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Rezar, R; Sandner, G; Heschl, S; Hallmann, B; Prause, G; Gemes, G.
Utilization of the advantages of a physician-staffed rescue helicopter in Austria. A retrospective analysis
NOTFALL RETTUNGSMED. 2017; 20(6): 495-500. [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Gemes Geza
Hallmann Barbara
Heschl Stefan
Prause Gerhard
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Abstract:
Background. Physician-staffed rescue helicopters are one of the most valuable resources in emergency medicine, so a deliberate dispatch system is of paramount importance. This retrospective study aims to determine how often the use of a helicopter was adequate at a single helicopter base in Austria. Methods. Retrospective data evaluation, interhospital transfer missions, and missions cancelled en route were excluded. A score comprising the three categories operation site, priority of a rapid transport, and medical treatment on-scene was generated to evaluate whether the utilization of the helicopter compared to a ground-based emergency physician vehicle or mountain rescue was beneficial. For patients admitted to a hospital, the on-scene diagnosis and final diagnosis were compared. Results. During a one-year time period, a total of 1043 missions were included. In 38% of the cases, no evidence of benefit of the helicopter-deployment was found, while 62% of the helicopter rescue missions were found to result in a comprehensible advantage generated by the helicopter disposition. On-scene diagnoses were found to be correct in 88% of the cases. Conclusion. We found that more than one third of the missions attended to by a rescue helicopter could have been resolved employing ground-based emergency physician systems or mountain rescue. The reasons for this problem and further measures to ensure procedural and outcome quality in airborne emergency medical systems need to be investigated.

Find related publications in this database (Keywords)
Helicopter emergency medical services
Physician-staffed helicopters
Indications of dispatch
Diagnostic accuracy
Quality control
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