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Title: Helicopter air medical transport: ten-year outcomes for trauma patients in a New England program. Author: Jacobs LM, Gabram SG, Sztajnkrycer MD, Robinson KJ, Libby MC. Journal: Conn Med; 1999 Nov; 63(11):677-82. PubMed ID: 10589149. Abstract: BACKGROUND: Twenty-five years have passed since the introduction of the first civilian hospital-based air medical helicopter service. This study reviews the impact of a single air medical service during a decade of service on the survival of severely injured trauma patients. METHODS: A retrospective database analysis was performed to determine program demographics and obtain outcome data. The outcomes of trauma patients were compared to mortality derived from a national database utilizing physiologic indices of severity. RESULTS: Outcome analysis demonstrated an overall 13% reduction in mortality for air transported patients when compared to controls. Stratification based upon Trauma Score demonstrated a 35% reduction in mortality for victims transported directly from the scene with scene scores between four and 13, and essentially no difference in outcome for patients at Trauma Score extremes. CONCLUSIONS: Rapid utilization of helicopter air medical transport can have a dramatic impact upon patient outcome, especially within a select group of scene transported trauma patients with Trauma Scores ranging from four to 13.[Abstract] [Full Text] [Related] [New Search]