Helicopter Emergency Medical Service in Tehran, Iran: A Descriptive Study

Hassani, Seyed Abbas; Moharari, Reza Shariat; Sarvar, Mohammad; Nejati, Amir; Khashayar, Patricia

doi:10.1016/j.amj.2012.05.001

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…This finding is in line with a number of inter national studies. [5,17,18] Patients involved in motor vehicle collisions may present with time-sensitive pathologies such as traumatic haemorrhage, polytrauma and traumatic brain injury. Cardiac cases (n=37, 6.9%) were the most common non-traumatic incident for both the Netcare 911 HEMS operations.…”

Section: Discussionmentioning

confidence: 99%

An analysis of patients transported by a private helicopter emergency medical service in South Africa

Muhlbauer

Hardcastle

2016

S Afr Med J

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Background.A helicopter emergency medical service (HEMS) is a specialist flying emergency service where on-board medical personnel have both the knowledge and equipment to perform complicated medical procedures. The paucity of literature describing the types of patients flown by HEMS in South Africa (SA) and their clinical outcome poses a challenge for current aeromedical services, as there is no baseline information on which to base flight criteria, staffing and policy documents. This has the potential to hamper the advancement of HEMS in SA. Objectives. To undertake a descriptive analysis of patients flown by the Netcare 911 HEMS over a 12-month period in Gauteng and KwaZulu-Natal (KZN) provinces, SA, and to assess patient outcomes. The clinical demographics of patients transported by the HEMS were analysed, time frames from dispatch of the helicopter to delivery of the patient to the receiving hospital determined, and patient outcomes at 24 hours and 72 hours analysed. Methods. The study utilised a retrospective quantitative, descriptive design to analyse patients transported by a private HEMS in SA. All complete records of patients transported by the Netcare 911 HEMS between 1 January and 31 December 2011 were included. Results. The final study population comprised 537 cases, as 10 cases had to be excluded owing to incomplete documentation. Of the 537 cases, 82 (15.3%) were managed by the KZN HEMS and 455 (84.7%) by the Gauteng HEMS. Adult males were the patients most commonly flown in both Gauteng and KZN (350/455 patients (76.9%) in Gauteng and 48/82 (58.5%) in KZN were males, and 364/455 patients (80.0%) in Gauteng and 73/82 (89.0%) in KZN were adults). Motor vehicle collisions were the most common incidents necessitating transport by HEMS in both operations (n=193, 35.9%). At the 24-hour follow-up, 339 patients (63.1%) were alive and stable, and at the 72-hour followup, 404 (75.3%) were alive and stable. Conclusions. The study findings provided valuable information that may have an impact on the current staffing and authorisation criteria of SA HEMS operations.

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Section: Discussionmentioning

confidence: 99%

An analysis of patients transported by a private helicopter emergency medical service in South Africa

Muhlbauer

Hardcastle

2016

S Afr Med J

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“…The rate of successful cardiopulmonary resuscitation in the finest emergency management worldwide ranges from 5% to 10% [9]. However, in Iran, reports have shown an average of 5% to 7%, owing to EMS response time [10].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Applying Global Positioning System in Ambulances on Response Time of Tehran Emergency Medical Service

Delshad

Shemshadi

Moradian

et al. 2016

HDQ

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Identification of the effective factors in reducing response time in prehospital emergency medical service (EMS) can assist in improving its services. This study aimed at reviewing the effect of applying global positioning system (GPS) on response time of Tehran EMS ambulances. Materials and Methods:Of 132 Tehran EMS stations, 24 ones were randomly selected, and relevant data, including the response time of all missions in 2009 (without GPS) and in 2011 (with GPS) as well as number of daily calls to each dispatch center were extracted. The average number of daily calls in the call centers were categorized into 3 groups as follows: I) ≤10 calls, II) 10 to 15 calls, and III) >15 calls. The statistical analysis of the obtained data was carried out by paired t test.Results: The findings revealed that the average response times in 2009 for the 3 groups (I, II, and III) were 10.11, 11.25, and 10.92 minutes, respectively. These times recorded for groups (I, II, and III) in 2011 were 9.86, 10.71, and 11.58 minutes, respectively, which were significantly less than the response times recorded in 2009 (P<0.001). Conclusion:This research has demonstrated that the application of GPS in the ambulances may be essential in the reduction of response time, especially in emergency stations with more average mission numbers.

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“…Time is also one of the important factors of environmental factors; according to studies, 36% of articles considered it as an important and influential factor in planning for the development of air relief bases. [ 17 21 23 25 [, 31 32 33 ]…”

Section: Resultsmentioning

confidence: 99%

“…Registered hospital data are used in descriptive studies and for extracting the number of patients transferred to hospitals. [ 25 ] They can also be used in the data analysis for optimal usage of an air ambulance to respond to events and to provide timely as well as safe response to medical emergencies by land and air ambulances. [ 23 ] Applying the information about the location of the mission is a standard solution for developing and determining the areas in need of air ambulance services.…”

Section: Resultsmentioning

confidence: 99%

Factors affecting development of air ambulance base: A systematic review and thematic analysis

Eskandari

Ghomian

Sohrabizadeh

et al. 2021

J Edu Health Promot

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Nowadays, air ambulances have been developed as part of advanced emergency medicine services with many countries employing these services for transferring patients in usual and emergency conditions. However, there are challenges concerning the optimal development of air ambulance base. The present research aimed to identify factors affecting the development of air ambulance bases to provide the opportunity of planning to improve the quality of emergency medical services. In this systematic literature review, the peer-reviewed papers in fiv electronic databases, including Medline through PubMed, Scopus, Web of Science, ScienceDirect, and ProQuest, as well as available gray literature, were searched and selected. Two combinations of groups were used as keywords: the Health Planning and development factor, air ambulance base. The focus was on the PRISMA checklist, with no time limitations until from 1990 to January 2020. Finally, through 5156 related citations, 20 articles were included. Descriptive and thematic content analyses were evaluated. The factors affecting the development of the air ambulance base were classified in fiv categories and 14 subcategories as follows: navigation criteria, process indications and standards, sociopolitical factors, and current situation of the area. There are few studies on factors affecting the development of air ambulance bases. It is necessary to apply multidimensional models to consider various factors for development. The development of high populated cities, events and ceremonies with a crowd of participants, and increase of human-made disasters are making these services increasingly indispensable.

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Helicopter Emergency Medical Service in Tehran, Iran: A Descriptive Study

Cited by 9 publications

References 20 publications

An analysis of patients transported by a private helicopter emergency medical service in South Africa

An analysis of patients transported by a private helicopter emergency medical service in South Africa

The Effect of Applying Global Positioning System in Ambulances on Response Time of Tehran Emergency Medical Service

Factors affecting development of air ambulance base: A systematic review and thematic analysis

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