Publications by authors named "I Pulkkinen"
Article Synopsis
- An emergent front of neck airway (FONA) is essential in 'can't intubate, can't oxygenate' scenarios and can sometimes be the primary airway management method; surgical techniques for FONA are generally preferred.
- This study analyzed FONA instances in Finnish helicopter emergency medical services (HEMS) from 2012 to 2019, finding a low overall incidence, with only 22 cases reported.
- Although FONA was successful in all attempts, on-scene mortality was notable at 36%, and 30-day mortality reached 90%, highlighting the serious nature of situations requiring this intervention.*
Background: Trauma is the leading cause of death especially in children and young adults. Prehospital care following trauma emphasizes swift transport to a hospital following initial care. Previous studies have shown conflicting results regarding the effect of time on the survival following major trauma.
View Article and Find Full Text PDFObjectives: This study aimed to describe the short-term and long-term mortality of patients treated by prehospital critical care teams in Finland.
Design And Setting: We performed a registry-based retrospective study that included all helicopter emergency medical service (HEMS) dispatches in Finland from 1 January 2012 to 8 September 2019. Mortality data were acquired from the national Population Register Centre to calculate the standardised mortality ratio (SMR).
Background: Helicopter Emergency Medical Services (HEMS) play an important role in prehospital care of the critically ill. Differences in funding, crew composition, dispatch criteria and mission profile make comparison between systems challenging. Several systems incorporate databases for quality control, performance evaluation and scientific purposes.
View Article and Find Full Text PDFImpact of icing weather conditions on the patients in helicopter emergency medical service: a prospective study from Northern Finland.
Scand J Trauma Resusc Emerg Med
February 2019
Background: A high number of denied or cancelled HEMS missions are caused by poor weather conditions especially during winter season. Furthermore, many helicopter manufacturers have denied their helicopters to be operated in known icing conditions. Icing is a widely known phenomenon in aviation, but there is a lack of evidence about its influence on HEMS operations and patients.
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