Background Helicopter ambulances (HAs) are a significant component of pre-hospital emergency medical services. This study presents a report on the demographic and clinical factors associated with transport to the emergency department (ED) by HA of 161 patients to a single center in Turkey. Material/Methods Demographic data, diagnoses in arriving center’s ED, transferred distance, and outcomes of 161 patients transferred by HAs between March 01, 2019 and May 31, 2021 were retrospectively evaluated. Mortality rates of the cases were compared both with age and according to the distance traveled within the diagnostic groups. Results There were 134 patients (83.2%) with internal diseases, and cardiovascular diseases were the leading cause (68 patients, 41.6%); 27 patients (16.7%) were transferred due to trauma. The mean distance traveled with HAs was 167.1 km (range, 47.0–1316.0) and the median transfer time was 50 min. The most common form of hospitalization after ED arrival was intensive care hospitalization (n=78, 48.4%). Mortality increased as the transfer distance increased in elderly patients, as well as those with a cardiac or trauma-related diagnosis ( P =0.015, P =0.044, P =0.028, respectively). Conclusions Most patients transferred by HA had severe disease. ED physicians dealing with patient transfer by HAs should be prepared for severe cases, both in the HA and in the ED. HAs may be preferred when making the transfer decision for elderly patients, trauma patients, and those with cardiac disease.

Willingness to Respond (WTR) is the measurement of employees' preferences to come to work during off-hours when needed. Are these answers given before a disaster realistic? Another question of the study was, "Can we speed up the required staff to reach the hospital?" WTR survey has applied to emergency service staff. After that, the off-duty staff was called to work at a time they did not know beforehand. The study tried to identify how much WTR reflected the reality. Ninety of 98 (91.8%) participants whose surveys were evaluated answered "Yes" to "If you are called in case of disaster, would you come to duty?" question. When asked whether they will come to work according to disaster types, this rate was measured as 36.7% in "In the case of an infectious disease of which treatment is not clear". WTR surveys can be used to predict the level of participation of staff on off-hours in meeting the need for additional labor. These surveys' results can be expected to be similar to the labor participation rates in case of a real disaster and the arrival time of the staff at the hospital can be improved with new communication methods.

Objective: Besides the known co-morbidities, emergency department (ED) applications reveal an increasing trend due to the complications originating from the increase in the elderly population in the society. In addition, ED applications with psychiatric symptoms also continuously rise in numbers. Along these lines, in the current study, we focus on the fundamental causes associated with the ED applications of geriatric patients (> 64 years old ) with psychiatric symptoms. Materials and Methods: The patients who applied to our ED with psychiatric symptoms between February 2019 and August 2019 and who had a psychiatry consultation were evaluated retrospectively. The demographic data, co-morbidities, known psychiatric diseases, admission symptoms, and outcome diagnoses of the patients were recorded. The results were evaluated statistically. Results: A total of 43.2 % of male patients who were over the age of 65, and 43.3 % of female patients were admitted to our ED with the most common complaint of anxiety. No significant relations were detected between suicide attempts and the presence of psychiatric disease in elderly patients (p = 0.93). Delirium was the most common diagnosis in the geriatric population without any known psychiatric disease (n = 10). All patients were diagnosed with depression, delirium, and dementia, respectively, after the emergency psychiatric evaluation. Conclusion: Healthcare costs and morbidity-mortality rates of the senior patients with psychiatric symptoms can be significantly diminished upon the diagnosis of depression, delirium, and dementia via psychiatric examinations.