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- Article] The equestrian sport-related injury workload of a regional doctor-led air ambulance unit
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DocNo of ILP: 1016
Doc. Type: Article
Title: The equestrian sport-related injury workload of a regional doctor-led air ambulance unit
Authors: Bleetman, D
Full Name of Authors: Bleetman, David
Keywords by Author: HEMS; Equestrian; Injury; Remote access
Keywords Plus: EMERGENCY MEDICAL-SERVICES
Abstract: The Great Western Ambulance Service Air Support Unit (ASU) was established in July 2007. The helicopter carries a doctor, providing a Helicopter Emergency Medical Service (HEMS) model of care. Equestrian sport-related injuries account for 6.8% of the unit's total attended case load. Horse riding has a higher rate of severe injury than motorcycle racing and 45% of patients admitted with equestrian injuries require surgical intervention. Orthopaedic injuries to the extremities are commonest, superseding head injuries since the introduction of protective headwear. The majority of equestrian sport-related injuries occur in areas inaccessible to land crews. We conducted a retrospective analysis of the ASU mission database from July 2008 to December 2009 (18 months) and identified 29 patients that were attended to by the ASU. The patient cohort had a female majority with an average age of 31.9. 10 Patients (34.5%) were under the age of 20. The ISS ranged from 1 to 75 (mean, 4.8; median, 1) and injuries to the extremities were commonest. The location of the accident was inaccessible to land ambulance in 55.2% of missions. The average mission time was over 2 h. Doctors delivered more advanced (medical) interventions in 20.7% of missions. In 41.4% of missions, there were no such interventions performed by the attending doctor and no access to land ambulance. We therefore conclude that a large proportion of ASU dispatches were due to limited access rather than for the delivery of advanced interventions. However, our results support the opinion that horse riding carries some risk of serious injury and when employed appropriately, HEMS doctors on the ASU are a useful resource for a minority of equestrian sport-related injuries. (C) 2011 Elsevier Ltd. All rights reserved.
Cate of OECD: Clinical medicine
Year of Publication: 2012
Business Area: other
Detail Business: medicine & science
Country: England
Study Area: software, database, patient, female, injury
Name of Journal: INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Language: English
Country of Authors: UCL, Sch Med, London WC1E 6BT, England
Press Adress: Bleetman, D (reprint author), UCL, Sch Med, Gower St, London WC1E 6BT, England.
Email Address: david.bleetman@gmail.com
Citaion:
Funding:
Lists of Citation: Ball CG, 2007, AM J SURG, V193, P636, DOI 10.1016/j.amjsurg.2007.01.016; GREENSPAN L, 1985, J TRAUMA, V25, P60, DOI 10.1097/00005373-198501000-00010; Havlik HS, 2010, CURR SPORT MED REP, V9, P299, DOI 10.1249/JSR.0b013e3181f32056; Joint Royal Colleges Ambulance Liaison Committee (JRCALC), 2006, UK AMB SERV CLIN PRA; Paix BR, 1999, BRIT J SPORT MED, V33, P46; Taylor CB, 2010, INJURY, V41, P10, DOI 10.1016/j.injury.2009.09.030
Number of Citaion: 6
Publication: ELSEVIER SCI LTD
City of Publication: OXFORD
Address of Publication: THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND
ISSN: 0020-1383
29-Character Source Abbreviation: INJURY
ISO Source Abbreviation: Injury-Int. J. Care Inj.
Volume: 43
Version: 12
Start of File: 2023
End of File: 2025
DOI: 10.1016/j.injury.2011.09.026
Number of Pages: 3
Web of Science Category: Critical Care Medicine; Emergency Medicine; Orthopedics; Surgery
Subject Category: General & Internal Medicine; Emergency Medicine; Orthopedics; Surgery
Document Delivery Number: 028XM
Unique Article Identifier: WOS:000310458600010
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