, Germany.
Bertil BouillonDepartment of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, 51109 Cologne, Germany.
Thorsten TjardesDepartment of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, 51109 Cologne, Germany.
Witten/Herdecke University · DEAgencia Regional da Energia e Ambiente da Regiao Autonoma da Madeira · PTFederal Ministry of Defence · DEKrankenhaus der Augustinerinnen · DEOtto-von-Guericke-Universität Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On 17 April 2019, a coach with tourists from Germany crashed in Madeira, requiring repatriation by the German Air Force. The Advanced Trauma Life Support (ATLS) concept was the central component of patient care. Data in Madeira were collected through a structured interview. The analysis of the Aeromedical Evacuation was based on intensive care transport records. In Germany, all available medical data sheets were reviewed for data collection. Quality of life (HRQoL) was evaluated by the 12-item Short Form Health Survey (SF-12). Twenty-eight prehospital patients were transported to the Level III Trauma Center in Funchal (Madeira). Five operative procedures were performed. Fifteen patients were eligible for Aeromedical Evacuation (AE). In the second hospital phase in Germany, in total 82 radiological images and 9 operations were performed. Hospital stay lasted 11 days (median, IQR 10-18). Median follow-up (14 of 15 patients) was 16 months (IQR 16-21). Eighty percent (8 out of 10) showed an increased risk for post-traumatic stress disorder (PTSD). Six key findings were identified in this study: divergent injury classification, impact of AE mission on health status, lack of communication, need of PTSD prophylaxis, patient identification, and media coverage. Those findings may improve AE missions in the future, e.g., when required after armed conflicts.

Indexed as

Advanced Trauma Life Support (ATLS)air ambulancesdisaster medicinepatient transfertrauma caretrauma rehabilitationtrauma surgerytraumatology

Identifiers

PMID37510671
PMCPMC10380882
OpenAlexW4383817819

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.