نتايج انتقال هوايي در مصدومين در استان اصفهان

Study of Air Transport of Trauma Patients in Esfahan

ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻫﻠﻴﻜﻮﭘﺘﺮ ﺟﻬﺖ ﺍﺭﺍﺋﻪ ﺧﺪﻣﺎﺕ ﭘﺰﺷﻜﻲ ﺩﺭ ﻣـﻮﺍﺭﺩ ﺍﻭﺭﮊﺍﻧﺲ ﺟﺰﻭ ﺳﺮﻳﻌﺘﺮﻳﻦ ﺭﺍﻩ ﻫﺎﻱ ﺍﻧﺘﻘﺎﻝ ﻣﺤﺴﻮﺏ ﻣﻲ ﺷﻮﺩ، ﺩﺭ ﻣﻄﺎﻟﻌﺔ ﺣﺎﺿﺮ، ﻧﺘﺎﻳﺞ ﺑﻪ ﺩﺳﺖ ﺁﻣﺪﻩ ﺍﺯ ﺳﻴﺴﺘﻢ ﺍﻧﺘﻘﺎﻝ ﻫـﻮﺍﻳﻲ ﺩﺭ ﺍﺳﺘﺎﻥ ﺍﺻﻔﻬﺎﻥ ﺍﺭﺍﺋﻪ ﮔـﺮﺩﻳﺪﻩ ﺍﺳﺖ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺩﺭ ﻳﻚ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﻴﻔﻲ، ﺍﻃﻼﻋـﺎﺕ ﻣـﺮﺑﻮﻁ ﺑﻪ ﻛﻠﻴﻪ ﺑﻴﻤـﺎﺭﺍﻥ ﺗـﺮﻭﻣﺎﻳﻲ ﻛﻪ ﺍﺯ ﻃﺮﻳﻖ ﺍﻧﺘﻘـﺎﻝ ﻫـﻮﺍﻳﻲ ﺍﺯ ﺳﺎﻝ 1383 ﺑﻪ ﺑﻌـﺪ ﺗﻮﺳـﻂ ﻫﻠﻴﻜـﻮﭘﺘﺮ ﺑﻪ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺍﻟﺰﻫـﺮﺍ)ﺱ( ﻣﻨﺘﻘﻞ ﺷـﺪﻩ ﺑﻮﺩﻧﺪ ﻣـﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗـﺮﺍﺭ ﮔﺮﻓﺘﻨﺪ. ﺍﻃﻼﻋـﺎﺕ ﻣـﻮﺟﻮﺩ ﺷﺎﻣـﻞ ﺯﻣﺎﻥ ﻫﺎﻱ ﻣﺨﺘﻠـﻒ، ﻧـﻮﻉ ﺗـﺮﻭﻣﺎ، ﻣﺤـﻞ ﺟﻐـﺮﺍﻓﻴﺎﻳﻲ ﺣﺎﺩﺛﻪ، ﺷـﺪﺕ ﺗـﺮﻭﻣﺎ، ﺍﻧﺪﻳﻜﺎﺳﻴـﻮﻥ ﺍﻧﺘﻘـﺎﻝ ﺑﻴﻤـﺎﺭ ﻭ ﭘﻴﺎﻣـﺪ ﺍﻧﺘﻘﺎﻝ ﻣـﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗـﺮﺍﺭ ﮔـﺮﻓﺖ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﺣﺪﻭﺩ 46/15 ﺍﻧﺘﻘـﺎﻝ ﻣـﺮﺑﻮﻁ ﺑﻪ ﻣﻨﻄﻘﻪ ﻣﻴﻤﻪ ﺑﻮﺩ. ﺷـﻜﺴـﺘﮕﻲ ﺍﻧـﺪﺍﻡ ﻭ ﺗﺮﻭﻣﺎﻱ ﻣﻐـﺰﻱ ﺷﺎﻳﻌﺘـﺮﻳﻦ ﺁﺳﻴﺐ ﻫﺎ ﺑـﻮﺩﻩ ﺍﻧﺪ. ﻣﻴﺎﻧﮕﻴﻦ ﺯﻣﺎﻥ: ﻗﺒـﻞ ﺍﺯ ﭘﺮﻭﺍﺯ 8/9 + 8/72 ﺩﻗﻴﻘﻪ، ﺗﻮﻗـﻒ ﺩﺭ ﺻﺤﻨﻪ ﺣﺎﺩﺛﻪ 3/67 + 12/24 ﺩﻗﻴﻘﻪ ﻭ ﺑﻌـﺪ ﺍﺯ ﭘﺮﻭﺍﺯ 5/14+5/5 ﺩﻗﻴـﻘﻪ ﺑﻮﺩ. ﺯﻣﺎﻥ ﻛﻞ ﺍﻧﺘﻘﺎﻝ ﺩﺭ 23/08 ﺩﺭﺻـﺪ ﻣـﻮﺍﺭﺩ ﻛﻤﺘﺮ ﺍﺯ 60 ﺩﻗﻴـﻘﻪ ﺑﻮﺩ ﻭﺍﺯ 36 ﺑﻴﻤﺎﺭ، ﻳﻚ ﺑﻴﻤـﺎﺭ ﺩﺭ ﺣﻴﻦ ﺍﻧﺘﻘـﺎﻝ ﻫـﻮﺍﻳﻲ ﻭ 5 ﺑﻴﻤـﺎﺭ ﭘﺲ ﺍﺯ ﺍﻧﺘﻘﺎﻝ ﺩﺭ ﺍﺗﺎﻕ ﺍﺣﻴﺎ ﻓـﻮﺕ ﻛﺮﺩﻧﺪ. ﺩﺭ 94/44 ﺩﺭﺻﺪ ﻣـﻮﺍﺭﺩ ﺍﻧﺪﻳﻜﺎﺳﻴﻮﻥ ﺍﻧﺘﻘﺎﻝ ﻫﻮﺍﻳﻲ ﻭﺟﻮﺩ ﺩﺍﺷﺖ. ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﻫﻠﻴﻜﻮﭘﺘﺮ ﻭﺳﻴﻠﺔ ﻣﻨﺎﺳﺒﻲ ﺑﺮﺍﻱ ﺍﻧﺘﻘﺎﻝ ﺑﻴﻤﺎﺭﺍﻥ ﺩﺭ ﻓـﻮﺍﺻﻞ ﮐﻤﺘﺮ ﺍﺯ 100 ﮐﻴﻠﻮﻣﺘﺮ ﺍﺳﺖ ﻭ ﺍﻧﺪﻳﻜﺎﺳﻴﻮﻥ ﻫﺎﻱ ﺍﻧﺘﻘﺎﻝ ﺑﺎ ﻫﻠﻴﻜﻮﭘﺘﺮ ﺩﺭ ﺑﺎﻟﻐﻴـﻦ، ﮐﻮﺩﮐﺎﻥ ﻭ ﺑﻴﻤﺎﺭﺍﻥ ﺩﭼﺎﺭ ﺳﻮﺧﺘﮕﻲ ﻣـﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗـﺮﺍﺭ ﻣﻲ ﮔﻴـﺮﺩ ﻭ ﺩﺭ ﺍﺩﺍﻣﻪ ﺩﺭ ﺭﺍﺑﻄﻪ ﺑﺎ ﻣﻤﻨﻮﻋﻴﺖ ﻫﺎﻱ ﺍﻧﺘﻘﺎﻝ ﺑﺎ ﻫﻠﻴﻜﻮﭘﺘـﺮ ﻭ ﻧﺤﻮﻩ ﺗﺮﻳﺎﮊ ﺑﻴﻤﺎﺭﺍﻥ ﺑﺮﺍﻱ ﺍﻧﺘﻘﺎﻝ ﻫﻮﺍﻳﻲ ﻣﻄﺎﻟﺒﻲ بيان ﻣﻲ ﺷﻮﺩ ﻭ ﺩﺭ ﺍﺩﺍﻣـﻪ ﭘﻴﺸﻨﻬـﺎﺩﺍﺗﻲ ﺩﺭ ﺭﺍﺑﻄﻪ ﺑﺎ ﺑﻬﺒﻮﺩ ﺍﻧﺘﻘﺎﻝ ﻫﻮﺍﻳﻲ ﻣﻄﺮﺡ ﻣﻲ ﮔـﺮﺩﺩ.

Introduction & Objective: One of the rapid ways for transporting patients in emergency situation is air transport. In the following study, we will discuss about the results of this kind of transport in Esfahan Province. Materials & Methods: In a retrospective study, all trauma patients that were transported to Al–Zahra University Hospital by helicopter since 2004 were investigated. Also, the information consisting of different transporting times, the kind of trauma, the geographical area of accident, the severity of trauma, patient transport indication and the result of transport were evaluated. Results: Approximately 46.15% of transport was done from Meimeh. Limb fracture and head injury have been the most prevalent trauma. The average time: before air transport: 8.72+8.9min; halting at accident place: 3.67+12.24 min and after transport, it was 5.14+5.5 min. The whole time of transport in 23.08 % of the cases was less than 60 min. Among 36 patients, 6 cases died, one during the flight and five after transport in CPR room. Conclusions: Helicopter is a suitable vehicle for patient transport in distances less than 100 km. We will investigate the indication of air transport by helicopter in adults, children and the burn patients. Then, we will discuss about the interdictions of the transport by helicopter and the technique of patients' triage for air transport. Moreover, we will present the recommendations about the improving the air transport.