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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
A 医学部 = School of Medicine >
a10 学術雑誌論文等 = Journal Article >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/413
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| タイトル: | Activation intervals for a helicopter emergency medical service in Japan |
| 著者: | Ono, Yuko
Satou, Mariko
Ikegami, Yukihiro
Shimada, Jiro
Hasegawa, Arifumi
Tsukada, Yasuhiko
Nemoto, Chiaki
Shinohara, Kazuaki
Tase, Choichiro |
| 学内所属: | 救急医療学講座 |
| 誌名/書名: | Air medical journal |
| 巻: | 32 |
| 号: | 6 |
| 開始ページ: | 346 |
| 終了ページ: | 349 |
| 発行日: | 2013年11月 |
| 抄録: | INTRODUCTION: Prehospital time is crucial for treating acute disease; therefore, it is important to activate helicopter emergency medical services (HEMS) promptly. We investigated the differences in the activation intervals (the time elapsed from receiving the emergency call to the time of HEMS request) under various conditions to evaluate the current status of HEMS-related prehospital triage in Japan. METHODS: We retrospectively investigated activation intervals under exogenous (trauma, n = 553; intoxication, n = 56; and burns, n = 32) and endogenous conditions (acute coronary syndrome [ACS], n = 47; and stroke, n = 173) between January 31, 2008, and January 31, 2012, by reviewing flight records. RESULTS: Activation intervals were trauma (14.3 ± 11.5 min), intoxication (10.3 ± 8.6 min), burns (15.0 ± 13.1 min), ACS (17.9 ± 14.6 min), and stroke (19.1 ± 13.1 min). One-way analysis of variance showed a significant difference between exogenous and endogenous groups (P < .001). Post-hoc analysis using Tukey's honestly significant difference test showed significant differences between ACS and intoxication (P < .05), stroke and intoxication (P < .001), and stroke and trauma (P < .001). CONCLUSIONS: Endogenous conditions had longer activation intervals, which may reflect a lack of mechanisms assessing their severity. We are considering developing new triage criteria for dispatchers. |
| 出版者: | Elsevier |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/413 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/413/1/AirMedJ_32_p346.pdf |
| ISSN: | 1067-991X
1532-6497 |
| DOI: | 10.1016/j.amj.2013.01.006 |
| PubMed番号: | 24182885 |
| 異版(出版者版等): | http://dx.doi.org/10.1016/j.amj.2013.01.006 |
| 権利情報: | Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved. NOTICE: this is the author's version of a work that was accepted for publication in Air Medical Journal. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Air Med J. 32(6):346-9. doi: 10.1016/j.amj.2013.01.006. |
| 出現コレクション: | a10 学術雑誌論文等 = Journal Article
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