Evaluation of an emergency cardiac transport systemQuantitative Health Sciences Publications and Presentations
UMMS AffiliationDepartment of Medicine, Division of Cardiovascular Medicine
Medical Subject HeadingsEmergency 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
AbstractA 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.
Rights and PermissionsCitation: Ann Emerg Med. 1983 Nov;12(11):675-8.
Related ResourcesLink to Article in PubMed
Citation InformationJoel M. Gore, Charles I. Haffajee, Robert J. Goldberg, Morris Ostroff, et al.. "Evaluation of an emergency cardiac transport system" Vol. 12 Iss. 11 (1983) ISSN: 0196-0644 (Linking)
Available at: http://works.bepress.com/robert_goldberg/99/