An example of extreme cardiology: chest pain on the high seas and helicoptered medical evacuations
Abstract Medicalized high sea rescue is very different from prehospital medical evacuation. It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 k...
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| Veröffentlicht in: | The American journal of emergency medicine 2012-10, Vol.30 (8), p.1591-1596 |
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| creator | Vinsonneau, Ulric, MD Cavel, Christiane, MD Bombert, Christophe, MD Lely, Laurent, MD Paleiron, Nicolas, MD Vergez-Larrouget, Claude, MD Cornily, Jean-Christophe, MD Castellant, Philippe, MD Gilard, Martine, PR Paule, Paule, MD Bronstein, Jean-Ariel, MD |
| description | Abstract Medicalized high sea rescue is very different from prehospital medical evacuation. It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 km offshore and under all weather conditions. The epidemiology of acute chest pain in the high seas has been poorly described. Therefore, in this retrospective study, we aimed to assess the prevalence and constraints found in the management of these emergencies. From January 1, 2000, to April 30, 2009, 286 medical evacuations by helicopter were performed, 132 of which were due to traumatological emergencies, and 154 to medical emergencies. Acute chest pain, with 36 missions, was the leading cause of medical evacuation. All evacuated patients were men who were either professional sailors or ferry passengers. The median age was 48 years (range, 26-79). The most common prehospital diagnosis was coronary chest pain in 23 patients (64%), including 11 patients with acute coronary syndrome with ST-segment elevation. Thirty-two patients were airlifted by helicopter. All patients benefited from monitoring, electrocardiogram, peripheral venous catheter, and medical management as soon as the technical conditions allowed it. |
| doi_str_mv | 10.1016/j.ajem.2011.10.013 |
| format | Article |
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It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 km offshore and under all weather conditions. The epidemiology of acute chest pain in the high seas has been poorly described. Therefore, in this retrospective study, we aimed to assess the prevalence and constraints found in the management of these emergencies. From January 1, 2000, to April 30, 2009, 286 medical evacuations by helicopter were performed, 132 of which were due to traumatological emergencies, and 154 to medical emergencies. Acute chest pain, with 36 missions, was the leading cause of medical evacuation. All evacuated patients were men who were either professional sailors or ferry passengers. The median age was 48 years (range, 26-79). The most common prehospital diagnosis was coronary chest pain in 23 patients (64%), including 11 patients with acute coronary syndrome with ST-segment elevation. Thirty-two patients were airlifted by helicopter. All patients benefited from monitoring, electrocardiogram, peripheral venous catheter, and medical management as soon as the technical conditions allowed it.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2011.10.013</identifier><language>eng</language><publisher>Philadelphia: Elsevier Inc</publisher><subject>Acute coronary syndromes ; Blood pressure ; Emergency ; Emergency medical care ; Epidemiology ; Evacuation ; Evacuations & rescues ; Heart attacks ; Helicopters ; Intervention ; Medical diagnosis ; Medical instruments ; Medical research ; Mortality ; Pain</subject><ispartof>The American journal of emergency medicine, 2012-10, Vol.30 (8), p.1591-1596</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2286-f870cbd85198176c891824c3651b3a0d30c59cb3ac8bf91305aea476c0e330ae3</citedby><cites>FETCH-LOGICAL-c2286-f870cbd85198176c891824c3651b3a0d30c59cb3ac8bf91305aea476c0e330ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1082295776?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Vinsonneau, Ulric, MD</creatorcontrib><creatorcontrib>Cavel, Christiane, MD</creatorcontrib><creatorcontrib>Bombert, Christophe, MD</creatorcontrib><creatorcontrib>Lely, Laurent, MD</creatorcontrib><creatorcontrib>Paleiron, Nicolas, MD</creatorcontrib><creatorcontrib>Vergez-Larrouget, Claude, MD</creatorcontrib><creatorcontrib>Cornily, Jean-Christophe, MD</creatorcontrib><creatorcontrib>Castellant, Philippe, MD</creatorcontrib><creatorcontrib>Gilard, Martine, PR</creatorcontrib><creatorcontrib>Paule, Paule, MD</creatorcontrib><creatorcontrib>Bronstein, Jean-Ariel, MD</creatorcontrib><title>An example of extreme cardiology: chest pain on the high seas and helicoptered medical evacuations</title><title>The American journal of emergency medicine</title><description>Abstract Medicalized high sea rescue is very different from prehospital medical evacuation. It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 km offshore and under all weather conditions. The epidemiology of acute chest pain in the high seas has been poorly described. Therefore, in this retrospective study, we aimed to assess the prevalence and constraints found in the management of these emergencies. From January 1, 2000, to April 30, 2009, 286 medical evacuations by helicopter were performed, 132 of which were due to traumatological emergencies, and 154 to medical emergencies. Acute chest pain, with 36 missions, was the leading cause of medical evacuation. All evacuated patients were men who were either professional sailors or ferry passengers. The median age was 48 years (range, 26-79). The most common prehospital diagnosis was coronary chest pain in 23 patients (64%), including 11 patients with acute coronary syndrome with ST-segment elevation. Thirty-two patients were airlifted by helicopter. All patients benefited from monitoring, electrocardiogram, peripheral venous catheter, and medical management as soon as the technical conditions allowed it.</description><subject>Acute coronary syndromes</subject><subject>Blood pressure</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Epidemiology</subject><subject>Evacuation</subject><subject>Evacuations & rescues</subject><subject>Heart attacks</subject><subject>Helicopters</subject><subject>Intervention</subject><subject>Medical diagnosis</subject><subject>Medical instruments</subject><subject>Medical research</subject><subject>Mortality</subject><subject>Pain</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU9r3DAQxUVIIZu0X6AnQc_eaqSV_4RSCKFtAoEc0p6Fdjxey7EtR_Iu3W9fmQ0EeshphuH3NE9vGPsMYg0C8q_d2nY0rKUASIO1AHXGVqCVzEoo4JytRKF0lhe6uGCXMXYigRu9WbHtzcjprx2mnrhvUjsHGoijDbXzvd8drzm2FGc-WTdyP_K5Jd66Xcsj2cjtWPOWeod-milQzQeqHdqe08Hi3s7Oj_Ej-9DYPtKn13rF_vz88fv2Lnt4_HV_e_OQoZRlnjVlIXBblxqq5DnHsoJSblDlGrbKiloJ1BWmFsttU4ES2pLdJFCQUsKSumJfTu9Owb_sk2fT-X0Y00oDopSy0kWRJ0qeKAw-xkCNmYIbbDgmyCxZms4sWZoly2WWskyibycRJf8HR8FEdDRi-mwgnE3t3fvy7__JsXfjktMzHSm-2TRRGmGelmMttwIQQoOU6h9UQZF4</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Vinsonneau, Ulric, MD</creator><creator>Cavel, Christiane, MD</creator><creator>Bombert, Christophe, MD</creator><creator>Lely, Laurent, MD</creator><creator>Paleiron, Nicolas, MD</creator><creator>Vergez-Larrouget, Claude, MD</creator><creator>Cornily, Jean-Christophe, MD</creator><creator>Castellant, Philippe, MD</creator><creator>Gilard, Martine, PR</creator><creator>Paule, Paule, MD</creator><creator>Bronstein, Jean-Ariel, MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>201210</creationdate><title>An example of extreme cardiology: chest pain on the high seas and helicoptered medical evacuations</title><author>Vinsonneau, Ulric, MD ; 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It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 km offshore and under all weather conditions. The epidemiology of acute chest pain in the high seas has been poorly described. Therefore, in this retrospective study, we aimed to assess the prevalence and constraints found in the management of these emergencies. From January 1, 2000, to April 30, 2009, 286 medical evacuations by helicopter were performed, 132 of which were due to traumatological emergencies, and 154 to medical emergencies. Acute chest pain, with 36 missions, was the leading cause of medical evacuation. All evacuated patients were men who were either professional sailors or ferry passengers. The median age was 48 years (range, 26-79). The most common prehospital diagnosis was coronary chest pain in 23 patients (64%), including 11 patients with acute coronary syndrome with ST-segment elevation. Thirty-two patients were airlifted by helicopter. All patients benefited from monitoring, electrocardiogram, peripheral venous catheter, and medical management as soon as the technical conditions allowed it.</abstract><cop>Philadelphia</cop><pub>Elsevier Inc</pub><doi>10.1016/j.ajem.2011.10.013</doi><tpages>6</tpages></addata></record> |
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| ispartof | The American journal of emergency medicine, 2012-10, Vol.30 (8), p.1591-1596 |
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| subjects | Acute coronary syndromes Blood pressure Emergency Emergency medical care Epidemiology Evacuation Evacuations & rescues Heart attacks Helicopters Intervention Medical diagnosis Medical instruments Medical research Mortality Pain |
| title | An example of extreme cardiology: chest pain on the high seas and helicoptered medical evacuations |
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