出版社：International Medical Journal Management and Indexing System
摘要：Introduction: Rapid transport and per- sistence of prehospital care is crucial to decrease the mortalities and morbidities of combat related injuries. Hence, helicopters are effectively used by the military although they are austere environ- ments that offer limited space, equipment and resources for the crew and requires higher level of skills for prehospital trauma care. Material-method: The data were collected from 60 consequent casualties, by the helicopter medical team. During the flight, we triaged the casualties according to wound characteristics, physiological parameters and provided advanced trauma life support. We transmitted these findings to the mili- tary trauma center to provide hospital prepared- ness. Result: Injury mechanisms were 70% explosives and 30% high-velocity weapons. Most frequent sites of injury were extremities (75%) and thorax (38.3%); the frequency of ?2 anatomical site injury was 35%. Capillary refill were; 2 seconds 10%. Mean SaO2, Glascow Coma Scale (GCS), Hearth Rate, Respiratory Rate values were 97.2 ± 3.2, 14.1 ± 2.34, 87.6 ± 20.5, 17.5 ± 3.1, respectively. During uninterrupted care, 6(10%) intubations were performed and 67% of casualties were operated upon admittance without any onboard mortalities. Conclusion: The high energy and lethality of the wounding agents in combat render the helicopter evacuations indispensible. Additionally, civilian major trauma patients may benefit from expeditious transport to the closest trauma centers or from rural inaccessible areas within the "golden hour of trauma".
关键词：Medical evacuation; helicopter; triage; trauma care
