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- W2113515310 abstract "This prospective case series describes the experience of a specially trained critical care paramedic transfer program that transports intra-aortic balloon pump (IABP)-dependent patients to definitive cardiac surgical care without additional medical escorts. Paramedics complete a standard ambulance patient care report anda quality management report for each IABP-dependent patient transported. All patient care reports were routinely screened for calls involving IABP-dependent patients to ensure all calls were captured. Demographic, patient care, adverse event, andtransfer-related data were collected prospectively. The program manager andmedical director independently examined all reports for quality of care andoccurrence of adverse events. Missing data were obtained from paramedic crews andreferring facilities. The IABP program transported 29 patients during its first 24 months. The mean patient age was 63.4 ± 10.4 years, andthe majority were male (25 of 29; 86.2%). The most common indications for IABP insertion were bridge to definitive surgical care (17; 58.6%) andcardiogenic shock (13; 44.8%). The mean out-of-hospital time was 39.9 ± 26.1 minutes. There were 22 complications in 11 patients. Paramedics successfully managed all complications. There was no persistent life-threatening patient-related complication or IABP-related malfunction, andno patient died during transport. This case series demonstrates that specially trained critical care paramedics can safely IABP-dependent patients to definitive cardiac surgical care without additional medical escorts. Key words: intra-aortic balloon pumping; paramedics; emergency medical services; patient transfer; cardiogenic shock." @default.
- W2113515310 created "2016-06-24" @default.
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- W2113515310 date "2005-01-01" @default.
- W2113515310 modified "2023-09-26" @default.
- W2113515310 title "Transfer of Intra-Aortic Balloon Pump-Dependent Patients by Paramedics" @default.
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- W2113515310 doi "https://doi.org/10.1080/10903120500255917" @default.
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