Articles: critical-care.
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The transfer of critically ill patients between hospitals is difficult for staff and dangerous for patients. A dedicated helicopter transfer scheme has been designed to deal with these problems.
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Anasth Intensivther Notfallmed · Feb 1990
Comparative Study[Mixed venous versus central venous oxygen saturation in intensive medicine].
Mixed venous oxygen saturation (SvO2) has been established as a useful guide in observing whole body oxygenation. Since SvO2 provides limited information about adequate tissue oxygenation for a specific organ, the usefulness of central venous saturation (ScvO2) as a guide was analysed, which is a less invasive parameter. ⋯ The calculation of venous admixture showed a correlation of 0.901. It is concluded that ScvO2 yields adequate information on the oxygen saturation of venous return.
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Civilian aeromedical transportation systems, both fixed and rotary wing, have proliferated since the middle 1970s. However, outcome data substantiating the benefit of these services have been slow in coming. ⋯ The two groups did not differ significantly in age, Injury Severity Score, or Glasgow Coma Score. These results suggest that some part of the clinical benefit of a regional trauma center may be extended up to 800 miles with no increase in transport-related mortality.
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To identify the requirements of an interhospital transfer service for critically ill patients. ⋯ Safe interhospital transfer of critically ill patients is feasible; the high eventual mortality in some patient groups emphasises the need for accurate prediction of outcome if inappropriate transfer is to be avoided. The findings may help in organising secondary transfer services in future.