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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/413

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Title: Activation intervals for a helicopter emergency medical service in Japan
Authors: Ono, Yuko
Satou, Mariko
Ikegami, Yukihiro
Shimada, Jiro
Hasegawa, Arifumi
Tsukada, Yasuhiko
Nemoto, Chiaki
Shinohara, Kazuaki
Tase, Choichiro
Affiliation: 救急医療学講座
Source title: Air medical journal
Volume: 32
Issue: 6
Start page: 346
End page: 349
Issue Date: Nov-2013
Abstract: 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.
Publisher: Elsevier
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/413
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/413/1/AirMedJ_32_p346.pdf
ISSN: 1067-991X
DOI: 10.1016/j.amj.2013.01.006
PubMed ID: 24182885
Other version: http://dx.doi.org/10.1016/j.amj.2013.01.006
Rights: 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.
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