The Air Ambulance Department, Oslo University Hospital-Ullevål, Oslo, Norway.
Scand J Trauma Resusc Emerg Med. 2009 Feb 24;17:9. doi: 10.1186/1757-7241-17-9.
Medical emergency motorcycles (MEM) can be used in time-critical conditions like cardiac arrest and multi-traumatized patients in an attempt to reduce the response time. Other potential benefits with MEM are more efficient patient evaluation, reduction of unnecessary EMS car ambulance missions and reduced cost. The potential benefits have been evaluated in this study. The incidence of accidents when operating the vehicle was also of interest.
A prospective study was performed when MEM was introduced as a trial in an urban ambulance service in Norway.
A total of 703 MEM missions were registered in the period. The mean emergency driving time was significantly shorter for the MEM than for the ambulance car located at the same station (6 min 24 seconds vs. 6 min 54 seconds). In addition to time-critical conditions, the MEM was used to evaluate patients when the need for emergency medical assistance was uncertain, and this practice lead to a reduced number of unnecessary car ambulance missions. No accidents involving the MEM were registered in the study period. The hourly cost of running the MEM was 29 euro vs. 75 euro for a car ambulance. However, the actual cost benefit is smaller since the weather conditions make it impossible to run a MEM in wintertime.
The small reduction in driving time when using a MEM instead of a car ambulance was statistically significant but probably of little clinical importance. The number of unnecessary car ambulance missions was reduced. It was cheaper to operate a MEM than a car ambulance, but the cost-effectiveness was reduced since the MEM could not operate 12 months a year. The lack of accidents may be contributed to the extensive training of the drivers and the fact that the vehicle was operated in daylight only.
医疗急救摩托车（MEM）可用于心脏骤停和多发伤患者等时间紧迫的情况，以缩短反应时间。MEM 的其他潜在优势包括更有效地进行患者评估、减少不必要的 EMS 汽车救护车任务和降低成本。本研究评估了潜在的益处。操作车辆时发生事故的可能性也引起了关注。
当 MEM 作为挪威城市救护服务的试验引入时，进行了一项前瞻性研究。
MEM 共注册了 703 次任务。与位于同一站点的救护车相比，MEM 的紧急驾驶时间明显更短（6 分 24 秒对 6 分 54 秒）。除了时间紧迫的情况外，MEM 还用于评估需要紧急医疗援助的患者，这种做法减少了不必要的汽车救护车任务数量。在研究期间，MEM 未发生任何事故。MEM 的每小时运行成本为 29 欧元，而汽车救护车为 75 欧元。但是，由于冬季天气条件无法运行 MEM，实际成本效益较小。
使用 MEM 代替汽车救护车时，驾驶时间的微小减少在统计学上具有显著意义，但可能在临床上意义不大。减少了不必要的汽车救护车任务。与汽车救护车相比，操作 MEM 的成本更低，但由于 MEM 无法全年运行，因此成本效益降低。事故的缺乏可能归因于驾驶员的广泛培训以及该车辆仅在白天运行的事实。
