This review looks at the indications for the use of aircraft in medical transfers, the planning required and the potential problems specific to aeromedical transfers. Additionally some relevant aspects of flight and meteorological factors are discussed. The focus of this review is on the transport of civilians. The authors acknowledge the huge number of complex transfers that are presently being undertaken by the military. Although much of the review is relevant to this population group, it is not our intention to discuss these transfers specifically.

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The results of a prospective analysis of one year's surgery on inpatients in a busy community hospital showed that a high quality of surgery may be achieved with safety and low rates of complications. The results of a retrospective analysis of certain aspects of surgery was just as encouraging. Surgery that is performed in a community hospital is convenient for the patient, provides continuity of care by the general practitioner, and waiting list times are short. Surgical facilities can form an integral part of the comprehensive service provided by a community hospital and can lighten the caseload for minor surgery at the district general hospital. Close liaison between the two hospitals is essential.

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