Primary aeromedical retrievals in Australia: an interrogation and search for context

King, Jemma C., Franklin, Richard C., Robertson, Anita, Aitken, Peter, Elcock, Mark, Gibbs, Clinton, Lawton, Luke, Mazur, Stefan M., Edwards, Kristin H., and Leggat, Peter A. (2019) Primary aeromedical retrievals in Australia: an interrogation and search for context. Emergency Medicine Australasia, 31 (6). pp. 916-929.

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Abstract

Primary aeromedical retrievals are a direct scene response to patients with a critical injury or illness using a medically equipped aircraft. They are often high‐acuity taskings. In Australia, information on primary retrieval taskings is housed by service providers, of which there are many across the country. This exploratory literature review aims to explore the contemporary peer‐reviewed literature on primary aeromedical retrievals in Australia. The focus is on adult primary aeromedical retrievals undertaken in Australia and clinical tools used in this pre‐hospital setting. Included articles were reviewed for research theme (clinical and equipment, systems and/or outcomes), data coverage and appraisal of the evidence. Of the 37 articles included, majority explored helicopter retrievals (n = 32), retrieval systems (n = 21), compared outcomes within a service (n = 10) and explored retrievals in the state of New South Wales (n = 19). Major topics of focus included retrieval of trauma patients and airway management. Overall, the publications had a lower strength of evidence because of the preponderance of cross‐sectional and case‐study methodology. This review provides some preliminary but piecemeal insight into primary retrievals in Australia through a localised systems lens. However, there are several areas for research action and service outcome improvements suggested, all of which would be facilitated through the creation of a national pre‐hospital and retrieval registry. The creation of a registry would enable consideration of the frequency and context of retrievals, comparison across services, more sophisticated data interrogation. Most importantly, it can lead to service and pre‐hospital and retrieval system strengthening.

Item ID: 62220
Item Type: Article (Research - C1)
ISSN: 1742-6723
Keywords: advanced trauma life support care; helicopter ambulances; pre-hospital emergency care; transportation of patients
Copyright Information: © 2019 Australasian College for Emergency Medicine
Funders: Queensland Emergency Medicine Research Foundation (QEMRF)
Projects and Grants: QEMRF PROJ‐2009‐017‐AITKEN
Date Deposited: 11 Feb 2020 02:06
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111711 Health Information Systems (incl Surveillance) @ 100%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 15%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920409 Injury Control @ 40%
92 HEALTH > 9202 Health and Support Services > 920299 Health and Support Services not elsewhere classified @ 45%
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