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>Journals >Medicina Crítica >Year 2006, Issue 1


Campos CR, Novelo-Otáñez J, Corona JF
High technology ambulance in the care of critically ill patient
Rev Asoc Mex Med Crit y Ter Int 2006; 20 (1)

Language: Español
References: 14
Page: 25-29
PDF: 104.41 Kb.


Full text




ABSTRACT

Introduction: The critical care mobile units, have unique characteristics, where the critical care patients differs from the emergency patients.
Objective: To report the most common diagnosis of the transferred patient, and the mortality in a Critical care mobile unit.
Patients and methods: We designed a retrospective case report study. We evaluated all the patients who where transferred by the critical care mobile unit of the UMAE, of the Centro Médico de Occidente, from January 1° of 2001 to June 30° of 2005. The most common diagnosis of transfer were reported, the procedures realized during this; also we reported the total mortality. Descriptive statistics were used to analyzed the results.
Results: 3,923 patients were transferred, 7% were paediatric population. Mechanical ventilation were used in 37%. In the paediatric group, 150 patients required incubator machine transport. There were transferred 810 patients with the diagnosis of Acute Coronary Syndrome, the 10% required transcutaneous pacemaker. The second cause was cerebrovascular disease with the 12%. Three hundred and ten patients had trauma, the 64% had Severe Head Trauma. The 3.4% of the transfers, were realized to foreign units, where the critical care patients required long term support. The overall mortality was 0.18%.
Conclusions: The most common transfer disease belongs to a group of entities where the earlier intervention have a profound impact on the final outcome. Our mortality seems lower than other reports.


Key words: Critically ill patients, transport, mobile units, diagnosis, procedures mortality.


REFERENCIAS

  1. Borja TB, Cruz ME, Medina MM, Benitez GE. Atención prehospitalaria del niño accidentado grave. Rev Asoc Mex Med Crit Ter Int 2002;16(6):185-200.

  2. Pinet PL. Reporte de cuidados prehospitalarios y el estándar de atención: Estudio retrospectivo de un servicio de ambulancias privado de la ciudad de México. Trauma 2005;8(2):37-43.

  3. Wuarren J, From RE, Orr RA, Rotello RC, Horst M. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med 2004;32(1):256-262.

  4. Stephen HT, Harrison TH, Buras WR, Ahmed W, Cheema F. Helicopter Transport and Blunt Trauma Mortality: A Multicenter Trial. J Trauma 2002;52:136-145.

  5. Biewener A, Aschenbrenner U, Rammelt S, Grass R, Zwipp H. Impact of Helicopter Transport and Hospital Level on Mortality of Polytrauma Patients. J Trauma 2004;56:94-98.

  6. Padua-Barrios J, Ortiz-Pérez I, Céspedes-Cábal F. Sistema médico prehospitalario de emergencia especializado en Medicina Crítica, a 10 años de operación en la ciudad de México. Neumol Cir Tórax 2002;59(4):102-110.

  7. Cruz ME, Borja TB, García GJA, Lozano CH, Medina MM. Transporte del paciente crítico en unidades móviles terrestres. Rev Asoc Mex Med Crit Ter Int 2001;15(4): 130-137.

  8. Fromm RE, Varon J. Critical Care Transport. Critical Care Clinics 2000;16(4):200-205.

  9. Arfken CL, Shapiro MJ, Bessey PQ, Littenberg B. Effectiveness of Helicopter versus Ground Ambulance Services for Interfacility Transport. J Trauma Injury Infect Crit Care 1998;45(4):785-790.

  10. Gebremichael M, Borg U, Habashi NM, Cottingham C, Cunsolo L. Interhospital transport of the extremely ill patient: The mobile intensive care unit. Crit Care Med 2000;28(1):79-88.

  11. Wang HE, Kupas DF, Hostler D, Cooney R, Yealy DM. Procedural experience with out-of-hospital endotracheal intubation. Crit Care Med 2005;33:1718-1721.

  12. Koppenberg J, Taeger K. Interhospital transport: transport of critically ill patients. Curr Op Anaesthesiol 2002;15(2):211-215.

  13. Budiansky VM, De Jong R, Chesmochakova LA, Gagarin A, Loginov A. Effects of air and ground transport on physiological parameters of critically ill patients. Abstracts from the 26th Congress of The Scandinavian Society of Anaesthesiology and Intensive Care Medicine, Tromsø, Norway. January 2002: Poster Discussions: P12 Emergency Medicine.

  14. Branas C, MacKenzie EJ, Williams JC, Schwab W, Teter HM. Access to Trauma Centers in the United States. JAMA 2005;293(21):2626-2633.






>Journals >Medicina Crítica >Year 2006, Issue 1
 

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