Hotvedt R, Kristiansen I S
Institute of Community Medicine, University of Tromsø, Norway.
Br J Gen Pract. 2000 Jan;50(450):41-2.
During two years, a rural ambulance helicopter programme saved 41 patients' lives. In 29 of these patients, the decisive medical interventions were carried out by the flight anaesthesiologist before reaching the hospital. We asked an expert panel to assess whether these interventions could have been carried out by a general practitioner (GP). This was the case for 17 (59%) of the 29 patients, while more advances skills, equipment or drugs were needed for 11 (38%). Among these 11, three patients would probably have died without the interventions. We conclude that GPs can manage a majority of life saving missions for a rural ambulance helicopter programme, but the lack of a flight anaesthesiologist may imply substantial health losses for a few patients.
在两年时间里，一项农村救护直升机计划挽救了41名患者的生命。在这些患者中，有29名患者在抵达医院之前由飞行麻醉医生进行了决定性的医疗干预。我们请一个专家小组评估这些干预措施是否可以由全科医生（GP）实施。在这29名患者中，有17名（59%）的情况是这样，而另外11名（38%）则需要更先进的技能、设备或药物。在这11名患者中，如果没有这些干预措施，三名患者可能已经死亡。我们得出结论，全科医生可以为农村救护直升机计划管理大多数挽救生命的任务，但缺少飞行麻醉医生可能会给少数患者带来重大健康损失。
