Search and Rescue Helicopters for Emergency Medical Service Assistance: A Retrospective Study

Christensen, Rasmus; Ottosen, Camilla Ikast; Sonne, Asger; Noernberg, Bo; Juul, Anders Hagen; Steinmetz, Jacob; Rasmussen, Lars S.

doi:10.1016/j.amj.2021.03.001

Cited by 13 publications

(13 citation statements)

References 15 publications

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“…What has emerged, both from the interviews and from the studies conducted by Christensen [ 15 ] and Sutherland [ 16 ], is that military evacuation techniques involve operating in unsafe conditions, since one finds oneself evacuating personnel under enemy fire often in a hostile environment, and therefore the patient is not stabilized on the recovery site, as is often done in civilian life, but only when the advanced medical fields arrive, and therefore the treatments are also postponed. Furthermore, due to logistic issues, there is rarely a nurse in military helicopters.…”

Section: Discussionmentioning

confidence: 99%

“…The region of Sardinia, in collaboration with the HEMS, should design a better location for the helibases and helipads, in order to increase the level of operations and improve the service, also activating a night service which is currently only carried out for secondary interventions, such as intra-hospital transport. With his study, Christensen [ 15 ] dealt with the issue of the importance of the time factor in the administration of care, and also ascertained that with the helicopter, it is possible to reduce patient transport times. Carchietti also agrees on the same issue [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

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Study on the New Role of Civil and Military Air Rescue Nurses in the Italian Context

et al. 2023

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Context: An emergency medical nurse is a health professional who operates at a very high level in the field of emergencies. The nurses of the critical area departments of the Territorial Emergency Department currently operate in the Sardinian helicopter rescue service. The effectiveness of the treatment that these nurses administer can be attributed to the quality of the previous and recurrent training that this unit must undergo. Objective: This study’s aim was to investigate the role of civil and military helicopter nurses in the context of Italian medical aid. Methods: A qualitative study, with a phenomenological approach, was conducted by interviewing 15 emergency medical nurses, using detailed recordings and transcripts. These findings were then compared to understand how nurses work outside their department of origin, how their training has influenced their ability to establish themselves outside it, and thus their ability to become part of a context considered to be of the highest level. Participants and research context: The personnel interviewed in this study were those who were working in the helibases of Cagliari, Olbia, and Alghero. The limitations of this study are linked to the impossibility of obtaining an internship at a company, because, at the time of the study, an agreement between the university and the Areus company was not active. Ethical considerations: Participation in this research was completely voluntary. In fact, the participants could cease participating at any time. Results: This study revealed issues related to training, preparation, motivation to carry out the role held, nursing autonomy, the willingness to collaborate between the various rescue organizations, the use of the helicopter rescue service, and possible improvements for this service. Conclusions: civil air rescue nurses can deepen their knowledge by examining the work of military air rescue nurses, because, although the operational contexts are different, some techniques used in a hostile environment are also applicable to civilian environments. By doing so, nurses could become independent team leaders for all intents and purposes, managing their own training, preparation, and technical skills.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Study on the New Role of Civil and Military Air Rescue Nurses in the Italian Context

et al. 2023

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“…The technology integration can also help improve intelligent scheduling and management, achieving optimized allocation of rescue resources. Policy support and standard formulation are needed to ensure and improve 5G technology applications in the field of aviation medical rescue [25,26] . Industrial application expansion, 5G technology is applied to disaster rescue operations, traffic accident handling, and so forth.…”

Section: Discussionmentioning

confidence: 99%

Exploring 5G Key Technologies for Helicopter Aviation Medical Rescue

Han

Chen

et al. 2023

Preprint

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Purpose: This study aimed to explore the application of 5G key technologies in helicopter aviation medical rescue. Methods: This study used retrospective analysis to statistically analyze 11 aviation medical rescue cases at the Shenzhen University General Hospital from November 2019 to March 2023. To assess the time and efficiency of the rescue, we paid attention to the data such as flight time, distance, disease types, and rescue scenarios. The application of 5G low-altitude network communication technology, body area network disease sensing technology and 5G air-ground collaborative rapid diagnosis and treatment technology in aeromanical rescue was contrasted and explored. Results: The helicopter rescue flight distance was 60–600 kilometers, and the flight time was 10–136 min. The study used a 5G private network and 5G module vital sign monitoring equipment. The low-altitude 5G network had high communication quality and high-precision localization by the domestically produced Beidou. The air body area network technology used multi-pose mannequins, depth learning estimation algorithm, and encryption algorithm information entropy 7.9993. The encryption time was short. The 5G air-to-ground collaborative rapid diagnosis and treatment technology supported 5G direct connection, with a packet loss rate of 0.2%, and achieved 1080P high-definition multi-party remote consultation. Conclusions: The combination of helicopter rescue and 5G technology could significantly improve rescue efficiency, shorten response time, and achieve a remote diagnosis. The quality of low-altitude 5G network communication was high, and the domestic Beidou satellite high-precision positioning technology supported precise rescue. The airborne body area network disease perception technology adopted advanced human channel models and encryption algorithms to ensure timely and secure information. The 5G air-to-ground collaborative rapid diagnosis and treatment technology enabled high-quality remote consultation. Applying these innovative technologies might significantly enhance the ability of emergency medical rescue and provide strong support for future rescue operations.

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“…These missions are described elsewhere and were not included in this study. [10] The Danish Air Ambulance is dispatched following a criteria-based protocol based on 1) the 1-1-2 call, 2) onscene crew request, 3) inter-hospital transfers, and 4) non-critical missions to smaller islands not connected by road to the mainland. [9,11] The dispatch criteria include major trauma and mass casualty, drowning, diving incidents, and time-critical conditions such as acute myocardial infarction, out-ofhospital cardiac arrest with return of spontaneous circulation (OHCA with ROSC), and stroke.…”

Section: Settingmentioning

confidence: 99%

Characteristics and critical care interventions in drowning patients treated by the Danish Air Ambulance from 2016-2021: a nationwide registry-based study with 30-day follow-up

Breindahl,

Wolthers,

Møller

et al. 2024

Preprint

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Background Improving oxygenation and ventilation in drowning patients early in the field is critical and may be lifesaving. The critical care interventions performed by physicians in drowning management are poorly described. The aim was to describe patient characteristics and critical care interventions with 30-day mortality as the primary outcome in drowning patients treated by the Danish Air Ambulance.Methods This retrospective cohort study with 30-day follow-up identified drowning patients treated by the Danish Air Ambulance from January 1, 2016, through December 31, 2021. Drowning patients were identified using a text-search algorithm (Danish Drowning Formula) followed by manual review and validation. Operational and medical data were extracted from the Danish Air Ambulance database. Descriptive analyses were performed comparing non-fatal and fatal drowning incidents with 30-day mortality as the primary outcome.Results Of 16,841 dispatches resulting in a patient encounter in the six years, the Danish Drowning Formula identified 138 potential drowning patients. After manual validation, 98 drowning patients were included in the analyses, and 82 completed 30-day follow-up. The prehospital and 30-day mortality rates were 28% and 67%, respectively. The National Advisory Committee for Aeronautics (NACA) severity scores from 4–7, indicating a critical emergency, were observed in 90% of the total population. They were significantly higher in the fatal vs non-fatal group (p < 0.01). At least one critical care intervention were performed in 68% of all drowning patients, with endotracheal intubation (62%), use of an automated chest compression device (41%), and intraosseous cannulation (39%) as the most frequently performed interventions. More interventions were generally performed in the fatal group (p = 0.01), including intraosseous cannulation and automated chest compressions.Conclusions The Danish Air Ambulance rarely treated drowning patients, but those treated were severely ill, with a 30-day mortality rate of 67% and frequently required critical care interventions. The most frequent interventions were endotracheal intubation, automated chest compressions, and intraosseous cannulation.

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Search and Rescue Helicopters for Emergency Medical Service Assistance: A Retrospective Study

Cited by 13 publications

References 15 publications

Study on the New Role of Civil and Military Air Rescue Nurses in the Italian Context

Study on the New Role of Civil and Military Air Rescue Nurses in the Italian Context

Exploring 5G Key Technologies for Helicopter Aviation Medical Rescue

Characteristics and critical care interventions in drowning patients treated by the Danish Air Ambulance from 2016-2021: a nationwide registry-based study with 30-day follow-up

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