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Demographics of Prehospital Helicopter EMS Responses in Rural Florida

Published online by Cambridge University Press:  28 June 2012

Eric Savitsky
Affiliation:
Resident Physician, University of Florida, Gainesville, Fla.
Howard Rodenberg*
Affiliation:
Assistant Professor, Division of Emergency Medicine, University of Florida College of Medicine; Medical Director, ShandsCair Flight Program, Shands Hospital at the University of Florida, Gainesville, Fla.
*
Box J-392 JHMHC, Division of Emergency Medicine, University of Florida College of Medicine, Gainesville, FL 32610USA

Abstract

Introduction:

Helicopter emergency medical service (HEMS) systems typically are described in terms of their role in the care and transport of trauma victims, while their function(s) in the care of patients with medical illness goes unrecognized.

Methods:

Review of 575 prehospital HEMS missions by a flight program located in rural, north-central Florida over a five-year period, was performed to define demographics regarding the nature of the call.

Results:

Scene responses for trauma victims comprised 63% of these missions, while patients with medical illnesses comprised 37%. The incidence of medical scene responses is significantly higher in this review than has been noted in previous reports.

Conclusion:

1) In rural settings, patients with medical illnesses comprise a major share of prehospital HEMS responses; 2) HEMS flight crews should be competent in treatment of prehospital medical patients, and their protocols reflect the needs of these patients; and 3) EMS providers must be aware of the role of HEMS in the transport of the medical patient.

Type
Brief Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1992

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References

1. Baxt, WG, Moody, P: The impact of a rotorcraft aeromedical emergency care service on trauma mortality. JAMA 1983;249:30473051.CrossRefGoogle ScholarPubMed
2. Urdaneta, LF, Miller, BK, Ringenberg, BJ, et al. : Role of an emergency helicopter transport service in rural trauma. Arch Surgery 1987;122:992996.CrossRefGoogle ScholarPubMed
3. Baxt, WG, Moody, P, Cleveland, HC, et al. : Hospital-based, rotor-craft, aeromedical emergency care services and trauma mortality: A multicenter study. Ann Emerg Med 1985;14:859864.CrossRefGoogle Scholar
4. Boyd, CR, Corse, KM: Emergency intrahospital transport of the major trauma patient: Air versus ground. Aeromedical Journal 1988;3:18. Abstract.CrossRefGoogle Scholar
5. Bergren, C, Lewis, B, Carraway, RP, et al. : Efficacy of physician manned helicopter ambulance service in trauma survival. J Air Med Transport 1989;8:66. Abstract.CrossRefGoogle Scholar
6. Campbell, RC, Corse, K, Boyd, CR: Impact of interhospital air transport on mortality in a rural trauma system. Ann Emerg Med 1989;18:474. Abstract.CrossRefGoogle Scholar
7. North Central Florida Health Planning Council: Emergency Medical Services in North Central Florida. Council on Rural Emergency Medical Services, Gainesville, Florida, 1990, pp 112.Google Scholar
8. Jacobs, LM, Schwartz, RJ: A three-year report of the medical helicopter transportation system of Connecticut. Connecticut Medicine 1989;53:703710.Google ScholarPubMed
9. Demartines, N, Keiner, A, Scheidegger, D, et al. : Helicopter emergency medical system in the Basel region. Chirugery 1990;61:457461.Google ScholarPubMed