{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:45:01Z","timestamp":1747172701245,"version":"3.40.5"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"S2","license":[{"start":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T00:00:00Z","timestamp":1603238400000},"content-version":"unspecified","delay-in-days":50,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2020,9]]},"abstract":"ABSTRACT<\/jats:title>Objectives<\/jats:title>We aimed to determine the rate of adverse events during interfacility transport of cardiac patients identified as low risk by a consensus-derived screening tool and transported by primary care flight paramedics (PCP(f)).<\/jats:p><\/jats:sec>Methods<\/jats:title>We conducted a health records review of adult patients diagnosed with a cardiac condition who were identified as low risk by the screening tool and transported by PCP(f). We excluded patients transported by an advanced care crew, those accompanied by a clinical escort from hospital, and those transported from a scene call, by rotary wing or ground vehicle. We recorded patient and transportation parameters using a piloted-standardized collection tool. We defined adverse events during transport a priori. We report descriptive statistics using mean (standard deviation), [range], (percentage).<\/jats:p><\/jats:sec>Results<\/jats:title>We included 400 patients: mean age 66.9 years old, 66.5% male. Mean transport duration was 136.2 (74.9) minutes. Most common comorbidities were hypertension (50.3%) and coronary artery disease (39.5%). Most transports originated out of Northern Ontario and were for cardiac catheterization (61.8%) or coronary artery bypass grafting (26.8%). Overall, the adverse event rate was low (0.3%), with no serious event such as cardiac arrest, death, or airway intervention.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>A screening tool can identify cardiac patients at low risk for clinical deterioration during air-medical transport. We believe patients screened with this tool can be transported safely by a PCP(f) crew, leading to potentially significant resource savings.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2019.459","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T14:25:51Z","timestamp":1603290351000},"page":"S38-S44","source":"Crossref","is-referenced-by-count":0,"title":["Can a screening tool safely identify low risk cardiac patients to be transported with primary care flight paramedics?"],"prefix":"10.1007","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7213-9672","authenticated-orcid":false,"given":"Justin","family":"Godbout","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean W.","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Sawadsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Pan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Vaillancourt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"S1481803519004597_ref14","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0196-0644(87)80287-1","article-title":"Emergency aeromedical transport of patients with acute myocardial infarction","volume":"16","author":"Kaplan","year":"1987","journal-title":"Ann Emerg Med"},{"doi-asserted-by":"publisher","key":"S1481803519004597_ref8","DOI":"10.1016\/0735-6757(88)90243-4"},{"unstructured":"ORNGE. Ornge Fact Sheet. [Internal Document]. Toronto: 2018. Available at: https:\/\/www.ornge.ca\/Media\/Ornge\/Documents\/Media\/Ornge-Factsheet.pdf (accessed November 15, 2019).","key":"S1481803519004597_ref11"},{"doi-asserted-by":"publisher","key":"S1481803519004597_ref15","DOI":"10.1016\/0002-9149(88)91054-5"},{"doi-asserted-by":"publisher","key":"S1481803519004597_ref6","DOI":"10.1378\/chest.124.5.1937"},{"doi-asserted-by":"publisher","key":"S1481803519004597_ref9","DOI":"10.1503\/cmaj.080886"},{"doi-asserted-by":"publisher","key":"S1481803519004597_ref7","DOI":"10.3109\/10903127.2010.541978"},{"key":"S1481803519004597_ref5","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1017\/cem.2018.452","article-title":"Safety and clinically important events in PCP-initiated STEMI bypass in Ottawa","volume":"20","author":"Mitchell","year":"2019","journal-title":"CJEM"},{"key":"S1481803519004597_ref13","doi-asserted-by":"crossref","first-page":"292","DOI":"10.3109\/10903121003760192","article-title":"Air ambulance transport times and advanced cardiac life support interventions during the interfacility transfer of patients with acute ST-segment elevation myocardial infarction","volume":"14","author":"Youngquist","year":"2010","journal-title":"Prehosp Emerg Care"},{"volume-title":"To Err is Human: Building a Safer Health System","year":"2000","author":"Kohn","key":"S1481803519004597_ref12"},{"key":"S1481803519004597_ref10","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1017\/cem.2017.392","article-title":"Can a single primary care paramedic configuration safely transport low-acuity patients in air ambulances?","volume":"20","author":"Tien","year":"2017","journal-title":"CJEM"},{"key":"S1481803519004597_ref3","doi-asserted-by":"crossref","first-page":"S483","DOI":"10.1161\/CIR.0000000000000263","article-title":"Part 9: acute coronary syndromes: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care","volume":"132","author":"O'Connor","year":"2015","journal-title":"Circulation"},{"doi-asserted-by":"publisher","key":"S1481803519004597_ref2","DOI":"10.1186\/cc7883"},{"key":"S1481803519004597_ref4","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S0735-6757(99)90043-8","article-title":"Helicopter transport of patients to tertiary care centers after cardiac arrest","volume":"17","author":"Werman","year":"1999","journal-title":"Am J Emerg Med"},{"key":"S1481803519004597_ref1","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1161\/01.CIR.0000063680.45780.A0","article-title":"Regionalization of care for acute ischemic heart disease","volume":"107","author":"Topol","year":"2003","journal-title":"Circulation"},{"key":"S1481803519004597_ref16","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1111\/aas.13310","article-title":"Prehospital national early warning score predicts early mortality","volume":"63","author":"Pirneskoski","year":"2019","journal-title":"Acta Anaesthesiol Scand"}],"container-title":["CJEM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1481803519004597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T23:43:07Z","timestamp":1609458187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1481803519004597\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":16,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["S1481803519004597"],"URL":"https:\/\/doi.org\/10.1017\/cem.2019.459","relation":{},"ISSN":["1481-8035","1481-8043"],"issn-type":[{"type":"print","value":"1481-8035"},{"type":"electronic","value":"1481-8043"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}