A prospective survey of critical care procedures performed by physicians in helicopter emergency medical service: is clinical exposure enough to stay proficient?

Stephen J. M. Sollid; Per P. Bredmose; Anders R. Nakstad; Mårten Sandberg

doi:10.1186/s13049-015-0128-9

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Table 3 Procedures with significant difference in mean value of procedures pr. hour between two bases. The base with the highest value is listed in the left column

From: A prospective survey of critical care procedures performed by physicians in helicopter emergency medical service: is clinical exposure enough to stay proficient?

Variable	Base	Mean	95 % CI	Base	Mean	95 % CI	p value
ETI >12 yoa, trauma	OUH HEMS	0.0031	0.0022, 0.0040	Rygge SAR	0.0008	0.0001, 0.0015	0.017
ETI >12 yoa, cardiac arrest	SUH HEMS	0.0117	0.0089, 0.0146	OUH HEMS	0.0050	0.0039, 0.0061	0.000
ETI >12 yoa, cardiac arrest	SUH HEMS	0.0117	0.0089, 0.0146	Rygge SAR	0.0025	0.0012, 0.0037	0.000
ETI >12 yoa, other	OUH HEMS	0.0034	0.0024, 0.0044	Rygge SAR	0.0000	0.0000, 0.0000	0.001
ETI >12 yoa, other	SUH HEMS	0.0052	0.0031, 0.0073	Rygge SAR	0.0000	0.0000, 0.0000	0.000
ETI >12 yoa, all categories	OUH HEMS	0.0034	0.0101, 0.0135	Rygge SAR	0.0000	0.0018, 0.0047	0.000
	SUH HEMS	0.0052	0.0149, 0.0227	OUH HEMS	0.0034	0.0101, 0.0135	0.000
	SUH HEMS	0.0052	0.0149, 0.0227	Rygge SAR	0.0000	0.0018, 0.0047	0.000
BMV > 12 yoa	SUH HEMS	0.0182	0.0143, 0.0220	OUH HEMS	0.0047	0.0036, 0.0058	0.000
BMV > 12 yoa	SUH HEMS	0.0182	0.0143, 0.0220	Rygge SAR	0.0017	0.0007, 0.0027	0.000
Invasive ventilator < 1 yoa	OUH HEMS	0.0015	0.0008, 0.0022	SUH HEMS	0.0000	0.0000, 0.0000	0.024
Invasive ventilator < 1 yoa	OUH HEMS	0.0015	0.0008, 0.0022	Rygge SAR	0.0000	0.0000, 0.0000	0.023
Invasive ventilator 1–12 yoa	OUH HEMS	0.0015	0.0009, 0.0022	SUH HEMS	0.0000	0.0000, 0.0000	0.008
Invasive ventilator 1–12 yoa	OUH HEMS	0.0015	0.0009, 0.0022	Rygge SAR	0.0000	0.0000, 0.0000	0.007
Invasive ventilator > 12 yoa	OUH HEMS	0.0213	0.0190, 0.0237	SUH HEMS	0.0064	0.0043, 0.0086	0.000
Invasive ventilator > 12 yoa	OUH HEMS	0.0213	0.0190, 0.0237	Rygge SAR	0.0012	0.0003, 0.0022	0.000
PVC 1–12 yoa	OUH HEMS	0.0024	0.0016, 0.0032	Rygge SAR	0.0003	−0.0001, 0.0007	0.007
PVC > 12 yoa	OUH HEMS	0.0153	0.0130, 0.0176	Rygge SAR	0.0052	0.0032, 0.0071	0.000
	SUH HEMS	0.0279	0.0226, 0.0332	OUH HEMS	0.0153	0.0130, 0.0176	0.000
	SUH HEMS	0.0279	0.0226, 0.0332	Rygge SAR	0.0052	0.0032, 0.0071	0.000
IO > 12 yoa	SUH HEMS	0.0029	0.0014, 0.0044	OUH HEMS	0.0008	0.0004, 0.0013	0.001
IO > 12 yoa	SUH HEMS	0.0029	0.0014, 0.0044	Rygge SAR	0.0003	−0.0001, 0.0007	0.000
CVC insertion	OUH HEMS	0.0022	0.0014, 0.0029	SUH HEMS	0.0003	−0.0003, 0.0009	0.005
CVC insertion	OUH HEMS	0.0022	0.0014, 0.0029	Rygge SAR	0.0000	0.0000, 0.0000	0.001
Arterial line insertion	OUH HEMS	0.0053	0.0042, 0.0065	SUH HEMS	0.0009	0.0001, 0.0018	0.000
Arterial line insertion	OUH HEMS	0.0053	0.0042, 0.0065	Rygge SAR	0.0005	−0.0001, 0.0010	0.000
ACLS > 12 yoa	OUH HEMS	0.0084	0.0070, 0.0099	Rygge SAR	0.0031	0.0017, 0.0045	0.001
	SUH HEMS	0.0158	0.0124, 0.0192	OUH HEMS	0.0084	0.0070, 0.0099	0.000
	SUH HEMS	0.0158	0.0124, 0.0192	Rygge SAR	0.0031	0.0017, 0.0045	0.000
Fracture repositioned	SUH HEMS	0.0027	0.0012, 0.0041	Rygge SAR	0.0005	−0.0002, 0.0011	0.011
Dislocated joint repositioned	SUH HEMS	0.0008	0.0000, 0.0016	OUH HEMS	0.0001	−0.0001, 0.0002	0.004
Dislocated joint repositioned	SUH HEMS	0.0008	0.0000, 0.0016	Rygge SAR	0.0000	0.0000, 0.0000	0.014
Gastric tube insertion	OUH HEMS	0.0028	0.0019, 0.0037	Rygge SAR	0.0003	−0.0001, 0.0007	0.007
Gastric tube insertion	SUH HEMS	0.0031	0.0016, 0.0047	Rygge SAR	0.0003	−0.0001, 0.0007	0.014
Incubator with ventilator support	OUH HEMS	0.0023	0.0012, 0.0033	SUH HEMS	0.0000	0.0000, 0.0000	0.014
Incubator with ventilator support	OUH HEMS	0.0023	0.0012, 0.0033	Rygge SAR	0.0000	0.0000, 0.0000	0.015
Incubator with CPAP	OUH HEMS	0.0016	0.0008, 0.0024	SUH HEMS	0.0000	0.0000, 0.0000	0.022
Incubator with CPAP	OUH HEMS	0.0016	0.0008, 0.0024	Rygge SAR	0.0000	0.0000, 0.0000	0.021
Incubator without ventilator	OUH HEMS	0.0011	0.0006, 0.0016	SUH HEMS	0.0002	−0.0002, 0.0005	0.039
Incubator without ventilator	OUH HEMS	0.0011	0.0006, 0.0016	Rygge SAR	0.0000	0.0000, 0.0000	0.012
Antiarrythmic therapy	OUH HEMS	0.0016	0.0010, 0.0021	Rygge SAR	0.0003	−0.0001, 0.0007	0.035
Vasopressor initiated	OUH HEMS	0.0036	0.0027, 0.0045	SUH HEMS	0.0011	0.0002, 0.0020	0.003
Vasopressor initiated	OUH HEMS	0.0036	0.0027, 0.0045	Rygge SAR	0.0005	−0.0001, 0.0010	0.000
Vasopressor continued	OUH HEMS	0.0087	0.0068, 0.0105	SUH HEMS	0.0022	0.0009, 0.0035	0.000
Vasopressor continued	OUH HEMS	0.0087	0.0068, 0.0105	Rygge SAR	0.0000	0.0000, 0.0000	0.000
Anasthesia induction	OUH HEMS	0.0148	0.0128, 0.0168	SUH HEMS	0.0082	0.0054, 0.0109	0.001
	OUH HEMS	0.0148	0.0128, 0.0168	Rygge SAR	0.0015	0.0005, 0.0026	0.000
	SUH HEMS	0.0082	0.0054, 0.0109	Rygge SAR	0.0015	0.0005, 0.0026	0.006
Pain management	OUH HEMS	0.0052	0.0040, 0.0065	Rygge SAR	0.0019	0.0003, 0.0034	0.021

CI Confidence Interval, ETI Endotracheal Intubation, OUH Oslo University Hospital, SUH Stavanger University Hospital, HEMS Helicopter Emergency Medical Service, Rygge SAR Search and Rescue helicopter at Rygge, BMV Bag Mask Ventilation, yoa years of age, PVC Peripheral Venous Catheter, CVC Central Venous Catheter, IO Intraosseus access, ACLS Advanced Cardiac Life Support, pat patient, CPAP Continous Positive Airway Pressure

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