2006, Number 1
High technology ambulance in the care of critically ill patient
Campos CR, Novelo-Otáñez J, Corona JF
Language: Spanish
References: 14
Page: 25-29
PDF size: 104.41 Kb.
ABSTRACT
Introduction: The critical care mobile units, have unique characteristics, where the critical care patients differs from the emergency patients.Objective: To report the most common diagnosis of the transferred patient, and the mortality in a Critical care mobile unit.
Patients and methods: We designed a retrospective case report study. We evaluated all the patients who where transferred by the critical care mobile unit of the UMAE, of the Centro Médico de Occidente, from January 1° of 2001 to June 30° of 2005. The most common diagnosis of transfer were reported, the procedures realized during this; also we reported the total mortality. Descriptive statistics were used to analyzed the results.
Results: 3,923 patients were transferred, 7% were paediatric population. Mechanical ventilation were used in 37%. In the paediatric group, 150 patients required incubator machine transport. There were transferred 810 patients with the diagnosis of Acute Coronary Syndrome, the 10% required transcutaneous pacemaker. The second cause was cerebrovascular disease with the 12%. Three hundred and ten patients had trauma, the 64% had Severe Head Trauma. The 3.4% of the transfers, were realized to foreign units, where the critical care patients required long term support. The overall mortality was 0.18%.
Conclusions: The most common transfer disease belongs to a group of entities where the earlier intervention have a profound impact on the final outcome. Our mortality seems lower than other reports.
REFERENCES
Budiansky VM, De Jong R, Chesmochakova LA, Gagarin A, Loginov A. Effects of air and ground transport on physiological parameters of critically ill patients. Abstracts from the 26th Congress of The Scandinavian Society of Anaesthesiology and Intensive Care Medicine, Tromsø, Norway. January 2002: Poster Discussions: P12 Emergency Medicine.