@article{ref1,
title="Helicopter emergency medical rescue for the traumatized: experience in the metropolitan region of Campinas, Brazil",
journal="Revista do Colégio Brasileiro de Cirurgiões",
year="2014",
author="Cardoso, Ricardo Galesso and Francischini, Carina Fontana and Ribera, Jorge Michel and Vanzetto, Ricardo and Fraga, Gustavo Pereira",
volume="41",
number="4",
pages="236-244",
abstract="OBJECTIVE: To analyze the profile of patients served by the air medical rescue system in the Metropolitan Region of Campinas, evaluating: triage and mobilization criteria; response time; on-site care and transport time; invasive procedures performed in the Pre-Hospital Care (PHC); severity of patients; morbidity and mortality. <br><br>METHODS: We conducted a prospective, descriptive study in which we analyzed medical records of patients rescued between July 2010 and December 2012. During this period, 242 victims were taken to the HC-Unicamp. Of the 242 patients, 22 were excluded from the study. <br><br>RESULTS: of the 220 cases evaluated, 173 (78.6%) were male, with a mean age of 32 years. Blunt trauma was the most prevalent (207 cases - 94.1%), motorcycle accidents being the most common mechanisms of injury (66 cases - 30%), followed by motor vehicle collisions (51 cases - 23.2%). The average response time was 10 ± 4 minutes and the averaged total pre-hospital time was 42 ± 11 minutes. The mean values of the trauma indices were: RTS = 6.2 ± 2.2; ISS = 19.2 ± 12.6; and TRISS = 0.78 ± 0.3. Tracheal intubation in the pre-hospital environment was performed in 77 cases (35%); 43 patients (19.5%) had RTS of 7.84 and ISSd&quot;9, being classified as over-triaged. Of all patients admitted, the mortality was 15.9% (35 cases). <br><br>CONCLUSION: studies of air medical rescue in Brazil are required due to the investments made in the pre-hospital care in a country without an organized trauma system. The high rate of over-triage found highlights the need to improve the triage and mobilization criteria.<p /> <p>Language: en</p>",
language="en",
issn="0100-6991",
doi="",
url="http://dx.doi.org/"
}