Critical Care, Emergency Medicine, Transport, Stress, Psychological
Conditions
Keywords
Stress, Psychological, emergency Medicine, transport, critical care
Brief summary
Patient care who requires fast and intensive care by a mobile intensive care unit in a rescue helicopter is a common practice in Auvergne since more than 3 years. Indeed, a complete team (nurse and emergency physician) is on Dragon 63 and HeliSMUR 63 (SMUR = emergency medical services ). There are multiple fields of action, with a primary rescue activity (patient care directly at the site of the operation) but also secondary transport (transfer of patients from one hospital to another). This allows a reduction in transport time and therefore unavailability of the MICU team in general hospitals, which are in short supply of attending physicians. In addition, this allows patients to be repatriated to the Clermont-Ferrand University Hospital Center, which is the reference center for many pathologies and has the Level 3 adult and pediatric Trauma Center.
Detailed description
This is an observational study using a REDCap® questionnaire via an internet link, which will be distributed by any means (institution mailing lists via a referent, flash codes distributed to physicians, etc.). The questionnaire will assess the type of medicalisation, the type of activity, the different hours of intervention, the age, the type and the severity of the patient's disease, the type of care practiced and the stress of the physician.
Interventions
Patient care who requires flying transport
Sponsors
Study design
Eligibility
Inclusion criteria
* Every Emergency Physician that participate to the Helicopter rescue
Exclusion criteria
* Every Emergency Physician non-voluntary to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stress | Day 1 | stress level will be assessed by Visual Analog Scale (VAS) from 0 to 10 (0 the lowest stress and 10 the highest) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity of the disease | Day 1 | Severity of the disease that need MICU team for the care measure by Classification Clinique des Malades aux Urgence CCMU scale (1 to 5 ; 1 is the lowest problem and 5 the severest ; + P : Psychiatric + D : death at the arrival, no reanimation) |
| Duration of the care | Day 1 | Every schedules of the care : departure from Clermont-Ferrand University Hospital, arrival at the victim, departure from the accident or take care place, arrival at Clermont-Ferrand university hospital, time of the patient transmission, time of disponibility |
Countries
France