Letters |

Helicopter vs Ground Transportation for Patients With Trauma

Debraj Mukherjee, MD, MPH; Miriam Nuno, PhD; Chirag G. Patil, MD, MS
JAMA. 2012;308(6):563-565. doi:10.1001/jama.2012.7774.
Text Size: A A A
Published online


To the Editor: The study by Dr Galvagno and colleagues1 focused on the association between helicopter vs ground EMS and survival among patients older than 15 years of age with Injury Severity Scores (ISSs) higher than 15 using the NTDB. While the authors attempted to control and adjust for multiple confounders within their analysis, there remain several areas of concern.

Although the authors selected an ISS score of 15 to define their threshold for severe injury (based primarily on work from the 1970s and 1980s2,3), more recent studies4 have demonstrated an ISS score of 8 is a more sensitive threshold to capture equally severe injury. Inclusion of a sensitivity analysis using this lower threshold may have strengthened the analysis.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




August 8, 2012
M. Kit Delgado, MD, MS; Craig D. Newgard, MD, MPH; Renee Y. Hsia, MD, MSc
JAMA. 2012;308(6):563-565. doi:10.1001/jama.2012.7770.
August 8, 2012
Joseph Ting, MBBS, MSc(Lond), BMedSc
JAMA. 2012;308(6):563-565. doi:10.1001/jama.2012.7772.
August 8, 2012
Brian P. Walcott, MD; Brian V. Nahed, MD; Jean-Valery Coumans, MD
JAMA. 2012;308(6):563-565. doi:10.1001/jama.2012.7776.
August 8, 2012
Samuel M. Galvagno, DO, PhD; Susan P. Baker, MPH; Adil H. Haider, MD, MPH
JAMA. 2012;308(6):563-565. doi:10.1001/jama.2012.7778.
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...