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Table 3 Interventions provided by ground ambulance crew (non-HEMS interventions) and HEMS on scene in patients with unexplained LOC attended by HEMS

From: Dispatch of a helicopter emergency medicine service to patients with a sudden, unexplained loss of consciousness of medical origin

 

Whole group (n = 127)

Direct dispatch (n = 29)

Request dispatch (n = 98)

p

Non-HEMS interventions

 Antiemetics

24

3

21

.28

 Analgesiaa

21

3

17

.41

 Atropine

1

0

1

.99

 Dextrose 10%

3

0

3

.59

 Naloxone

7

1

6

.69

 Supraglottic airway device

4

0

4

.57

 IV

145

22

123

.016

 IO

4 (HH)

5 (Tib)

3 (HH)

1 (Tib)

1(HH)

4(Tib)

.21

HEMS interventions

 PHEA

73

13

60

.088

 Indication for PHEA

  Reduced GCS (n)

55

12

43

.29

  Airway

10

0

10

  Compromise (n)

   

  Unmanageable (n)

7

1

6

  Resp failure (n)

1

0

1

 RSI regime:

  3–2-1b

59

8

46

1.00

  1–1-1c

10

0

10

  Other

6

2

4

 Anticoagulant reversal

1

0

1

.99

 Vasopressor therapy

8

1

7

.68

 Antibiotics/ acyclovir

11

0

11

.067

 Hypertonic saline

27

0

27

.007

  1. Table 3. Displayed are numbers [%]. IV Intravenous, IOI Intraosseous, PHEA Prehospital Emergency Anesthesia, LOC Loss of consciousness, HH Humeral head, Tib Tibia,. a Analgesia: fentanyl (n = 2), Morphine (n = 2), Ketamine (n = 3), and paracetamol (n = 14). b Fentanyl 3 mcg/kg, Ketamine 2 mg/kg and Rocuronium 1 mg/kg. c Fentanyl 1 mcg/kg, Ketamine 1 mg/kg and Rocuronium 1 mg/kg HR.