Abstract：
BACKGROUND:Extracorporeal membrane oxygenation (ECMO) has accelerated rapidly for patients in severe cardiac or respiratory failure. As a result, ECMO networks are being developed across the world using a "hub and spoke" model. Current guidelines call for all patients transported on ECMO to be accompanied by a physician during transport. However, as ECMO centers and networks grow, the increasing number of transports will be limited by this mandate. OBJECTIVES:The aim of this study was to compare rates of adverse events occurring during transport of ECMO patients with and without an additional clinician, defined as a physician, nurse practitioner (NP), or physician assistant (PA). METHODS:This is a retrospective cohort study of all adults transported while cannulated on ECMO from 2011-2018 via ground and air between 21 hospitals in the northeastern United States, comparing transports with and without additional clinicians. The primary outcome was the rate of major adverse events, and the secondary outcome was minor adverse events. RESULTS:Over the seven-year study period, 93 patients on ECMO were transported. Twenty-three transports (24.7%) were accompanied by a physician or other additional clinician. Major adverse events occurred in 21.5% of all transports. There was no difference in the total rate of major adverse events between accompanied and unaccompanied transports (P = .91). Multivariate analysis did not demonstrate any parameter as being predictive of major adverse events. CONCLUSIONS:In a retrospective cohort study of transports of ECMO patients, there was no association between the overall rate of major adverse events in transport and the accompaniment of an additional clinician. No variables were associated with major adverse events in either cohort.
journal_name
Prehosp Disaster Medjournal_title
Prehospital and disaster medicineauthors
Condella A,Richards JB,Frakes MA,Grant CJ,Cohen JE,Wilcox SRdoi
10.1017/S1049023X20001272subject
Has Abstractpub_date
2021-02-01 00:00:00pages
51-57issue
1eissn
1049-023Xissn
1945-1938pii
S1049023X20001272journal_volume
36pub_type
杂志文章abstract：:The 7.8 MW (moment magnitude scale) earthquake that hit Nepal on April 25, 2015 caused significant casualties and serious damage to infrastructure.The Israeli Emergency Medical Team (IEMT; later verified as EMT-3) was deployed 80 hours after the earthquake. A Forward Disaster Scout Team (FDST) that was dispatched to t...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X18000936
更新日期：2018-12-01 00:00:00
abstract：:During the last five years, the debate on the performance of humanitarian assistance has intensified. The motivation to "do better" has come both from within the humanitarian agencies as well as from pressure exerted by the donors and the media. Paradoxically, until now, the voice of those who are to benefit from this...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00043326
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:On 26 December 2003, an earthquake measuring 6.5 on the Richter scale occurred in the city of Bam in southeastern Iran. Bam was destroyed completely, > 43,000 people were killed, and 30,000 were injured. The national and international responses were quick and considerable. Many field hospitals were created a...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x0000279x
更新日期：2005-09-01 00:00:00
abstract：:Ecological disasters impact large populations every year, and hundreds of nongovernmental organizations, thousands of aid workers, and billions of dollars are sent in response. Yet, there have been recurring problems with coordination, leading to wasted efforts and funds. The humanitarian response to the December 2004...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：
更新日期：2006-02-01 00:00:00
abstract：:Introduction Vasopressors are associated with return of spontaneous circulation (ROSC), but no long-term benefit has been demonstrated in randomized trials. However, these trials did not control for the timing of vasopressor administration which may influence outcomes. Consequently, the objective of this study was to ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X17000115
更新日期：2017-06-01 00:00:00
abstract：:Introduction Survivors of natural disasters in the United States experience significant health ramifications. Women particularly are vulnerable to both post-disaster posttraumatic stress disorder (PTSD) and depression, and research has documented that these psychopathological sequelae often are correlated with increas...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X16000911
更新日期：2016-12-01 00:00:00
abstract：:The recent crisis in Kosovo led to nearly complete destruction of a healthcare system serving the needs of approximately 2 million people. Even prior to the crisis, the pre-existing healthcare system had inadequate provisions for the delivery of Emergency Medical Services. More than 440 diverse governmental and non-go...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00043429
更新日期：2001-10-01 00:00:00
abstract：INTRODUCTION:End tidal CO2 (ETCO2) has been established as a standard for confirmation of an airway, but its role is expanding. In certain settings ETCO2 closely approximates the partial pressure of arterial CO2 (PaCO2) and has been described as a tool to optimize a patient's ventilatory status. ETCO2 monitors are incr...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X12001768
更新日期：2013-04-01 00:00:00
abstract：INTRODUCTION:Exposure to prolonged war stress is understudied. While there is debate regarding the empirical data of the dose-response model for posttraumatic stress disorder (PTSD), little is known about how weekly changes in external stress influences the level of PTSD symptoms. The purpose of this study was to measu...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00007640
更新日期：2010-01-01 00:00:00
abstract：:Introduction In preparation for the London 2012 Olympic Games, existing syndromic surveillance systems operating in England were expanded to include daily general practitioner (GP) out-of-hours (OOH) contacts and emergency department (ED) attendances at sentinel sites (the GP OOH and ED syndromic surveillance systems:...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X16000923
更新日期：2016-12-01 00:00:00
abstract：INTRODUCTION:Burnout among emergency medical personnel (EMP) is suspected, but largely unsupported in the literature. An investigation of the phenomenon of burnout and factors contributing to its existence are essential steps in designing effective interventions. RESEARCH QUESTIONS:Three research questions were propos...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：OBJECTIVES:To characterize the types of occupational exposures and injuries reported by emergency medical service (EMS) workers. METHODS:A blinded review of accidents/exposures among EMS workers employed by a Baltimore County fire department was conducted. Medical records for 1992 were reviewed. RESULTS:Two hundred a...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00041583
更新日期：1995-01-01 00:00:00
abstract：BACKGROUND:Heart failure poses a significant burden of disease, resulting in 2,658 Australian deaths in 2008, and listed as an associated cause of death in a further 14,466 cases. Common in the hospital setting, continuous positive airway pressure (CPAP) therapy is a non-invasive ventilation technique used to prevent a...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X12001562
更新日期：2013-02-01 00:00:00
abstract：:This report details the background, planning, and establishment of a mass-casualty management area for the Durban Moses Mabhida Stadium at the Natal Mounted Rifles base, by the Department of Health and the eThekwini Fire and Rescue Service, for the Fédération Internationale de Football Association (FIFA) 2010 Soccer W...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X12000453
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To identify the factors that lead to increased use of emergency medical services (EMS) by patients 65 years of age and older in an urban EMS system. METHODS:Retrospective, case-control study of frequent EMS use among elderly patients transported during one year in an urban EMS system. Three distinct groups w...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x0000813x
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Abuse or unintended overdose (OD) of opiates and heroin may result in prehospital and emergency department (ED) care. Prehospital naloxone use has been suggested as a surrogate marker of community opiate ODs. The study objective was to verify externally whether prehospital naloxone use is a surrogate marker ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X15004793
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:Following the recommendations of the World Association for Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) to develop standards for training the undergraduates in disaster-relevant fields (2004), a German curriculum was approved in 2006. This paper aims to describe the level of training and i...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X17000280
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to describe the injuries and distribution of casualties resulting from the crash of Turkish Airlines flight TK 1951 near Schiphol Airport in the Netherlands on 25 of February 2009. METHODS:This was a retrospective, descriptive study. Based on a review of the hospital records f...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X11006467
更新日期：2011-08-01 00:00:00
abstract：:Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X16001515
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVES:Moshing is a violent form of dancing found world-wide at rock concerts, festivals, and electronic dance music events. It involves crowd surfing, shoving, and moving in a circular rotation. Moshing is a source of increased morbidity and mortality. The goal of this study was to report epidemiologic information...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X17006689
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:The objective was to test, in this trauma system, the North American hypothesis that exceeding the 60-minute limit for the entire prehospital time ("golden hour of shock") increases mortality of blunt polytrauma patients. METHODS:In a prospective, observational, cohort study conducted between 1990 and 1996,...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00000212
更新日期：2002-04-01 00:00:00
abstract：:IntroductionIschemic stroke treatment is time-sensitive, and barriers to providing prehospital care encountered by Emergency Medical Services (EMS) providers have been under-studied.Hypothesis/ProblemThis study described barriers to providing prehospital care, identified predictors of these barriers, and assessed the ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,多中心研究
doi：10.1017/S1049023X18000766
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVES:No universally accepted methods for objective evaluation of the function of the Incident Command System (ICS) in disaster exercises currently exist. An ICS evaluation method for disaster simulations was derived and piloted. METHODS:A comprehensive variable list for ICS function was created and four distinct...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00002090
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND:In the aftermath of Hurricane Katrina, widespread flooding devastated the New Orleans healthcare system. Prior studies of post-hurricane healthcare do not consistently offer evidence-based recommendations for re-establishing patient care post-disaster. The primary objective of this study is to examine associ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00005549
更新日期：2008-01-01 00:00:00
abstract：:Introduction The frequency of disasters is increasing around the world with more people being at risk. There is a moral imperative to improve the way in which disaster evaluations are undertaken and reported with the aim of reducing preventable mortality and morbidity in future events. Disasters are complex events and...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X17006471
更新日期：2017-10-01 00:00:00
abstract：INTRODUCTION:The esophageal detector device (EDD) recently has been found to assess endotracheal (ET) tube placement accurately. This study describes the reliability of the EDD in determining the position of the ET tube in clinical airway situations that are difficult. METHODS:This was a prospective, randomized, singl...
journal_title：Prehospital and disaster medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1017/s1049023x00042369
更新日期：1996-01-01 00:00:00
abstract：INTRODUCTION:The purpose of the study was to document the occurrence and causes of disagreements between paramedics in a tiered-response emergency medical services (EMS) system. METHODS. This cohort analysis of disagreements between paramedics sampled 63 male public agency, 90 male private agency, and 41 female private...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00041789
更新日期：1995-04-01 00:00:00
abstract：BACKGROUND:During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assess...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X16001199
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To confirm the efficacy of prehospital administration of adenosine, using a 6 milligram (mg) initial dosing regimen, for the treatment of paroxysmal supraventricular tachycardia (PSVT). METHODS:Urban, suburban, rural emergency medical services (EMS) system in Clark County, Washington with advanced life suppo...
journal_title：Prehospital and disaster medicine
pub_type： 临床试验,杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：INTRODUCTION:This Supplement is a Report of the Conference convened by the South East Asia Regional Office (SEARO) of the World Health Organization (WHO). The Conference was a follow-up to the WHO Conference of May 2005 in Phuket, Thailand on the Earthquake and Tsunami of 26 December 2004. The invitational meeting brou...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
