About: Mechanical chest compression devices in the helicopter emergency medical service in Switzerland

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About: Mechanical chest compression devices in the helicopter emergency medical service in Switzerland Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Mechanical chest compression devices in the helicopter emergency medical service in Switzerland
Creator	Pietsch, Urs Rauch, Simon Albrecht, Roland Knapp, Jürgen Theiler, Lorenz Meuli, Lorenz Reiser, David Tissi, Mario Wenzel, Volker
Source	Medline; PMC
abstract	BACKGROUND: Over the past years, several emergency medical service providers have introduced mechanical chest compression devices (MCDs) in their protocols for cardiopulmonary resuscitation (CPR). Especially in helicopter emergency medical systems (HEMS), which have limitations regarding loading weight and space and typically operate in rural and remote areas, whether MCDs have benefits for patients is still unknown. The aim of this study was to evaluate the use of MCDs in a large Swiss HEMS system. MATERIALS AND METHODS: We conducted a retrospective observational study of all HEMS missions of Swiss Air rescue Rega between January 2014 and June 2016 with the use of an MCD (Autopulse®). Details of MCD use and patient outcome are reported from the medical operation journals and the hospitals’ discharge letters. RESULTS: MCDs were used in 626 HEMS missions, and 590 patients (94%) could be included. 478 (81%) were primary missions and 112 (19%) were interhospital transfers. Forty-nine of the patients in primary missions were loaded under ongoing CPR with MCDs. Of the patients loaded after return of spontaneous circulation (ROSC), 20 (7%) experienced a second CA during the flight. In interhospital transfers, 102 (91%) only needed standby use of the MCD. Five (5%) patients were loaded into the helicopter with ongoing CPR. Five (5%) patients went into CA during flight and the MCD had to be activated. A shockable cardiac arrhythmia was the only factor significantly associated with better survival in resuscitation missions using MCD (OR 0.176, 95% confidence interval 0.084 to 0.372, p < 0.001). CONCLUSION: We conclude that equipping HEMS with MCDs may be beneficial, with non-trauma patients potentially benefitting more than trauma patients.
has issue date	2020-07-25(xsd:dateTime)
bibo:doi	10.1186/s13049-020-00758-1
bibo:pmid	32711548
has license	cc-by
sha1sum (hex)	b2b7ac69167afaf0a46edbf9d062a148fd45845f
schema:url	https://doi.org/10.1186/s13049-020-00758-1
resource representing a document's title	Mechanical chest compression devices in the helicopter emergency medical service in Switzerland
has PubMed Central identifier	PMC7381862
has PubMed identifier	32711548
schema:publication	Scand J Trauma Resusc Emerg Med
resource representing a document's body	covid:b2b7ac69167afaf0a46edbf9d062a148fd45845f#body_text
is schema:about of	named entity 'compression' named entity 'conducted' named entity 'helicopter' named entity 'trauma' named entity 'remote' named entity 'Five' named entity 'chest' named entity 'Air' named entity 'operate' named entity '2014' named entity 'HEMS' named entity 'system' named entity 'medical' named entity 'missions' named entity 'evaluate' named entity 'survival' named entity 'protocols' named entity 'loaded' named entity 'ongoing' named entity 'primary' named entity 'experienced' named entity 'compression' named entity 'HEMS' named entity 'CPR' named entity 'CPR' named entity 'MCDs' named entity 'CPR' named entity 'trauma patients' named entity 'CPR' named entity 'CPR' named entity 'CPR' named entity 'HEMS' named entity 'CPR' named entity 'cardiac arrest' named entity 'cardiac arrhythmia' named entity 'HEMS' named entity 'cardiac arrest' named entity 'MCDs' named entity '11,000' named entity 'MCDs' named entity 'HEMS' named entity 'Prehospital' named entity 'chest compressions' named entity 'CPR' named entity 'defibrillation' named entity 'neurological' named entity 'Basel' named entity 'CPR' named entity 'MCDs' named entity 'HEMS' named entity 'St. Gallen' named entity 'chest compressions' named entity 'Accidental hypothermia' named entity 'helicopter emergency medical services' named entity 'hypothermia' named entity 'cardiac arrhythmia' named entity 'CPR' named entity 'medical diagnosis' named entity 'sensitivity analysis' named entity 'logistic regression' named entity 'hypothermia' named entity 'Locarno' named entity 'HEMS' named entity 'emergency medical care' named entity 'Bern' named entity 'CPR' named entity 'HEMS' named entity 'HEMS' named entity 'Erstfeld' named entity 'EC135' named entity 'CPR' named entity 'MCDs' named entity 'prehospital'

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