[A single nighttime trauma helicopter does not represent a significant improvement in emergency assistance]

The medical benefits of nighttime missions by one single helicopter emergency medical service for trauma patients in the Netherlands are probably outweighed by the high risk for the crew and the general obstacles to nighttime flight operations. It is doubtful whether one nighttime trauma helicopter will have a favourable effect on the morbidity and mortality due to major trauma in the Netherlands. However, extending the role of regional centres in pre-hospital emergency medicine could be an approach to achieving long-term improvements in trauma care.