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Updated: May 15, 2026

Prehospital Thrombolysis: A Manual from Berlin

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Interhospital helicopter transport for stroke.

Timothy G Lukovits¹, Susannah L Von Iderstine, Reed Brozen

¹The Geisel School of Medicine at Dartmouth, Hanover, NH, USA. Timothy.G.Lukovits@Hitchcock.org

Air Medical Journal

|January 1, 2013

Summary

Helicopter Emergency Medical Services (HEMS) transport significantly increased access to acute stroke care in rural areas. This led to more patients receiving timely diagnostics and interventions, including advanced treatments.

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Area of Science:

Emergency Medicine
Neurology
Public Health

Background:

Air transport, specifically Helicopter Emergency Medical Services (HEMS), is recognized for its benefits in stroke patient care.
This study examines HEMS transport of stroke patients from a large rural area over two consecutive 3-year periods.

Purpose of the Study:

To describe stroke patients transported by HEMS to a specialized facility.
To compare trends in stroke patient demographics, diagnosis, treatment, and outcomes between two 3-year periods.

Main Methods:

Retrospective chart review of 347 patients transported by HEMS over 6 years.
Data analysis included patient demographics, pretransport imaging, final diagnosis, treatment, and outcomes.
Comparison of trends between January 2003–December 2005 and January 2006–December 2008.

Main Results:

Intracerebral hemorrhage (44%) and subarachnoid hemorrhage (24%) were the most common diagnoses.
Ischemic stroke/transient ischemic attack diagnoses tripled (4% to 12%, P < .05) between periods.
Increased use of prehospital intravenous tissue plasminogen activator (0% to 3%, P < .01) was observed.

Conclusions:

Most HEMS-transported stroke patients receive urgent specialized diagnostics or interventions.
Interhospital HEMS transport enhances access to critical stroke care in rural populations.