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This study compared helicopter emergency medical services (HEMS) utilization against established guidelines. Wisconsin HEMS guidelines were met significantly less often than those from NAEMSP and CAMTS.

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Area of Science:

  • Emergency Medicine
  • Healthcare Management

Background:

  • Helicopter Emergency Medical Services (HEMS) utilization involves complex decision-making.
  • Guidelines from professional associations aid HEMS providers in transport decisions.

Purpose of the Study:

  • To evaluate HEMS requests against current utilization guidelines.
  • To compare adherence to Wisconsin HEMS, NAEMSP, and CAMTS criteria.

Main Methods:

  • Retrospective chart review of 514 HEMS cases over six months.
  • Assessment of transport criteria adherence based on Wisconsin HEMS, NAEMSP, and CAMTS guidelines.
  • Categorization of charts based on guideline compliance.

Main Results:

  • CAMTS (85.4%) and NAEMSP (83.4%) guidelines were met more frequently than Wisconsin HEMS (53.1%).
  • Significant differences in guideline adherence were found between Wisconsin HEMS and both NAEMSP and CAMTS (p<0.0001).
  • No significant difference in adherence was observed between NAEMSP and CAMTS guidelines.

Conclusions:

  • Wisconsin HEMS utilization criteria differ significantly from NAEMSP and CAMTS guidelines.
  • NAEMSP and CAMTS guidelines demonstrate comparable adherence rates for HEMS transport.
  • Guideline alignment is crucial for consistent HEMS utilization.