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Article
Evaluation of an emergency cardiac transport system
Quantitative Health Sciences Publications and Presentations
  • Joel M. Gore, University of Massachusetts Medical School
  • Charles I. Haffajee
  • Robert J. Goldberg, University of Massachusetts Medical School
  • Morris Ostroff
  • Carol L. Shustak
  • Norma M. Cahill
  • John P. Howe
  • James E. Dalen
UMMS Affiliation
Department of Medicine, Division of Cardiovascular Medicine
Date
11-1-1983
Document Type
Article
Medical Subject Headings
Emergency 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
Abstract
A 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 Permissions
Citation: Ann Emerg Med. 1983 Nov;12(11):675-8.
Related Resources
Link to Article in PubMed
Citation Information
Joel 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/