Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis
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Schweiz. Rundsch. Med. Prax. · Mar 1992
[Development of the helicopter-rescue concept in the Basel region].
1927 medical helicopter transports were performed in Basle between 1986 and 1989. Of the total flights, 173 transports without patients and 186 incubator transports were excluded from the study. Treatment and transportation were provided for 1085 victims of trauma (70.2%) and 461 medical-surgical patients (29.8%), mostly with life-threatening conditions. 589 trauma patients were treated at the scene of accident and later transported by helicopter to a nearby medical center (54.3%). ⋯ Transport generally occurs only after stabilization of vital functions. These factors contribute to the low mortality before return flights (3%) as well as during transport (0.3%). We conclude that early aggressive in-field intensive therapy can help to decrease both morbidity and mortality in emergency-care patients.
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The time the physician spends to take the patient-history is a privileged moment during which the most important informations for diagnosis are gathered which in turn will govern further investigations and measures for treatment. Among the physical examinations auscultation of the lung is often regarded as obsolete. If however acoustic phenomena are evaluated with respect to intensity, duration, pitch and position within the respiratory cycle valuable objective information can be obtained.