Air Medical Transport of Cardiac Patients in Nova Scotia
Notice bibliographique
Résumé
Objective : To perform a descriptive program review of the air medical transport (AMT) of cardiac patients within Nova Scotia's air medical transport program. Methods : A retrospective study of patients with primary, non-traumatic cardiac conditions transported by the provincial air ambulance program between August 1, 1997 and August 31, 1998, who are 16 years of age or older (non-pediatric). Various aspects were examined, including diagnosis, geography of transport, medications given by the air medical crew (AMC) and by sending institution, complications of transport and interventions performed by the AMC as well as total time spent at the sending institution by the AMC. Data was extracted from the flight patient care records (PCR) with full preservation of patient confidentiality. Results : The AMT program transported a total of 240 patients during the study period. Of these a total of 155 patients (64.6%) were 16 years of age or older. Of that total, 46 had a primary cardiac diagnosis (29.7%): 34 were male (73.9%) and 12 were female (26.1%). The mean age of these transported patients was 62.4+/-10.0 ears and 59.1+/-17.6 years for males and females respectively. Most cardiac patients were diagnosed with a myocardial infarction (22 patients, 47.8%), with the remaining patients diagnosed with unstable angina, peri-cardiac arrest, congestive heart failure (CHF) or primary arrhythmia. Only 12 of the patients diagnosed with myocardial infarction (MI) had previously been treated with thrombolytics (54.5%). Heparin and intravenous nitroglycerine were the medications most commonly maintained by the AMC, while morphine, midazolam, nitroglycerine and dimenhydrinate were common medications given by the AMC. Twenty-three patients experienced some form of in-flight complication or change in condition, with brady- arrhythmias being the most common (23.9%). Nine patients were intobated by the referring hospital or by the AMC prior to departure and maintained as such throughout the flight. The average amount of time spent at the referring hospital packaging each patient was 64.07 minutes. Conclusions : This paper describes the demographics of the cardiac population utilising air medical transport in Nova Scotia. Cardiac patients comprise a large proportion of the total patient cohort in the AMT program (almost one-third) in the adult population transported. Recognition of this fact, in conjunction with review of provincial, tertiary-care, cardiac transfer policies has led to the development of specific cardiac AMT indications for Nova Scotia.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».