title: The influence of the mode of emergency ambulance transportation on the emergency patient's outcome.
abstract: Emergency transport by an ambulance can cause considerable psychical and physical stress for patients. We determined the haemodynamic and endocrinological values of 54 healthy volunteers subjected to one high speed emergency transport and one smooth transport. There were significant differences in all measurements: heart rate (p < or = 0.001), blood pressure, cortisol (p < or = 0.01), prolactin, somatotropine and ACTH between the two modes of transportation. We hypothesize that the additional stress of high speed ambulance transport particularly in patients with acute cardiac disease may result in additional morbidity.
authors.affiliation: Department of Surgery, Herz-Jesu Hospital Fulda, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Witzel
authors.forename: H
authors.initials: H
authors.lastname: Hoppe
authors.forename: C
authors.initials: C
authors.lastname: Raschka
mesh_terms: D000324:Adrenocorticotropic Hormone / Q000097:blood*; D000328:Adult; D000552:Ambulances; D004630:Emergencies; D005260:Female; D005858:Germany; D006439:Hemodynamics; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D008297:Male; D008875:Middle Aged; D013312:Stress, Physiological / Q000097:blood / Q000209:etiology* / Q000503:physiopathology
chemical_list: D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone