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A critical care helicopter system in trauma
Journal of the National Medical Association
|November 1, 1989
Summary
Emergency medical services utilizing civilian helicopters have grown rapidly, necessitating a closer look at patient eligibility, crew composition, and safety protocols. Further research is needed to optimize care and minimize risks for trauma patients transported by air.
Area of Science:
- Emergency Medicine
- Aviation Safety
- Healthcare Management
Background:
- Civilian helicopter emergency medical services (HEMS) have operated for approximately 15 years in the US.
- Rapid expansion and increased accidents have led to scrutiny of HEMS programs.
- HEMS demonstrate patient benefit but require further definition of patient selection and crew impact.
Observation:
- The types and severity of injuries qualifying patients for helicopter transport need clearer definition.
- The optimal composition of medical crews and the specific contributions of each member require ongoing evaluation.
- Key questions persist regarding the number of pilots per helicopter and program-wide staffing.
Findings:
- HEMS play a crucial role in delivering care to trauma patients.
- Staff training, crew evaluation, and adherence to safety criteria are paramount.
- Recommendations are provided to mitigate risks for both patients and HEMS crews.
Implications:
- Optimizing patient selection criteria can enhance HEMS effectiveness.
- Standardizing crew composition and training can improve patient outcomes.
- Implementing robust safety protocols is essential for sustainable HEMS operations.