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Incidence and challenges of helicopter emergency medical service (HEMS) rescue missions with helicopter hoist operations: analysis of 11,228 daytime and nighttime missions in Switzerland
- Source :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 92 (2021), Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-8 (2021), Pietsch, Urs; Knapp, Jürgen; Mann, Michael; Meuli, Lorenz; Lischke, Volker; Tissi, Mario; Sollid, Stephen; Rauch, Simon; Wenzel, Volker; Becker, Stefan; Albrecht, Roland (2021). Incidence and challenges of helicopter emergency medical service (HEMS) rescue missions with helicopter hoist operations: analysis of 11,228 daytime and nighttime missions in Switzerland. Scandinavian journal of trauma, resuscitation and emergency medicine, 29(1), p. 92. BioMed Central 10.1186/s13049-021-00898-y
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Objective We aimed to investigate the medical characteristics of helicopter hoist operations (HHO) in HEMS missions. Methods We designed a retrospective study evaluating all HHO and other human external cargo (HEC) missions performed by Swiss Air-Rescue (Rega) between January 1, 2010, and December 31, 2019. Results During the study period, 9,963 (88.7 %) HEMS missions with HHO and HEC were conducted during the day, and 1,265 (11.3 %) at night. Of the victims with time-critical injuries (NACA ≥ 4), 21.1 % (n = 400) reached the hospital within 60 min during the day, and 9.1 % (n = 18) at night. Nighttime missions, a trauma diagnosis, intubation on-site, and NACA Score ≥ 4 were independently and highly significantly associated with longer mission times (p n = 3,731, 37.5 %) while practicing recreational activities (n = 5,492, 55.1 %). In daytime HHO missions, the most common medical interventions performed were insertion of a peripheral intravenous access (n = 3,857, 38.7 %) and administration of analgesia (n = 3,121, 31.3 %). Conclusions Nearly 20 % of patients who needed to be evacuated by a hoist were severely injured, and complex and lifesaving medical interventions were necessary before the HHO procedure. Therefore, only adequately trained and experienced medical crew members should accompany HHO missions.
- Subjects :
- Emergency Medical Services
Time Factors
Aircraft
medicine.medical_treatment
Crew
Sveits
Critical Care and Intensive Care Medicine
traumatologi
0302 clinical medicine
Rescue Work
Helicopter emergency medical service
Intubation
Hoist (device)
030212 general & internal medicine
Child
610 Medicine & health
Original Research
Aged, 80 and over
Incidence
Incidence (epidemiology)
Shift Work Schedule
Medical emergencies. Critical care. Intensive care. First aid
Middle Aged
Child, Preschool
11548 Clinic for Vascular Surgery
Emergency Medicine
Medical emergency
2706 Critical Care and Intensive Care Medicine
Switzerland
Adult
Adolescent
Peripheral intravenous
education
Young Adult
03 medical and health sciences
Medisinske Fag: 700 [VDP]
medicine
Humans
redningsarbeid
Aged
Retrospective Studies
HEMS
RC86-88.9
business.industry
Infant, Newborn
Infant
030208 emergency & critical care medicine
Retrospective cohort study
Air Ambulances
medicine.disease
Wounds and Injuries
Analgesia
2711 Emergency Medicine
business
luftambulanse
Subjects
Details
- ISSN :
- 17577241
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Accession number :
- edsair.doi.dedup.....25e680d8d5eefbda1ee9527c556ec4ab