Kee S S, Ramage C M, Mendel P, Bristow A S
Department of Anaesthetics, St Bartholomew's Hospital, West Smithfield, London.
J R Soc Med. 1992 Jan;85(1):29-31. doi: 10.1177/014107689208500111.
An interhospital helicopter transfer service was set up using a dedicated helicopter fitted with medical equipment and staffed by anaesthetists. The system proved to be safe and practical. Fifty patients were referred from 38 hospitals throughout the UK, with 84% of transfers preplanned. Patients were transferred a mean distance of 118 miles (range 35-397 miles) and there was no deterioration during transfer as measured by pre and post transfer sickness scores. Twenty-eight per cent of cases could not have been practically transferred by conventional means. The death rate of 20% was lower than that reported for specially equipped and staffed land transfer systems, which may indicate less physiological deterioration in the critically ill compared to road transfer. Dedicated helicopter transfer resulted in a 50% survival rate in patients with a sickness score over 18, a group found not to survive after land transfer. There was no correlation between distance moved and outcome. A helicopter transfer system using suitable equipment and staff is a practical and safe method of moving critically ill patients between hospitals, and may be preferable to land transfer for distances in excess of 25 miles.
利用一架配备医疗设备且由麻醉师操控的专用直升机，建立了医院间直升机转运服务。该系统被证明是安全且实用的。50名患者由英国各地的38家医院转诊而来，其中84%的转运是预先计划好的。患者平均转运距离为118英里（范围为35 - 397英里），并且通过转运前后的疾病评分衡量，转运过程中病情没有恶化。28%的病例无法通过传统方式实际转运。20%的死亡率低于专门配备人员和设备的陆地转运系统所报告的死亡率，这可能表明与公路转运相比，重症患者的生理恶化程度更低。对于疾病评分超过18分的患者，专用直升机转运的存活率为50%，而这组患者经陆地转运后未能存活。转运距离与结果之间没有相关性。使用合适设备和人员的直升机转运系统是在医院间转运重症患者的一种实用且安全的方法，对于超过25英里的距离，可能比陆地转运更可取。
