Trauma systems and medical helicopters in the UK

Leaman, A M; Nutbeam, Tim

doi:10.1016/j.injury.2010.06.001

Cited by 8 publications

(10 citation statements)

References 6 publications

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“…Missions include primary and secondary (inter‐hospital) missions for both medical emergencies and trauma, but also search and rescue (SAR), patients with minor injuries in the mountains, and inter‐hospital incubator transports of newborns 3. This role is in contrast to many international HEMS that are limited only to operating during daytime, responding to trauma, or performing inter‐hospital transfers 4, 5, 6. Several HEMS have published their experiences,4, 5, 7, 8, 9, 10, 11 but comparing such services is challenging 12.…”

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confidence: 99%

Helicopter‐based emergency medical services for a sparsely populated region: A study of 42,500 dispatches

Østerås

Brattebø

Heltne

2015

Acta Anaesthesiol Scand

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BackgroundThe 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 alternative, cover close to 1 million inhabitants in an area of 45,000 km2. Our objective was to assess patterns of emergency medical problems and treatments in HEMS in a geographically large, but sparsely populated region.MethodsData from all HEMS dispatches during 2004–2013 were assessed retrospectively. Information was analyzed with respect to patient treatment and characteristics, in addition to variations in services use during the day, week, and seasons.ResultsA total of 42,456 dispatches were analyzed. One third of the patients encountered were severely ill or injured, and two thirds of these received advanced treatment. Median activation time and on‐scene time in primary helicopter missions were 5 and 11 min, respectively. Most patients (95%) were reached within 45 min by helicopter or rapid response car. Patterns of use did not change. More than one third of all dispatches were declined or aborted, mostly due to no longer medical indication, bad weather conditions, or competing missions.ConclusionOne third of the patients encountered were severely ill or injured, and more than two thirds of these received advanced treatment. HEMS use did not change over the 10‐year period, however HEMS use peaked during daytime, weekends, and the summer. More than one third of all dispatches were declined or aborted.

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confidence: 99%

Helicopter‐based emergency medical services for a sparsely populated region: A study of 42,500 dispatches

Østerås

Brattebø

Heltne

2015

Acta Anaesthesiol Scand

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“…Ambulance helicopters are affected by strong winds, darkness, and weather conditions of winter (11)(12)(13). While 114 flights were performed with Erzurum as the take-off point, no flight with take-off point out of Erzurum was found during the same season.…”

Section: Resultsmentioning

confidence: 99%

The Characteristics of Patients Transferred by Helicopter Ambulance in Erzurum

Gür¹,

Bayramoğlu²,

Şahin³

2017

meandros

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ÖzAmaç: Erzurum'da helikopter ambulansla taşınan hastaların özelliklerinin analizinin araştırılmasıdır. Gereç ve Yöntemler: Helikopter ambulansla 2009 ile 2012 arasında taşınan hastaların kayıtlarını retrospektif olarak inceledik. Hastaların tıbbi, demografik, coğrafik ve uçuş verileri incelendi. Bulgular: Çalışmaya 347 hasta dahil edildi, 185'i erkek ve 162'si kadın idi. Hastaların 167'si (%48,4) 18-65 yaş arasındaydı. Yetişkin hastalar arasında en sık tanı erkeklerde 82 (%65,6) ile kadınlarda 43 (%34,4) ile medikal idi. Yazın taşınan hastaların 64'ü (%35) erkek, 50'si (%30,9) kadın; sonbaharda 54'ü (%29,5) erkek, 34'ü (%21) kadın; kışın 35'i (%19,1) erkek, 44'ü (%27,1) kadın; ilkbaharda 30'u (%16,4) erkek, 34'ü (%21) kadın idi. Sonuç: Yaşadıkları yerden bir tıbbi merkeze hava ambulansı ile hasta transferi yaygınlaşmaktadır. Uçak ve helikopter ambulans acil hizmetlerinin bir bölümü haline gelmektedir. Helikopter ile taşımanın hastaların taburculuklarını etkilediğine dair kanıtlara ulaşıldığından beri hava sağlık taşımacılığı hizmetleri ve sigorta şirketlerini hava ambulans sayısı son zamanlarda artmaktadır.Objective: To analyze the characteristics of patients transferred by ambulance helicopter in Erzurum. Materials and Methods:We retrospectively evaluated the records of patients transferred by ambulance helicopter between 2009 and 2012. Medical, demographics, geographic and flight data of the patients were all analyzed. Results: A total of 347 (185 male, 162 female) patients were included in the study. 167 patients (48.4%) aged between 18 and 65 years. In the adult patients, the most common diagnoses were medical conditions in 82 (65.6%) men and 43 (34.4%) women. The number of male and female patients transferred during the summer was 64 (35%) and 50 (30.9%); in autumn, 54 (29.5%) and 34 (21%); in winter, 35 (19.1%) and 44 (27.1%); and in the spring, 30 (16.4%) and 34 (21%), respectively. Conclusion: Transferring patients living far from medical centers by air ambulance has become common. Plane and helicopter ambulances have become a part of emergency services. Since evidence was obtained on the outcomes of patients affected positively by helicopter transfer, air health transfer services and the number of air ambulances covered by insurance companies have increased recently.Ad dress for Cor res pon den ce/Ya zış ma Ad re si: Sultan Tuna Akgöl Gür MD,

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“…The effectiveness of this type of organisation has not been formally evaluated. Much of the published work from the UK10 has been superseded by changes in practice and service delivery. In rural areas, there may be many circumstances where a helicopter is required because of geography or access issues rather than clinical priority.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, UK AA services only operate daytime HEMS flights, as regulated by the CAA 10. They must leave the site of a HEMS mission no later than 30 min after sunset.…”

Section: Discussionmentioning

confidence: 99%