Does a physician-led Helicopter Emergency Medical Service (HEMS) favour its base hospital and interfere with agreed local trauma network ‘Trauma Decision Trees’?
نویسندگان
چکیده
Background London’s ‘Major Trauma Network’ was established in April 2010, and comprises four ‘Major Trauma Centres’ (MTCs) – each offering all trauma-related specialties under one roof. Healthcare for London produced an algorithmic ‘Major Trauma Decision Tree’ to help emergency healthcare professionals decide where to convey patients, in order to offer the most suitable care for their needs. The tree states that trauma patients who meet certain clinical criteria are to be conveyed to the nearest MTC.
منابع مشابه
Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea
The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HEMS (Group P; n = 100) or nonphysician-staffed HEMS (Group NP; n = 80). Basic patient characterist...
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BACKGROUND Thirty years after its introduction in Germany, the benefits of the helicopter emergency medical service (HEMS) compared to ground ambulances (GA) still remain unclear. The aim of this study was to evaluate the influence of helicopter transport on rescue time and mortality based on the data of the German Trauma Registry. METHODS Data from patients with multiple injuries were docume...
متن کاملAssociation between helicopter with physician versus ground emergency medical services and survival of adults with major trauma in Japan
INTRODUCTION Helicopter emergency medical services with a physician (HEMS) has been provided in Japan since 2001. However, HEMS and its possible effect on outcomes for severe trauma patients have still been debated as helicopter services require expensive and limited resources. Our aim was to analyze the association between the use of helicopters with a physician versus ground services and surv...
متن کاملA prospective survey of critical care procedures performed by physicians in helicopter emergency medical service: is clinical exposure enough to stay proficient?
BACKGROUND Physicians in prehospital care must be proficient in critical care procedures. Procedure proficiency requires a combination of training, experience and continuous clinical exposure. Most physicians in helicopter emergency medical service (HEMS) in Norway are well-trained and experienced anaesthesiologists, but we know little about their exposure to critical care procedures in the pre...
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عنوان ژورنال:
دوره 20 شماره
صفحات -
تاریخ انتشار 2012