{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T01:50:18Z","timestamp":1786326618737,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMEG\u2010016R37\u20102022\u2010POWELL"],"award-info":[{"award-number":["EMEG\u2010016R37\u20102022\u2010POWELL"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Reliably defining the risk of adverse in\u2010flight events in aeromedical trauma patients could enable more informed pre\u2010departure treatment and guide central asset allocation to achieve better system\u2010level outcomes. Unfortunately, the current literature base specifically examining the in\u2010flight period is sparse. Flight duration is often considered a proxy for the risk of in\u2010flight deterioration; however, there is limited data to support this commonly held assumption. This paper examines the association between flight duration and the risk of in\u2010flight deterioration in aeromedical trauma patients. A total of 2927 cases of aeromedical transport for acute trauma were retrospectively examined, and the time to first hypotension was recorded. Cases were categorised as either primary or inter\u2010hospital transfer retrievals. Cases were also subclassified as being a primary Traumatic Brain Injury or not based on several criteria, including initial GCS. The median time to hypotension was 11.5\u2009min overall, 10\u2009min in primary retrieval cases, and 15\u2009min in inter\u2010hospital transfer cases (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.049). Notably, after approximately 50\u2009min, a significant plateau in cumulative risk was observed. Isolated TBI cases had a significantly higher overall rate of in\u2010flight hypotension, at 39.5% compared to 9.2%. Overall, this paper supports the physiologically plausible assumption that longer aeromedical transfer times are associated with an increased risk of deterioration during flight. It also demonstrates that deterioration tends to occur early in flight, raising questions as to why this might occur.\n                  <\/jats:p>","DOI":"10.1111\/1742-6723.70140","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T08:51:52Z","timestamp":1757580712000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["In\u2010Flight Deterioration Occurs Early in Aeromedical Trauma Patients"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4744-3944","authenticated-orcid":false,"given":"Benjamin","family":"Powell","sequence":"first","affiliation":[{"name":"Retrieval Services Queensland Queensland Health  Brisbane Queensland Australia"},{"name":"LifeFlight Medical  Brisbane Queensland Australia"},{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9041-9531","authenticated-orcid":false,"given":"Susanna","family":"Cramb","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Services Innovation School of Public Health &amp; Social Work, Queensland University of Technology  Brisbane Queensland Australia"},{"name":"Jamieson Trauma Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.06.055"},{"issue":"1","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"e000122","DOI":"10.1136\/tsaco-2017-000122","article-title":"Faster On\u2010Scene Times Associated With Decreased Mortality in Helicopter Emergency Medical Services (HEMS) Transported Trauma Patients","volume":"2","author":"Hannah P.","year":"2017","journal-title":"Trauma Surgery & Acute Care Open"},{"key":"e_1_2_11_4_1","unstructured":"\u201cInteresting Facts About Queensland: The State of Queensland \u201d(2017) https:\/\/www.qld.gov.au\/about\/about\u2010queensland\/statistics\u2010facts\/facts."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkv040"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cacc.2010.07.019"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2023.101855"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2024.05.006"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2024.09.002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.14413"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpem.2013.07.001"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41371-019-0196-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.10.1118"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.44465"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T06:58:21Z","timestamp":1761202701000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,11]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/1742-6723.70140"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70140","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,11]]},"assertion":[{"value":"2025-06-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70140"}}