The Significance of a Cooperative Medical System for Treating Decompression Illness on the Izu Peninsula in Japan
In 2011, our hospital on the Izu peninsula began to hold meetings to discuss how to manage patients with decompression illness (DCI) to establish a cooperative medical system. We retrospectively investigated the influence of these meetings and the changes subsequently effected. A medical chart revie...
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| Veröffentlicht in: | Wilderness & environmental medicine 2019-09, Vol.30 (3), p.268-273 |
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| creator | Yanagawa, Youichi Onitsuka, Mika Nozawa, Yoko Nagasawa, Hiroki Ikuto, Takeuchi Jitsuiki, Kei Madokoro, Shunsuke Ohsaka, Hiromichi Ishikawa, Kouhei Omori, Kazuhiko |
| description | In 2011, our hospital on the Izu peninsula began to hold meetings to discuss how to manage patients with decompression illness (DCI) to establish a cooperative medical system. We retrospectively investigated the influence of these meetings and the changes subsequently effected.
A medical chart review was retrospectively performed to investigate all cases between January 2005 and December 2017 in which the transport of patients with DCI via a physician-staffed helicopter emergency medical service (HEMS) was attempted. The patients were divided into 2 groups: the preprogram group and the postprogram group.
There were 63 patients in the preprogram group and 65 in the postprogram group. There were no cases in which a patient's symptoms deteriorated during transportation by the HEMS. The frequency of dispatch to the scene for direct evacuation in the postprogram group (86%) was greater than that in the preprogram group (74%), but the difference was not statistically significant (P=0.09). In the postprogram group, the duration of activities at the scene or the first aid hospital was significantly shorter in comparison to the preprogram group (P=0.01).
This retrospective study revealed simultaneity between the introduction of the yearly meetings and a reduced duration of the HEMS staff's activity at either the scene or the first aid hospital. |
| doi_str_mv | 10.1016/j.wem.2019.05.005 |
| format | Article |
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A medical chart review was retrospectively performed to investigate all cases between January 2005 and December 2017 in which the transport of patients with DCI via a physician-staffed helicopter emergency medical service (HEMS) was attempted. The patients were divided into 2 groups: the preprogram group and the postprogram group.
There were 63 patients in the preprogram group and 65 in the postprogram group. There were no cases in which a patient's symptoms deteriorated during transportation by the HEMS. The frequency of dispatch to the scene for direct evacuation in the postprogram group (86%) was greater than that in the preprogram group (74%), but the difference was not statistically significant (P=0.09). In the postprogram group, the duration of activities at the scene or the first aid hospital was significantly shorter in comparison to the preprogram group (P=0.01).
This retrospective study revealed simultaneity between the introduction of the yearly meetings and a reduced duration of the HEMS staff's activity at either the scene or the first aid hospital.</description><identifier>ISSN: 1080-6032</identifier><identifier>EISSN: 1545-1534</identifier><identifier>DOI: 10.1016/j.wem.2019.05.005</identifier><identifier>PMID: 31345722</identifier><language>eng</language><publisher>Los Angeles, CA: Elsevier Inc</publisher><subject><![CDATA[Adult ; Aircraft - statistics & numerical data ; checklist ; control ; Decompression Sickness - therapy ; diver ; Emergency Medical Services - organization & administration ; Emergency Medical Services - statistics & numerical data ; Environmental Medicine - organization & administration ; Environmental Medicine - statistics & numerical data ; Female ; First Aid - statistics & numerical data ; helicopter emergency medicine system ; Humans ; Japan ; Male ; Middle Aged ; Retrospective Studies]]></subject><ispartof>Wilderness & environmental medicine, 2019-09, Vol.30 (3), p.268-273</ispartof><rights>2019 Wilderness Medical Society</rights><rights>The Author(s) 2019</rights><rights>Copyright © 2019 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-15191b8a77ecd43b84509db0863ace13c6824a50184ec7850a63d510933f77c43</citedby><cites>FETCH-LOGICAL-c501t-15191b8a77ecd43b84509db0863ace13c6824a50184ec7850a63d510933f77c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/j.wem.2019.05.005$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1080603219301000$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,21798,27901,27902,43597,43598,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31345722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yanagawa, Youichi</creatorcontrib><creatorcontrib>Onitsuka, Mika</creatorcontrib><creatorcontrib>Nozawa, Yoko</creatorcontrib><creatorcontrib>Nagasawa, Hiroki</creatorcontrib><creatorcontrib>Ikuto, Takeuchi</creatorcontrib><creatorcontrib>Jitsuiki, Kei</creatorcontrib><creatorcontrib>Madokoro, Shunsuke</creatorcontrib><creatorcontrib>Ohsaka, Hiromichi</creatorcontrib><creatorcontrib>Ishikawa, Kouhei</creatorcontrib><creatorcontrib>Omori, Kazuhiko</creatorcontrib><title>The Significance of a Cooperative Medical System for Treating Decompression Illness on the Izu Peninsula in Japan</title><title>Wilderness & environmental medicine</title><addtitle>Wilderness Environ Med</addtitle><description>In 2011, our hospital on the Izu peninsula began to hold meetings to discuss how to manage patients with decompression illness (DCI) to establish a cooperative medical system. We retrospectively investigated the influence of these meetings and the changes subsequently effected.
A medical chart review was retrospectively performed to investigate all cases between January 2005 and December 2017 in which the transport of patients with DCI via a physician-staffed helicopter emergency medical service (HEMS) was attempted. The patients were divided into 2 groups: the preprogram group and the postprogram group.
There were 63 patients in the preprogram group and 65 in the postprogram group. There were no cases in which a patient's symptoms deteriorated during transportation by the HEMS. The frequency of dispatch to the scene for direct evacuation in the postprogram group (86%) was greater than that in the preprogram group (74%), but the difference was not statistically significant (P=0.09). In the postprogram group, the duration of activities at the scene or the first aid hospital was significantly shorter in comparison to the preprogram group (P=0.01).
This retrospective study revealed simultaneity between the introduction of the yearly meetings and a reduced duration of the HEMS staff's activity at either the scene or the first aid hospital.</description><subject>Adult</subject><subject>Aircraft - statistics & numerical data</subject><subject>checklist</subject><subject>control</subject><subject>Decompression Sickness - therapy</subject><subject>diver</subject><subject>Emergency Medical Services - organization & administration</subject><subject>Emergency Medical Services - statistics & numerical data</subject><subject>Environmental Medicine - organization & administration</subject><subject>Environmental Medicine - statistics & numerical data</subject><subject>Female</subject><subject>First Aid - statistics & numerical data</subject><subject>helicopter emergency medicine system</subject><subject>Humans</subject><subject>Japan</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><issn>1080-6032</issn><issn>1545-1534</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFP3DAQha2KqlDoD-gF-chlwzi246x6qhZot9qqlVjOlteZLF4ldrAT0PbX12iBI6d50rz3pPmGkK8MCgasutwVT9gXJbB5AbIAkB_ICZNCzpjk4ihrqGFWAS-PyeeUdgClqDn_RI4540KqsjwhD-t7pLdu613rrPEWaWipoYsQBoxmdI9If2OTVx293acRe9qGSNcR885v6RXa0A8RU3LB02XX-SxplmOuXf6b6F_0zqepM9R5-ssMxp-Rj63pEn55mafk7uZ6vfg5W_35sVx8X82sBDbmE9icbWqjFNpG8E0tJMybDdQVNxYZt1VdCpOttUCragmm4o1kMOe8VcoKfkouDr1DDA8TplH3LlnsOuMxTEmXZSVVBYqrbGUHq40hpYitHqLrTdxrBvqZtN7pTFo_k9YgdSadM-cv9dOmx-Yt8Yo2G4qDIZkt6l2Yos_nvtv47RDATOXRYdTJOswvaVxEO-omuHfS_wGzNpyd</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Yanagawa, Youichi</creator><creator>Onitsuka, Mika</creator><creator>Nozawa, Yoko</creator><creator>Nagasawa, Hiroki</creator><creator>Ikuto, Takeuchi</creator><creator>Jitsuiki, Kei</creator><creator>Madokoro, Shunsuke</creator><creator>Ohsaka, Hiromichi</creator><creator>Ishikawa, Kouhei</creator><creator>Omori, Kazuhiko</creator><general>Elsevier Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>The Significance of a Cooperative Medical System for Treating Decompression Illness on the Izu Peninsula in Japan</title><author>Yanagawa, Youichi ; Onitsuka, Mika ; Nozawa, Yoko ; Nagasawa, Hiroki ; Ikuto, Takeuchi ; Jitsuiki, Kei ; Madokoro, Shunsuke ; Ohsaka, Hiromichi ; Ishikawa, Kouhei ; Omori, Kazuhiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c501t-15191b8a77ecd43b84509db0863ace13c6824a50184ec7850a63d510933f77c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aircraft - statistics & numerical data</topic><topic>checklist</topic><topic>control</topic><topic>Decompression Sickness - therapy</topic><topic>diver</topic><topic>Emergency Medical Services - organization & administration</topic><topic>Emergency Medical Services - statistics & numerical data</topic><topic>Environmental Medicine - organization & administration</topic><topic>Environmental Medicine - statistics & numerical data</topic><topic>Female</topic><topic>First Aid - statistics & numerical data</topic><topic>helicopter emergency medicine system</topic><topic>Humans</topic><topic>Japan</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yanagawa, Youichi</creatorcontrib><creatorcontrib>Onitsuka, Mika</creatorcontrib><creatorcontrib>Nozawa, Yoko</creatorcontrib><creatorcontrib>Nagasawa, Hiroki</creatorcontrib><creatorcontrib>Ikuto, Takeuchi</creatorcontrib><creatorcontrib>Jitsuiki, Kei</creatorcontrib><creatorcontrib>Madokoro, Shunsuke</creatorcontrib><creatorcontrib>Ohsaka, Hiromichi</creatorcontrib><creatorcontrib>Ishikawa, Kouhei</creatorcontrib><creatorcontrib>Omori, Kazuhiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wilderness & environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yanagawa, Youichi</au><au>Onitsuka, Mika</au><au>Nozawa, Yoko</au><au>Nagasawa, Hiroki</au><au>Ikuto, Takeuchi</au><au>Jitsuiki, Kei</au><au>Madokoro, Shunsuke</au><au>Ohsaka, Hiromichi</au><au>Ishikawa, Kouhei</au><au>Omori, Kazuhiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Significance of a Cooperative Medical System for Treating Decompression Illness on the Izu Peninsula in Japan</atitle><jtitle>Wilderness & environmental medicine</jtitle><addtitle>Wilderness Environ Med</addtitle><date>2019-09</date><risdate>2019</risdate><volume>30</volume><issue>3</issue><spage>268</spage><epage>273</epage><pages>268-273</pages><issn>1080-6032</issn><eissn>1545-1534</eissn><abstract>In 2011, our hospital on the Izu peninsula began to hold meetings to discuss how to manage patients with decompression illness (DCI) to establish a cooperative medical system. We retrospectively investigated the influence of these meetings and the changes subsequently effected.
A medical chart review was retrospectively performed to investigate all cases between January 2005 and December 2017 in which the transport of patients with DCI via a physician-staffed helicopter emergency medical service (HEMS) was attempted. The patients were divided into 2 groups: the preprogram group and the postprogram group.
There were 63 patients in the preprogram group and 65 in the postprogram group. There were no cases in which a patient's symptoms deteriorated during transportation by the HEMS. The frequency of dispatch to the scene for direct evacuation in the postprogram group (86%) was greater than that in the preprogram group (74%), but the difference was not statistically significant (P=0.09). In the postprogram group, the duration of activities at the scene or the first aid hospital was significantly shorter in comparison to the preprogram group (P=0.01).
This retrospective study revealed simultaneity between the introduction of the yearly meetings and a reduced duration of the HEMS staff's activity at either the scene or the first aid hospital.</abstract><cop>Los Angeles, CA</cop><pub>Elsevier Inc</pub><pmid>31345722</pmid><doi>10.1016/j.wem.2019.05.005</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aircraft - statistics & numerical data checklist control Decompression Sickness - therapy diver Emergency Medical Services - organization & administration Emergency Medical Services - statistics & numerical data Environmental Medicine - organization & administration Environmental Medicine - statistics & numerical data Female First Aid - statistics & numerical data helicopter emergency medicine system Humans Japan Male Middle Aged Retrospective Studies |
| title | The Significance of a Cooperative Medical System for Treating Decompression Illness on the Izu Peninsula in Japan |
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