Related Experiment Video
Updated: Jan 1, 2026
05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
22.3K
Convulsion Treated by a Physician-Staffed Helicopter
Ken-Ichi Muramatsu1, Kauhiko Omori1, Yoshihiro Kushida1
1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Izunokuni, Shizouka, Japan.
Air Medical Journal
|December 18, 2019
Summary
Medical doctor helicopters (DH) effectively treat patients experiencing convulsions, leading to improved vital signs and reduced seizure frequency during transport. This study highlights the value of physician-staffed air medical services for emergency convulsive patient care.
Area of Science:
- Emergency Medicine
- Medical Transport
- Neurology
Background:
- Convulsive episodes require rapid medical intervention.
- Limited data exists on the efficacy of physician-staffed helicopter services for convulsive patients.
Purpose of the Study:
- To evaluate the impact of physician-staffed doctor helicopter (DH) transport on patients experiencing convulsions.
- To analyze changes in vital signs and clinical manifestations during DH transport.
- To assess patient outcomes following DH treatment for convulsions.
Main Methods:
- Retrospective analysis of 118 convulsive patients transported by a government-funded medical DH between January 2013 and December 2018.
- Data collection included patient demographics, seizure status upon contact, administered anticonvulsants, and vital signs before and after transport.
Main Results:
- All 118 patients survived; 50 had ongoing convulsions upon DH arrival.
- Anticonvulsants like diazepam and midazolam were frequently administered.
- Post-transport, convulsion frequency decreased significantly.
- Glasgow Coma Scale and oxygen saturation improved, while heart rate decreased.
Conclusions:
- Physician-staffed helicopter services are beneficial for on-scene treatment of convulsive patients.
- DH transport can stabilize patients and improve key physiological parameters.
- This approach enhances emergency care for severe convulsive events.
Related Concept Videos
01:30Electroconvulsive Therapy
706
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
706
01:26Flail Chest-II
464
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
464
01:29Venous Thrombosis III: Interprofessional Care
239
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
239
01:22Methods of reducing fever
1.2K
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
1.2K
01:22Aneurysm IV: Nursing Management
326
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
326
01:31Skeletal Muscle Relaxants: Therapeutic Uses
826
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
826