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    Evaluation of an emergency cardiac transport system

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    Authors
    Gore, Joel M.
    Haffajee, Charles I.
    Goldberg, Robert J.
    Ostroff, Morris
    Shustak, Carol L.
    Cahill, Norma M.
    Howe, John P.
    Dalen, James E.
    UMass Chan Affiliations
    Department of Medicine, Division of Cardiovascular Medicine
    Document Type
    Journal Article
    Publication Date
    1983-11-01
    Keywords
    Emergency Medical Service Communication Systems
    Emergency Service, Hospital
    Evaluation Studies as Topic
    Heart Diseases
    Humans
    Life Support Care
    New England
    *Outcome and Process Assessment (Health Care)
    Transportation of Patients
    Bioinformatics
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1016/S0196-0644(83)80414-4
    Abstract
    A university-based cardiac transport system was developed for the safe transfer of critically ill cardiac patients from community hospitals to a tertiary care facility. During the first year of operation, 50 patients were transported, 41 (82%) by ambulance and 9 (18%) by helicopter, from 24 hospitals in four New England states. The average response time from hospital request to transport team arrival was 75 minutes. Seventy-eight percent of these patients were unstable at the time of transfer. Hypotension or cardiogenic shock (39%), ventricular tachycardia or fibrillation (16%), and severe and recurrent chest pain (12%) were the most common conditions for which the team was summoned. Forty-six percent required invasive procedures for stabilization prior to transport, and one-third of patients required active intervention, including defibrillation, during transfer to the tertiary care facility. The majority (62%) of transferred patients underwent significant hospital procedures, and 75% of admitted patients were discharged from the hospital. Our initial experience indicates that transport of critically ill cardiac patients in need of advanced care can be accomplished in a rapid and efficient manner with a relatively good short-term prognosis.
    Source
    Ann Emerg Med. 1983 Nov;12(11):675-8.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47044
    PubMed ID
    6638629
    Related Resources
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    Population and Quantitative Health Sciences Publications

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