Does the potential for organ donation justify scene flights for gunshot wounds to the head?

Christine S Cocanour, C. Ursic, R. P. Fischer

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: The goal of this study was to evaluate helicopter transport to an urban level I trauma center from the scene of injury for patients with self-inflicted gunshot wounds to the head. Design: This study is a retrospective review of the prehospital, hospital, and billing records. Measurements and Main Results: Despite the fact that 10 of 28 patients (36%) had an airway established by the medical flight crews, scene flights did not enhance survival. Twenty-seven of 28 patients (96%) died. The remaining patient's survival could not be attributed to the scene flight. We estimated that 27 of 28 patients would have arrived at the trauma center sooner if they had been transported by the first-responder emergency medical services ground unit. Flight service charges were approximately one-third of the hospital charges. As a group, patients with a self-inflicted gunshot wound to the head had the highest rate of organ donation in this trauma center (26%). Twenty- nine organs were harvested from the seven donors. Conclusions: The use of helicopter scene flights from the scene of injury fur patients with a self- inflicted gunshot wound to the head provides no medical advantage to the victims, but provides a high-yield source of desperately needed organs. The prompt establishment of an airway in the field may prolong patient survival long enough to allow evaluation for organ donation. Helicopter transport of these patients is justified only as a means of rapidly delivering the personnel capable of providing advanced airway skills to the scene. Patients requiring CPR in the field after isolated gunshot wounds to the head will nut live long enough in become organ donor candidates; therefore, there is no benefit to helicopter transport for these patients.

Original languageEnglish (US)
Pages (from-to)968-970
Number of pages3
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume39
Issue number5
DOIs
StatePublished - 1995
Externally publishedYes

Fingerprint

Gunshot Wounds
Tissue and Organ Procurement
Head
Aircraft
Trauma Centers
Survival
Tissue Donors
Hospital Charges
Nuts
Hospital Records
Cardiopulmonary Resuscitation
Wounds and Injuries
Emergency Medical Services

ASJC Scopus subject areas

  • Surgery

Cite this

Does the potential for organ donation justify scene flights for gunshot wounds to the head? / Cocanour, Christine S; Ursic, C.; Fischer, R. P.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 39, No. 5, 1995, p. 968-970.

Research output: Contribution to journalArticle

@article{2687350f6e5d4ecab10ea910427d6a74,
title = "Does the potential for organ donation justify scene flights for gunshot wounds to the head?",
abstract = "Objective: The goal of this study was to evaluate helicopter transport to an urban level I trauma center from the scene of injury for patients with self-inflicted gunshot wounds to the head. Design: This study is a retrospective review of the prehospital, hospital, and billing records. Measurements and Main Results: Despite the fact that 10 of 28 patients (36{\%}) had an airway established by the medical flight crews, scene flights did not enhance survival. Twenty-seven of 28 patients (96{\%}) died. The remaining patient's survival could not be attributed to the scene flight. We estimated that 27 of 28 patients would have arrived at the trauma center sooner if they had been transported by the first-responder emergency medical services ground unit. Flight service charges were approximately one-third of the hospital charges. As a group, patients with a self-inflicted gunshot wound to the head had the highest rate of organ donation in this trauma center (26{\%}). Twenty- nine organs were harvested from the seven donors. Conclusions: The use of helicopter scene flights from the scene of injury fur patients with a self- inflicted gunshot wound to the head provides no medical advantage to the victims, but provides a high-yield source of desperately needed organs. The prompt establishment of an airway in the field may prolong patient survival long enough to allow evaluation for organ donation. Helicopter transport of these patients is justified only as a means of rapidly delivering the personnel capable of providing advanced airway skills to the scene. Patients requiring CPR in the field after isolated gunshot wounds to the head will nut live long enough in become organ donor candidates; therefore, there is no benefit to helicopter transport for these patients.",
author = "Cocanour, {Christine S} and C. Ursic and Fischer, {R. P.}",
year = "1995",
doi = "10.1097/00005373-199511000-00024",
language = "English (US)",
volume = "39",
pages = "968--970",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Does the potential for organ donation justify scene flights for gunshot wounds to the head?

AU - Cocanour, Christine S

AU - Ursic, C.

AU - Fischer, R. P.

PY - 1995

Y1 - 1995

N2 - Objective: The goal of this study was to evaluate helicopter transport to an urban level I trauma center from the scene of injury for patients with self-inflicted gunshot wounds to the head. Design: This study is a retrospective review of the prehospital, hospital, and billing records. Measurements and Main Results: Despite the fact that 10 of 28 patients (36%) had an airway established by the medical flight crews, scene flights did not enhance survival. Twenty-seven of 28 patients (96%) died. The remaining patient's survival could not be attributed to the scene flight. We estimated that 27 of 28 patients would have arrived at the trauma center sooner if they had been transported by the first-responder emergency medical services ground unit. Flight service charges were approximately one-third of the hospital charges. As a group, patients with a self-inflicted gunshot wound to the head had the highest rate of organ donation in this trauma center (26%). Twenty- nine organs were harvested from the seven donors. Conclusions: The use of helicopter scene flights from the scene of injury fur patients with a self- inflicted gunshot wound to the head provides no medical advantage to the victims, but provides a high-yield source of desperately needed organs. The prompt establishment of an airway in the field may prolong patient survival long enough to allow evaluation for organ donation. Helicopter transport of these patients is justified only as a means of rapidly delivering the personnel capable of providing advanced airway skills to the scene. Patients requiring CPR in the field after isolated gunshot wounds to the head will nut live long enough in become organ donor candidates; therefore, there is no benefit to helicopter transport for these patients.

AB - Objective: The goal of this study was to evaluate helicopter transport to an urban level I trauma center from the scene of injury for patients with self-inflicted gunshot wounds to the head. Design: This study is a retrospective review of the prehospital, hospital, and billing records. Measurements and Main Results: Despite the fact that 10 of 28 patients (36%) had an airway established by the medical flight crews, scene flights did not enhance survival. Twenty-seven of 28 patients (96%) died. The remaining patient's survival could not be attributed to the scene flight. We estimated that 27 of 28 patients would have arrived at the trauma center sooner if they had been transported by the first-responder emergency medical services ground unit. Flight service charges were approximately one-third of the hospital charges. As a group, patients with a self-inflicted gunshot wound to the head had the highest rate of organ donation in this trauma center (26%). Twenty- nine organs were harvested from the seven donors. Conclusions: The use of helicopter scene flights from the scene of injury fur patients with a self- inflicted gunshot wound to the head provides no medical advantage to the victims, but provides a high-yield source of desperately needed organs. The prompt establishment of an airway in the field may prolong patient survival long enough to allow evaluation for organ donation. Helicopter transport of these patients is justified only as a means of rapidly delivering the personnel capable of providing advanced airway skills to the scene. Patients requiring CPR in the field after isolated gunshot wounds to the head will nut live long enough in become organ donor candidates; therefore, there is no benefit to helicopter transport for these patients.

UR - http://www.scopus.com/inward/record.url?scp=0028783542&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028783542&partnerID=8YFLogxK

U2 - 10.1097/00005373-199511000-00024

DO - 10.1097/00005373-199511000-00024

M3 - Article

C2 - 7474016

AN - SCOPUS:0028783542

VL - 39

SP - 968

EP - 970

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 5

ER -