Air Medical Transport of Trauma Patients

Hankins, Daniel

doi:10.1080/10903120600728748

Cited by 22 publications

(17 citation statements)

References 20 publications

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“…As described by others, a number of factors are required for judicious utilization of HEMS resources (e.g., medical oversight, cancellation by on-scene responders, strict utilization review). 30 Given the facts that rapid transport to trauma centers saves lives. 5 and that much of the U.S. population can reach Level I centers in a timely fashion only by HEMS, 4,31 appropriate use of helicopter resources is critical.…”

Section: Discussionmentioning

confidence: 99%

Helicopter Scene Response: Regional Variation in Compliance with Air Medical Triage Guidelines

Tiamfook-Morgan

Kociszewski²,

Browne

et al. 2008

Prehospital Emergency Care

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Section: Discussionmentioning

confidence: 99%

Helicopter Scene Response: Regional Variation in Compliance with Air Medical Triage Guidelines

Tiamfook-Morgan

Kociszewski²,

Browne

et al. 2008

Prehospital Emergency Care

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“…Ground EMS providers carry 20 different drugs but HEMS crews carry three times that number and can provide therapy such as blood transfusion and antibiotics for patients with open fractures [53]. Prehospital providers from some HEMS programs can provide advanced interventions such as tube thoracostomy; available evidence suggests that HEMS crew-placed chest tubes are as effective as, and no more likely to be associated with complications than, those placed in the hospital setting [54].…”

Section: Potential Hems Benefits To Patientsmentioning

confidence: 99%

“…Especially in rural areas, the only prehospital care available may be BLS level [53]. It has been noted that since “HEMS brings a level of care to a trauma scene or small referring hospital that is over and above care rendered by an ALS ground ambulance,” many procedures such as intubation (even for patients transferred from referring hospitals) are deferred to the HEMS crew [53].…”

Section: Potential Hems Benefits To Patientsmentioning

confidence: 99%

Helicopter EMS: Research Endpoints and Potential Benefits

Thomas

Arthur

2012

Emergency Medicine International

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Patients, EMS systems, and healthcare regions benefit from Helicopter EMS (HEMS) utilization. This article discusses these benefits in terms of specific endpoints utilized in research projects. The endpoint of interest, be it primary, secondary, or surrogate, is important to understand in the deployment of HEMS resources or in planning further HEMS outcomes research. The most important outcomes are those which show potential benefits to the patients, such as functional survival, pain relief, and earlier ALS care. Case reports are also important “outcomes” publications. The benefits of HEMS in the rural setting is the ability to provide timely access to Level I or Level II trauma centers and in nontrauma, interfacility transport of cardiac, stroke, and even sepsis patients. Many HEMS crews have pharmacologic and procedural capabilities that bring a different level of care to a trauma scene or small referring hospital, especially in the rural setting. Regional healthcare and EMS system's benefit from HEMS by their capability to extend the advanced level of care throughout a region, provide a “backup” for areas with limited ALS coverage, minimize transport times, make available direct transport to specialized centers, and offer flexibility of transport in overloaded hospital systems.

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“…2,3 Helicopter evacuation of wounded soldiers was expanded in the Korean War and continues to be a main mode of transport in military conflicts to this day. 4 Several civilian models of helicopter transport were adopted in the early 1970s and have become so very imbedded in our EMS dogma that now, many cities have more than one air ambulance service available for their patients to get from the scene of a trauma to an accepting institution (primary transport) or even from the accepting institution to a tertiary care center (secondary transport). 5 The hypothesis of our study was that within our patient population, there exists a cohort of minimally injured patients not benefiting from helicopter transport that could safely be transferred from outlying institutions to our tertiary center.…”

mentioning

confidence: 99%