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ScientificWorldJournal. 2014;2014:201570. doi: 10.1155/2014/201570. Epub 2014 Nov 30.

Cross-sectional investigation of HEMS activities in Europe: a feasibility study.

Author information

1
Department of Research and Development, Norwegian Air Ambulance Foundation, Holterveien 24, P.O. Box 94, 1441 Drøbak, Norway ; Azienda Ospedaliero Universitaria di Udine, Piazza SM Misericordia 15, 33100 Udine, Italy.
2
Department of Research and Development, Norwegian Air Ambulance Foundation, Holterveien 24, P.O. Box 94, 1441 Drøbak, Norway.
3
Department of Anesthesiology and Intensive Care, Charles University in Prague, Faculty of Medicine in Hradec Kralove, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
4
Air Ambulance Department, Division of Emergencies and Critical Care, Oslo University Hospital, Sykehusveien 19, 1474 Nordbyhagen, Norway.

Abstract

OBJECTIVES:

To gather information on helicopter emergency medical services (HEMSs) activities across Europe.

METHODS:

Cross-sectional data-collection on daily (15 November 2013) activities of a sample of European HEMSs. A web-based questionnaire with both open and closed questions was used, developed by experts of the European Prehospital Research Alliance (EUPHOREA).

RESULTS:

We invited 143 bases from 11 countries; 85 (60%) reported base characteristics only and 73 (51%) sample-day data too. The variety of base characteristics was enormous; that is, the target population ranged from 94.000 to 4.500.000. Of 158 requested primary missions, 62 (0.82 per base) resulted in landing. Cardiac aetiology (36%) and trauma (36%) prevailed, mostly of life-threatening severity (43%, 0.64 per mission). Had HEMS been not dispatched, patients would have been attended by another physician in 67% of cases, by paramedics in 24%, and by nurses in 9%. On-board physicians estimated to have caused a major decrease of death risk in 47% of missions, possible decrease in 22%, minor benefit in 17%, no benefit in 11%, and damage in 3%. Earlier treatment and faster transport to hospital were the main reasons for benefit. The most frequent therapeutic procedure was drug administration (78% of missions); endotracheal intubation occurred in 25% of missions and was an option hardly offered by ground crews.

CONCLUSIONS:

The study proved feasible, establishing an embryonic network of European HEMS. The participation rate was low and limits the generalizability of the results. Fortunately, because of its cross-sectional characteristics and the handy availability of the web platform, the study is easily repeatable with an enhanced network.

PMID:
25538947
PMCID:
PMC4265707
DOI:
10.1155/2014/201570
[Indexed for MEDLINE]
Free PMC Article

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