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- W2133014788 abstract "From 2010, Romanian patients diagnosed with STEMI can benefit from the primary PCI through a national program, according to the Stent for Life ESC program. Purpose: Evaluate the importance of helicopter transport of patients with STEMI in a region with a deficit of emergency specialists and only one Interventional Cardiology Centre. Methods: Retrospective study of the interventions by helicopter for patients with STEMI in the North-East Region of Romania between March 15, 2011 and March 15, 2013. MY 8 helicopter/Eurocopter 135 was used, with intensive care medical equipment, 2 pilots, 1 doctor and 1 nurse. Results: The study includes 71 patients that needed medical intervention and transportation tohospital via helicopter. Thedecisions to send the helicopter were taken onmedical criteria – STEMI diagnostic, the transfer time to PCI and the availability of the terrestrial emergency crew. The average distance to the site, measured by land, was 162km, (34–250km). The average time of transport by air was 39.3±14.6min compared to 108.7±47.3min estimated by land (p>0.01) with an average time since the chest pain onset 6.32±4.7h. 66.2% were males, aged between 25 and 85 years old. Three patients suffered cardiopulmonary arrest during transportation, 2 were pronounced dead after receiving CPR. During transfer Aspirin and Clopidogrel was administrated in 69.01% cases, Heparin 28.16% cases, thrombolytics in 7.04% (5 patients). 4.22% of the patients needed oro-tracheal intubation and mechanical ventilation due to cardiogenic shock. In this period, the mortality rate in patients with STEMI decreased from 13.4% to 8.19% all over Romania and to 7.9% in our region. Conclusion: The helicopter is a very important means of transportation for patients living in either far or inaccessible by land areas, reducing the door-to-balloon times in patients with STEMI." @default.
- W2133014788 created "2016-06-24" @default.
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- W2133014788 date "2013-10-01" @default.
- W2133014788 modified "2023-10-17" @default.
- W2133014788 title "Helicopter interventions for the patients with STEMI in the North-East Romania" @default.
- W2133014788 doi "https://doi.org/10.1016/j.resuscitation.2013.08.039" @default.
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