ID 109738
Title Transcription
ドクター ヘリ シュツドウ ニヨリ ショキ チリョウ オ ソウキ ニ カイシ シエタ ジュウショウ タハツ ガイショウ ノ イチレイ
Title Alternative
Helicopter emergency medical service (HEMS), providing quick primary care to a severe trauma case
Author
Ishitani, Keisuke Medical education center, Tokushima Prefectural Central Hospital
Oomura, Takeshi Department of Surgery, Tokushima Prefectural Central Hospital
Kawashita, Youichirou Department of Surgery, Tokushima Prefectural Central Hospital
Sumitomo, Masayuki Department of Surgery, Tokushima Prefectural Central Hospital
Keywords
the helicopter emergency medical service (HEMS)
primary care
severe trauma
clamshell thoracotomy
Content Type
Journal Article
Description
There was a hotline that a 79-year-old man crashed from a height of 3m. The helicopter emergency medical service (HEMS) dispatched immediately. Flight doctors were in contact with the patient 14 minutes after hotline, and performed tracheal intubation and intravenous ensure path in the field. They came back to our hospital 44 minutes later. Emergency left thoracotomy was performed because the patient experienced cardiac arrest, due to the heart compression caused by the anterior mediastinal hematoma. The patient returned to spontaneous circulation. However, the patient condition was unstable due to bleeding from concurrent right hemothorax. We performed clamshell thoracotomy to stop bleeding, but the patient died by blood loss.
Quick start of the primary care is very important to the improvement of the survival rate in severe trauma cases. Our hospital introduced HEMS last year, and had been able to improve the quickness in response by promoting cooperation of ER trauma team and operation room. With this system, we could provide primary care and transportation for the patient before he went into the cardiac arrest. Further evaluation of this system would improve the survival rate in the severe trauma cases.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
69
Issue
5-6
Start Page
281
End Page
286
Sort Key
281
Published Date
2013-12-25
FullText File
language
jpn
TextVersion
Publisher