Abstract
Objective
We retrospectively investigated all of the intoxicated patients who were transported
by a doctor helicopter (DH) in eastern Shizuoka between April 2004 and December 2015
to determine when air medical transport was used in cases of toxic exposure.
Methods
Subjects were divided into 2 groups: an outpatient group of subjects who went home
after receiving a medical evaluation and treatment and an admission group.
Results
The outpatient and admission groups included 17 and 31 subjects, respectively. The
ratio of dispatching the DH to the scene and the median Glasgow Coma Scale score in
the outpatient group were greater, and the shock index in the outpatient group was
significantly smaller than in the admission group. The duration from exposure of intoxicated
agents to contact by staffs of the DH in the outpatient group was also smaller than
in the admission group.
Conclusion
The level of consciousness and shock index may be important factors dictating whether
or not to dispatch the DH in order to prevent secondary damage induced by unstable
circulation.
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Article info
Publication history
Published online: November 06, 2017
Footnotes
Supported by the Ministry of Education, Culture, Sports, Science and Technology (MEXT)-Supported Program for the Strategic Research Foundation at Private Universities, 2015-2019.
Identification
Copyright
© 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
