Reporting Helicopter Emergency Medical Services in Major Incidents: A Delphi Study

Fattah, Sabina; Johnsen, Anne Siri; Sollid, Stephen J. M.; Wisborg, Torben; Rehn, Marius; Sóti, Ákos; Truhlář, Anatolij; Krüger, Andreas; Gunnarsson, Björn; Gryth, Dan; Ohlén, David; Fevang, Espen; Sunde, Geir Arne; Breitenmoser, Ivo; Kurola, Jouni; Nurmi, Jouni; Fredriksen, Knut; Rognås, Leif; Temesvári, Péter; Mikkelsen, Søren; Magnússon, Vidar; Voelckel, Wolfgang G.

doi:10.1016/j.amj.2016.08.003

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…A recent systematic review indicated a need for more knowledge on the role of Helicopter Emergency Medical Services (HEMS) in major incidents [ 15 ]. This lead to a consensus process being undertaken to create a HEMS major incident reporting template [ 16 ]. This template is also now available on majorincidentreporting.net.…”

Section: Introductionmentioning

confidence: 99%

Trials and tribulations: how we established a major incident database

Hardy

Fattah

2017

Scand J Trauma Resusc Emerg Med

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ObjectiveWe describe the process of setting up a database of major incident reports and its potential future application.MethodA template for reporting on major incidents was developed using a consensus-based process involving a team of experts in the field. A website was set up as a platform from which to launch the template and as a database of submitted reports. This paper describes the processes involved in setting up a major incident reporting database. It describes how specific difficulties have been overcome and anticipates challenges for the future.ConclusionsWe have successfully set up a major incident database, the main purpose of which is to have a repository of standardised major incident reports that can be analysed and compared in order to learn from them.

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Section: Introductionmentioning

confidence: 99%

Trials and tribulations: how we established a major incident database

Hardy

Fattah

2017

Scand J Trauma Resusc Emerg Med

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“…HEMS is a limited and expensive resource that requires very skilled and trained personnel [ 15 ], so doing an entire scientific evaluation of its use and its potential benefits is so important and essential in incident management. The most important component of preparedness during incidents is to hold maneuvers and exercises [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…HEMS is a limited and costly system that needs skilled and trained staff. So, doing an entire scientific evaluation is essential to its use and its potential benefits [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Factors affecting the preparedness of Helicopter Emergency Medical Services (HEMS) in disasters: a systematic review

Hatami,

Marzaleh,

Bijani

et al. 2023

BMC Emerg Med

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Background One of the most significant advantages of Helicopter Emergency Medical Service (HEMS) in disaster relief efforts is their ability to reach inaccessible or remote areas quickly. This is especially important in the aftermath of natural disasters such as earthquakes, floods, or hurricanes, where roads may be blocked or damaged, and conventional ground transportation may not be available. There are many factors can affect the performance of Helicopter Emergency Medical Service (HEMS) in disasters. This study aims to investigate the factors affecting the Helicopter Emergency Medical Service (HEMS) in disasters. Methods The systematic search in Cochran Library, PubMed, Scopus, Science Direct, Web of Science, ProQuest, and Google Scholar databases between the first of January in 1975 and the thirty-first of May in 2023. The articles were selected based on the keywords of the authors. At last, the criteria were extracted from the selected ones. Results The primary search included 839 articles. After studying their title, abstract, and full context, only nine articles, including two qualitative and seven quantitative ones, were chosen for analysis. After analysis and extracting data from the final studies, the preparation factors were categorized into 6 general classes of human resources: training and practicing, management, instructions and standards, equipment, and structure. Among these, the role of training is highlighted by holding practice and maneuvers to improve and prepare the personnel and manage disasters and incidents. Conclusion The results obtained from this systematic review provide a total view of the factors affecting the preparation of the air ambulance during disasters and incidents. It is recommended that senior managers and policy makers use the findings of the present study to identify the factors which affect preparedness of HEMS in disasters and take the necessary measures to eliminate to obstacles.

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“…This compromises the opportunity to learn from such events and develop systems that could improve the response to future Major Incidents. Several Major Incident reporting templates have been published [ 18 ] and one online template has been developed to specifically assess the pre hospital response [ 2 , 19 ].…”

Section: Ehac Mwg Statementmentioning

confidence: 99%

EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents

Thompson

Rehn

Sollid

2018

Scand J Trauma Resusc Emerg Med

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BackgroundHelicopter EMS (HEMS) teams may perform a variety of clinical, managerial and transport functions during major incident management. Despite national and international variations in HEMS systems, the rapid delivery of HEMS personnel with advanced skills in major incident management and clinical scene leadership has been crucial to the delivery of an effective medical response at previous incidents. This document outlines the Best Practice Advice of the European HEMS and Air Ambulance Committee (EHAC) Medical Working Group on how HEMS and Pre Hospital Critical Care teams may maximise the positive impact of their resources in the event of Major Incidents.MethodsNarrative literature review and expert consensus.ResultsTo ensure a safe, coordinated and effective response, HEMS teams require suitable, proportionate and up to date major incident plans that are integrated into the major incident plans of other regional emergency and healthcare services. Role specific protocols, training and equipment should be adapted to the expected HEMS role in the major incident plan and likely regional threats. System and incident factors will influence HEMS utilisation during the major incident response and can include patient and staff transfer, equipment resupply, aerial assessment, search and rescue, clinical leadership and advanced care. During the recovery phase of a major incident there is a need to ensure restoration of conventional service and address the welfare of involved HEMS personnel. Standardised reporting of major incidents is strongly recommended for clinical governance, legal and research reasons.ConclusionsThe rapid delivery of HEMS personnel with advanced skills in Major Incident management and clinical scene leadership is crucial to the delivery of an effective medical response at Major Incidents.

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Reporting Helicopter Emergency Medical Services in Major Incidents: A Delphi Study

Cited by 7 publications

References 15 publications

Trials and tribulations: how we established a major incident database

Trials and tribulations: how we established a major incident database

Factors affecting the preparedness of Helicopter Emergency Medical Services (HEMS) in disasters: a systematic review

EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents

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