{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T16:02:16Z","timestamp":1778774536770,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T00:00:00Z","timestamp":1700697600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2023,11,23]]},"abstract":"<jats:p>Background. Arrhythmias in patients during medical transport remain a challenge for medical personnel. Helicopter emergency medical service (HEMS) crews, as the only medical rescue teams in Poland to conduct rescue flights, keep detailed documentation of monitoring vital functions over short time intervals during the flight. Aims. The aim of this study was to determine the characteristics of cardiac arrhythmia in pediatric patients (up to 12\u2009years of age) transported by HEMS operatives, considering life-threatening rhythms and those that occur during out-of-hospital cardiac arrest (OHCA). Methods. The analysis of HEMS medical documentation covered 90345 missions carried out from 2011 to 2020. Among all activations, 820 cases of arrhythmias in pediatric patients up to 12\u2009years of age were extracted. Results. Missions for males accounted for 60% of all activations (n\u2009=\u2009492), while flights for females accounted for 40% (n\u2009=\u2009328). A statistically significant relationship between the number of HEMS flights and the season was demonstrated (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>p<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>0.015<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). During the study period, pediatric patients mostly experienced cardiac arrhythmias in the form of supraventricular tachycardia (sVT) (n\u2009=\u2009504). Asystole (n\u2009=\u2009178) and pulseless electrical activity (PEA) (n\u2009=\u200952) ranked second and third in terms of occurrence, respectively. A statistically significant relationship between the type of heart rhythm disorder and age was demonstrated (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>p<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>). Conclusions. Heart rhythm disorders most often affected children between 0 and 3\u2009years of age. As the patient\u2019s age increased, the incidence of arrhythmias decreased. Among pediatric patients, supraventricular tachycardia proved to be the predominant arrhythmia during the study period.<\/jats:p>","DOI":"10.1155\/2023\/2974648","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T18:20:06Z","timestamp":1700763606000},"page":"1-10","source":"Crossref","is-referenced-by-count":6,"title":["Arrhythmias Occurring in Children during HEMS Intervention: A Retrospective Cohort Study"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3408-3591","authenticated-orcid":true,"given":"Piotr Konrad","family":"Leszczy\u0144ski","sequence":"first","affiliation":[{"name":"Faculty of Medical Sciences and Health Sciences, University of Siedlce, Siedlce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arkadiusz","family":"Wejnarski","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences and Health Sciences, University of Siedlce, Siedlce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patryk","family":"Rzo\u0144ca","sequence":"additional","affiliation":[{"name":"Department of Human Anatomy, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Gajowniczek","sequence":"additional","affiliation":[{"name":"Emergency Medical Service, Mi\u0144sk Mazowiecki, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Ga\u0142\u0105zkowski","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences and Health Sciences, University of Siedlce, Siedlce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kryspin","family":"Mitura","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences and Health Sciences, University of Siedlce, Siedlce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daryna","family":"Sholokhova","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences and Health Sciences, University of Siedlce, Siedlce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s12013-015-0626-4"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpedi.2019.11.001"},{"key":"3","first-page":"1410","article-title":"8 wrze\u015bnia 2006 roku o Pa\u0144stwowym Ratownictwie Medycznym","volume":"191","author":"U. Z. Dnia","year":"2006","journal-title":"Journal of Laws of the Republic of Poland"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.12.044"},{"key":"5","first-page":"17","article-title":"Injuries of pedestrians involved in transport accidents, managed by HEMS teams in Poland","volume":"3","author":"P. Rzo\u0144ca","year":"2016","journal-title":"Journal of Public Health, Nursing and Medical Rescue"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-020-03267-2"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2005.10.004"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-015-1881-5"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-020-03267-2"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-019-02089-0"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.32114\/CCI.2019.2.3.19.26"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.32114\/CCI.2019.2.4.36.43"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.33963\/KP.15190"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17030705"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/109456"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.915759"},{"key":"17","first-page":"1703","article-title":"Rzeczypospolitej Polskiej, Rozporz\u0105dzenie Ministra Zdrowia z dnia 19 sierpnia 2019 r. w sprawie ramowych procedur obs\u0142ugi zg\u0142osze\u0144 alarmowych i powiadomie\u0144 o zdarzeniach przez dyspozytora medycznego","volume-title":"Journal of Laws of the Republic of Poland","author":"D. Ustaw"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.37190\/jot2021_03"},{"key":"19","article-title":"Mikrokr\u0105\u017cenie krwi, t\u0119tno i fala t\u0119tna. [Blood microcirculation, heart rate and pulse wave ]","volume":"2","author":"M. A. Czajkowska","year":"2014","journal-title":"Prob N Stosow"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-015-2689-z"},{"issue":"5","key":"21","first-page":"258","article-title":"Targeting tachycardia: diagnostic tips and tools","volume":"61","author":"D. Kireyev","year":"2012","journal-title":"Journal of Family Practice"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1007\/s00063-017-0268-y"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199904000-00004"},{"issue":"8","key":"24","first-page":"1","article-title":"Supraventricular tachydysrhythmias in the emergency department","volume":"22","author":"D. D. Clark","year":"2020","journal-title":"Emergency Medicine Practice"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.34763\/devperiodmed.20182202.179186"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.01.006"},{"issue":"2","key":"27","first-page":"1","article-title":"The paediatric trauma patient profile from the perspective of the emergency medical service","volume":"2","author":"D. Sholokhova","year":"2019","journal-title":"Critical Care Innovations"},{"issue":"2","key":"28","first-page":"69","article-title":"R\u00f3\u017cnicowanie wybranych odr\u0119bno\u015bci anatomicznych i fizjologicznych dziecka, w stanie zagro\u017cenia \u017cycia, terminologia, drogi oddechowe, oddychanie. [Differentiation of selected anatomical and physiological differences of a child in a life-threatening condition, terminology, respiratory tract, breathing]. Zak\u0142ad Medycyny Ratunkowej i Medycyny Katastrof, Katedra Anastezjologii i Intensywnej Terapii, Uniwersytet Medyczny w \u0141odzi","volume":"7","author":"P. Kluj","year":"2014","journal-title":"Ostry dy\u017cur"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.32114\/CCI.2020.3.2.29.42"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031232"}],"container-title":["Emergency Medicine International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2023\/2974648.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2023\/2974648.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2023\/2974648.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T18:20:21Z","timestamp":1700763621000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/emi\/2023\/2974648\/"}},"subtitle":[],"editor":[{"given":"Maciej","family":"Dyrbu\u015b","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,11,23]]},"references-count":30,"alternative-id":["2974648","2974648"],"URL":"https:\/\/doi.org\/10.1155\/2023\/2974648","relation":{},"ISSN":["2090-2859","2090-2840"],"issn-type":[{"value":"2090-2859","type":"electronic"},{"value":"2090-2840","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11,23]]}}}