Schneider C, Gomez M, Lee R
Loyola University Chicago Medical Center, Maywood, Illinois.
Crit Care Clin. 1992 Jul;8(3):533-64.
It is hoped that this article has offered insightful suggestions and criteria in choosing the most appropriate method to transport patients. Ground ambulances, rotor-wing, and fixed-wing aircraft each have advantages and disadvantages in particular circumstances. The advantages and disadvantages of any mode of transport must be considered to best meet the needs of the patient. In the twentieth century alone, great strides have been made in the field of emergency stabilization and transport. An efficient, well-trained ground ambulance program remains the backbone of prehospital and interhospital transport systems. Helicopters and fixed-wing transports must be integrated into the EMS system. One advantage of the helicopter and fixed-wing aircraft is rapid travel times when time is critical. As Hicks et al said, "early resuscitation and timely transfer of selected patients are critical factors in reducing morbidity and mortality." The future holds many possibilities for enhanced patient transport. Hospitals may be able to use tilt-rotor, vertical landing, fixed-wing aircraft to combine the advantages of helicopter and fixed-wing aircraft. After all, our primary goal is to get the right patient, with the right personnel, to the right place in the right amount of time.
希望本文能为选择最合适的患者转运方法提供有见地的建议和标准。地面救护车、旋翼机和固定翼飞机在特定情况下各有优缺点。必须考虑任何转运方式的优缺点，以最好地满足患者的需求。仅在二十世纪，紧急稳定和转运领域就取得了巨大进展。一个高效、训练有素的地面救护车项目仍然是院前和院间转运系统的支柱。直升机和固定翼转运必须融入紧急医疗服务系统。直升机和固定翼飞机的一个优点是在时间紧迫时能够快速到达。正如希克斯等人所说：“早期复苏和及时转运选定的患者是降低发病率和死亡率的关键因素。”未来在增强患者转运方面有许多可能性。医院或许能够使用倾转旋翼、垂直起降的固定翼飞机，以结合直升机和固定翼飞机的优点。毕竟，我们的首要目标是在正确的时间，让合适的人员将合适的患者送到正确的地点。
