Helicopter transport in pediatric trauma: A new methodology using Need for Surgeon Presence to evaluate the necessity of air transport
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Oct 2020 · 1 min read
In brief
In brief
This study proposes a novel 'Need for Surgeon Presence' matrix to evaluate appropriate helicopter transport utilization for pediatric trauma patients from injury scenes. Using 2016 TQIP data, researchers identified clinical indicators requiring immediate surgical intervention to better guide air transport decisions and optimize trauma system resource allocation.
Written by the GCMD Library team from the article.
Background: When to transport pediatric trauma patients directly from scene to a trauma center via helicopter (HT) has been a long debated topic. This study proposes Need for Surgeon Presence (NSP) matrix as an alternative method to assess appropriate utilization of HT of pediatric trauma patients directly from the scene of injury. Method: We utilized the 2016 TQIP database. NSP was defined as having one or more of the following: intubation, transfusion, operation for hemorrhage control/craniotomy, vasopressors, interventional radiology, spinal cord injury, tube thoracostomy, emergency thoracotomy, intracranial pressure monitor, or pericardiocentesis. The outcome of interest was the presence or absence of a NSP indicator. Results: The NSP + patients had a: longer LOS, GCS