Blar i Bergen Open Research Archive på forfatter "Heltne, Jon-Kenneth"
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Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients
Sunde, Geir Arne; Heltne, Jon-Kenneth; Lockey, David; Burns, Brian; Sandberg, Mårten; Fredriksen, Knut; Hufthammer, Karl Ove; Soti, Akos; Lyon, Richard; Jäntti, Helena; Kämäräinen, Antti; Reid, Bjørn Ole; Silfvast, Tom; Harm, Falko; Sollid, Stephen J. M. (Peer reviewed; Journal article, 2015-08-07)Background. Despite numerous studies on prehospital airway management, results are difficult to compare due to inconsistent or heterogeneous data. The objective of this study was to assess advanced airway management from ... -
Capillary leakage in post-cardiac arrest survivors during therapeutic hypothermia - a prospective, randomised study
Heradstveit, Bård E.; Guttormsen, Anne Berit; Langørgen, Jørund; Hammersborg, Stig-Morten; Wentzel-Larsen, Tore; Fanebust, Rune; Larsson, Elna-Marie; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2010-05-25)Background: Fluids are often given liberally after the return of spontaneous circulation. However, the optimal fluid regimen in survivors of cardiac arrest is unknown. Recent studies indicate an increased fluid requirement ... -
Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences
Thomassen, Øyvind; Brattebø, Guttorm; Heltne, Jon-Kenneth; Søfteland, Eirik; Espeland, Ansgar (Peer reviewed; Journal article, 2010-12-20)Background: Checklists have been used extensively as a cognitive aid in aviation; now, they are being introduced in many areas of medicine. Although few would dispute the positive effects of checklists, little is known ... -
Cognitive function and health-related quality of life four years after cardiac arrest
Buanes, Eirik Alnes; Gramstad, Arne; Søvig, Karoline Kjellsdotter; Hufthammer, Karl Ove; Flaatten, Hans; Husby, Thomas; Langørgen, Jørund; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2015-04)Aim: Neuropsychological testing has uncovered cognitive impairment in cardiac arrest survivors with good neurologic outcome according to the cerebral performance categories. We investigated cognitive function and health-related ... -
Comparison of three different prehospital wrapping methods for preventing hypothermia - a crossover study in humans
Thomassen, Øyvind; Færevik, Hilde; Østerås, Øyvind; Sunde, Geir Arne; Zakariassen, Erik; Sandsund, Mariann; Heltne, Jon-Kenneth; Brattebø, Guttorm (Peer reviewed; Journal article, 2011-06-23)Background: Accidental hypothermia increases mortality and morbidity in trauma patients. Various methods for insulating and wrapping hypothermic patients are used worldwide. The aim of this study was to compare the thermal ... -
Comparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study.
Sørgjerd, Renate; Sunde, Geir Arne; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2019)Background: Intravenous access in critically ill and injured patients can be difficult or impossible in the field. Intraosseous access is a well-established alternative to achieve access to a noncollapsible vascular network. ... -
Emergency intraosseous access in a helicopter emergency medical service: a retrospective study
Sunde, Geir Arne; Heradstveit, Bård E.; Vikenes, Bjarne H.; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2010-10-07)Intraosseous access (IO) is a method for providing vascular access in out-of-hospital resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. Different intraosseous ... -
Factors influencing on-scene time in a rural Norwegian helicopter emergency medical service: A retrospective observational study
Østerås, Øyvind; Heltne, Jon-Kenneth; Vikenes, Bjarne H; Assmus, Jörg; Brattebø, Guttorm (Peer reviewed; Journal article, 2017-09-21)Background: Critically ill patients need to be immediately identified, properly managed, and rapidly transported to definitive care. Extensive prehospital times may increase mortality in selected patient groups. The on-scene ... -
Factors predicting the use of therapeutic hypothermia and survival in unconscious out-of-hospital cardiac arrest patients admitted to the ICU
Lindner, Thomas Werner; Langørgen, Jørund; Sunde, Kjetil; Larsen, Alf Inge; Kvaløy, Jan Terje; Heltne, Jon-Kenneth; Drægni, Tomas; Søreide, Eldar (Peer reviewed; Journal article, 2013-07-23)Introduction: Therapeutic hypothermia (TH) after out-of-hospital cardiac arrest (OHCA) was adopted early in Norway. Since 2004 the general recommendation has been to cool all unconscious OHCA patients treated in the intensive ... -
General practitioners not available – out-of-hospital emergency patients handled by anaesthesiologist in a large Norwegian municipality
Hauståker, Henrik; Østerås, Øyvind; Nystøyl, Dag Ståle; Heltne, Jon-Kenneth; Zakariassen, Erik (Journal article; Peer reviewed, 2021)Background Until autumn 2018 the GPs in Bergen Municipality did not attend emergency patients outside the emergency primary care centre. The ambulance staff handled emergencies on their own or were assisted by an ... -
Helicopter-based emergency medical services for a sparsely populated region: A study of 42,500 dispatches
Østerås, Øyvind; Brattebø, Guttorm; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2016-05)Background: The Helicopter Emergency Medical Service (HEMS) in Norway is operated day and night, despite challenging geography and weather. In Western Norway, three ambulance helicopters, with a rapid response car as an ... -
Hypoxia and hypotension in patients intubated by physician staffed helicopter emergency medical services - a prospective observational multi-centre study
Sunde, Geir Arne; Sandberg, Mårten; Lyon, Richard; Fredriksen, Knut; Burns, Brian; Hufthammer, Karl Ove; Røislien, Jo; Sóti, Ákos; Jäntti, Helena; Lockey, David; Heltne, Jon-Kenneth; Sollid, Stephen J. M. (Peer reviewed; Journal article, 2017-07-11)Background: The effective treatment of airway compromise in trauma and non-trauma patients is important. Hypoxia and hypotension are predictors of negative patient outcomes and increased mortality, and may be important ... -
Implementation of a low-titre whole blood transfusion program in a civilian helicopter emergency medical service
Sunde, Geir Arne; Bjerkvig, Christopher Kalhagen; Bekkevold, Marit; Kristoffersen, Einar Klæboe; Strandenes, Geir; Bruserud, Øyvind; Apelseth, Torunn Oveland; Heltne, Jon-Kenneth (Journal article; Peer reviewed, 2022-12-09)Background: Early balanced transfusion is associated with improved outcome in haemorrhagic shock patients. This study describes the implementation and evaluates the safety of a whole blood transfusion program in a civilian ... -
Implementation of checklists in health care; learning from high-reliability organisations
Thomassen, Øyvind; Espeland, Ansgar; Søfteland, Eirik; Lossius, Hans Morten; Heltne, Jon-Kenneth; Brattebø, Guttorm (Peer reviewed; Journal article, 2011-10-03)Background: Checklists are common in some medical fields, including surgery, intensive care and emergency medicine. They can be an effective tool to improve care processes and reduce mortality and morbidity. Despite the ... -
Laryngeal tube use in out-of-hospital cardiac arrest by paramedics in Norway
Sunde, Geir Arne; Brattebø, Guttorm; Ødegården, Terje; Kjernlie, Dag Frode; Rødne, Emma Sjøgren; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2012-12-18)Background: Although there are numerous supraglottic airway alternatives to endotracheal intubation, it remains unclear which airway technique is optimal for use in prehospital cardiac arrests. We evaluated the use of the ... -
Loss of life years due to unavailable helicopter emergency medical service: a single base study from a rural area of Norway
Zakariassen, Erik; Østerås, Øyvind; Nystøyl, Dag Ståle; Breidablik, Hans Johan; Solheim, Eivind; Brattebø, Guttorm; Ellensen, Vegard Skalstad; Hoff, Jana Midelfart; Hordnes, Knut; Aksnes, Arne; Heltne, Jon-Kenneth; Hunskaar, Steinar; Hotvedt, Ragnar (Peer reviewed; Journal article, 2019)Background: Despite the potential benefits of physician-staffed Helicopter Emergency Medical Service (HEMS), many dispatches to primary HEMS missions in Norway are cancelled before patient encounter. Information is sparse ... -
Pharmacokinetics of epinephrine during cardiac arrest: A pilot study
Heradstveit, Bård Einar; Sunde, Geir Arne; Asbjørnsen, Helge; Aalvik, Rune; Wentzel-Larsen, Tore; Heltne, Jon-Kenneth (Journal article; Peer reviewed, 2023)Aim of the study: Epinephrine has been recommended for several decades for the treatment of cardiac arrest. However, although this potent medicament has a documented impact on the return of spontaneous circulation, it does ... -
A pilot study of angiotensin converting enzyme (ACE) genotype and return of spontaneous circulation following out-of-hospital cardiac arrest
Lindner, Thomas Werner; Deakin, Charles D.; Aarsetøy, Hildegunn; Rubertsson, Sten; Heltne, Jon-Kenneth; Søreide, Eldar (Peer reviewed; Journal article, 2014-08-14)Objective: In the last few years the genetic influence on health and disease outcome has become more apparent. The ACE genotype appears to play a significant role in the pathophysiology of several disease processes. This ... -
Standardised data reporting from pre-hospital advanced airway management - a nominal group technique update of the Utstein-style airway template
Sunde, Geir Arne; Kottmann, Alexandre; Heltne, Jon-Kenneth; Sandberg, Mårten; Gellerfors, Mikael; Krüger, Andreas; Lockey, David; Sollid, Stephen J. M. (Peer reviewed; Journal article, 2018-06-04)Background: Pre-hospital advanced airway management with oxygenation and ventilation may be vital for managing critically ill or injured patients. To improve pre-hospital critical care and develop evidence-based guidelines, ... -
Targeted temperature management in cardiac arrest: survival evaluated by propensity score matching
Buanes, Eirik Alnes; Hufthammer, Karl O.; Langørgen, Jørund; Guttormsen, Anne-Berit; Heltne, Jon-Kenneth (Peer reviewed; Journal article, 2017)Background: Targeted temperature management in cardiac arrest was introduced following evidence of increased survival from two controlled trials published in 2002. We wanted to investigate whether the introduction of ...