Cristin-resultat-ID: 2051062
Sist endret: 11. oktober 2022, 14:05
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

Acute medical missions by helicopter medical service (HEMS) to municipalities with different approach for primary care physicians

Bidragsytere:
  • Dag Ståle Nystøyl
  • Øyvind Østerås
  • Steinar Hunskaar og
  • Erik Zakariassen

Tidsskrift

BMC Emergency Medicine
ISSN 1471-227X
e-ISSN 1471-227X
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Volum: 22
Hefte: 1
Artikkelnummer: 102
Open Access

Importkilder

Scopus-ID: 2-s2.0-85131628137

Beskrivelse Beskrivelse

Tittel

Acute medical missions by helicopter medical service (HEMS) to municipalities with different approach for primary care physicians

Sammendrag

Background The prehospital emergency system in Norway involves out-of-hours (OOH) services with on-call physicians. Helicopter emergency medical service (HEMS) are used in cases of severe illness or trauma that require rapid transport and/or an anesthesiologist’s services. In recent years, on-call primary care physicians have been less available for call-outs in Norway, and HEMS may be requested for missions that could be adequately handled by on-call physicians. Here, we investigated how different availability of an on-call physician to attend emergency patients at site (call-out) impacted requests and use of HEMS. Methods Our analysis included all acute medical missions in an urban and nearby rural OOH district, which had different approach regarding physician call-outs from the OOH service. For this prospective observational study, we used data from both HEMS and the OOH service from November 1st 2017 until November 30th 2018. Standard descriptive statistical analyses were used. Results The rates of acute medical missions in the urban and rural OOH districts were similar (30 and 29 per 1000 inhabitants per year, respectively). The rate of HEMS requests was significantly higher in the rural OOH district than in the urban district (2.4 vs. 1.7 per 1000 inhabitants per year, respectively). Cardiac arrest and trauma were the major symptom categories in more than one half of the HEMS-attended patients, in both districts. Chest pain was the most frequent reason for an OOH call-out in the rural OOH district (21.1%). An estimated NACA score of 5–7 was found in 47.7% of HEMS patients from the urban district, in 40.0% of HEMS patients from the rural OOH district (p = 0.44), and 12.8% of patients attended by an on-call physician in the rural OOH district (p 

Bidragsytere

Dag Ståle Nystøyl

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved Stiftelsen Norsk Luftambulanse

Øyvind Østerås

  • Tilknyttet:
    Forfatter
    ved Akuttmottak ved Helse Bergen HF - Haukeland universitetssykehus

Steinar Hunskår

Bidragsyterens navn vises på dette resultatet som Steinar Hunskaar
  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse og samfunn - Legevaktmedisin ved NORCE Norwegian Research Centre AS

Erik Zakariassen

  • Tilknyttet:
    Forfatter
    ved NORCE Helse og samfunn - Legevaktmedisin ved NORCE Norwegian Research Centre AS
  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
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