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William G. Baxt, MD; Peggy Moody, RN

JAMA. 1987;257(23):3246-3250.

Abstract
To determine whether the presence of a physician in the prehospital setting influences patient outcome, the predicted mortality of 258 patients with blunt trauma treated and transported by a medical helicopter staffed by a flight nurse and flight paramedic was compared with that of 316 similar patients with blunt trauma treated and transported by a medical helicopter staffed by a flight nurse and flight physician. All patients were randomized between the two treatment teams. The mortality of the patients treated by the flight nurse/flight paramedic team was that predicted by the methodology. The mortality of the patients treated by the flight nurse/flight physician team was 35% lower than that predicted, and significantly lower than that of the flight nurse/flight paramedic—staffed helicopter.

(JAMA 1987;257:3246-3250)

Author Affiliations
From the Department of Emergency Medical Services, University of California, San Diego, Medical Center.

Footnotes
Reprint requests to Emergency Medical Services, H-665-A, University of California, San Diego, Medical Center, 225 Dickinson St, San Diego, CA 92103-1990 (Dr Baxt).

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