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Related Experiment Videos

Better trauma care. How Maryland does it.

John R Wish1, William B Long, Richard F Edlich

  • 1Lewis & Clark College, Portland, Oregon, USA. j.wish@comcast.net

Journal of Long-Term Effects of Medical Implants
|February 18, 2005
PubMed
Summary
This summary is machine-generated.

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Maryland

Area of Science:

  • Emergency Medical Services
  • Aviation Medicine
  • Public Health Systems

Background:

  • Established in 1970, Maryland's statewide airborne emergency medical system was pioneered by the Maryland State Police and the University of Maryland.
  • The system was inspired by military medical evacuation models, aiming to provide rapid transport for critically injured patients.
  • It represents a unique public service collaboration between state police and a major university hospital.

Purpose of the Study:

  • To describe the structure and function of Maryland's comprehensive emergency medical services (EMS) system.
  • To highlight the role of the Maryland State Police Aviation Division and the Maryland Institute for Emergency Medical Services Systems (MIEMSS).
  • To evaluate the effectiveness of this model system and advocate for its national replication.

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Main Methods:

  • The system integrates aircraft, state troopers, a central communications center (SYSCOM), ambulance/fire rescue services, and specialized trauma/burn centers.
  • Utilizes 12 Aerospace Dauphin AS365N helicopters staffed by pilots and paramedics, operating from eight strategic locations.
  • Funding is secured through an annual surcharge on automobile registrations.

Main Results:

  • The Maryland State Police Aviation Division operates a highly efficient medevac service, coordinating scene transport and patient referral to specialized care facilities.
  • MIEMSS oversees the system's components, ensuring seamless emergency medical care delivery.
  • An on-scene evaluation demonstrated successful critical care transport, exemplified by moving an injured child to a Level I Pediatric Trauma Center.

Conclusions:

  • Maryland's integrated EMS model, featuring a robust aviation division and centralized coordination, effectively serves citizens.
  • The system's success provides compelling evidence for its performance and potential for saving lives.
  • Replication of this exemplary emergency medical system nationwide could significantly improve outcomes for critically injured individuals.