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2 results

  • KAMEDO Report No. 79 Train Accident in Germany, 1998

  • Lennart Iselius, Per-Åke Nilsson, Louis Riddez
  • Journal:
    Prehospital and Disaster Medicine / Volume 21 / Issue 2 / April 2006
    Published online by Cambridge University Press:
    28 June 2012, pp. 119-120
    Print publication:
    April 2006

  • A train traveling at 200 kilometers per hour carrying 300 passengers crashed into a bridge. At leaset 85 doctors and 1,889 persons were involved in the emergency response. A total of 101 persons were killed, 108 were injured, and 87 were transported to a hospital (27 by helicopter; 60 by land ambulance). Eighty percent of the severely injured were trasported to a hosptial within two hours of the crash. Coordination of the activities of the hoards of responders was an issue, as was the lack of a formal organization to provide psychosocial support. Preparedness plans should include management of the dead and for the provision of psychosocial support.

  • The Role of Pulse Oximetry in the Initial Airway Management of Helicopter Transported, Trauma Victims

  • Ross S. Carol, Francis P. Renzi
  • Journal:
    Prehospital and Disaster Medicine / Volume 7 / Issue 3 / September 1992
    Published online by Cambridge University Press:
    28 June 2012, pp. 277-278
    Print publication:
    September 1992
  • Introduction:

    Circumstances surrounding the prehospital management of trauma patients may mask clinical signs of inadequate oxygenation. Pulse oximetry (PO) may influence airway management prior to helicopter transport by helping to identify patients with occult hypoxemia.

    Methods:

    Patients were enrolled in a prospective study. Initially, the flight physician clinically decided how best to manage the patient's airway prior to helicopter transport. The patient's oxygenation saturation (O2at), was determined by PO. Then, the physician reassessed the initial airway management decision based on clinical assessment and knowledge of the O2Sat. All patients had an arterial blood gas (ABG) measurement taken after completion of transport.

    Results:

    Sixty patients were enrolled. Knowledge of the O2Sat, as determined by pulse oximetry, did not influence airway management. No patients with occult hypoxemia were identified.

    Conclusion:

    The use of PO in the initial evaluation of trauma patients prior to helicopter transport did not influence the flight physician's initial management of the airway.