Emergency and Critical Care Medical Center, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima 960-1295, Japan.
J Anesth. 2010 Jun;24(3):441-6. doi: 10.1007/s00540-010-0902-9. Epub 2010 Apr 6.
In using an emergency medical service helicopter with an emergency medicine doctor on board (doctor-helicopter), transporting all patients to the University Hospital (base hospital for the helicopter) could cause a chronic bed shortage at the University Hospital. It is also disadvantageous for patients from distant areas. We investigated whether appropriate hospital selections are being carried out in Fukushima Prefecture.
The subjects of the study were patients who were transported by doctor-helicopter since the services started. We investigated the medical conditions of patients at emergency scenes, whether they were transported to a hospital inside or outside the region, the means of transportation, and the final destination hospital.
There were 450 flights, of which 295 were to emergency scenes, involving 307 patients. The majority were trauma patients (191 patients, 62.2%). The final destination hospital was the University Hospital for 104 patients (33.9%); 99 patients (30.3%) were transported to three emergency and critical care medical centers (ECCMCs) in other regions. Most patients were transported to appropriate hospitals in the respective regions. The means of transportation from the emergency scene was by doctor-helicopter in the largest number of cases (223 patients, 72.6%), and the final destination hospital was ECCMCs in 81.6% of cases.
Patients from emergency scenes are transported by doctor-helicopter to appropriate hospitals in the region, and hospitals in each region are cooperating with the doctor-helicopter operations.
使用配备急诊医生的医疗服务直升机（直升机医生）可能会导致大学医院（直升机的基地医院）长期床位短缺。对于来自偏远地区的患者来说，这也不利。我们调查了福岛县是否正在进行适当的医院选择。
本研究的对象是自服务开始以来通过直升机医生转运的患者。我们调查了患者在急诊现场的医疗状况，他们是被转运到该地区内还是外的医院，转运方式以及最终目的地医院。
共有 450 次飞行，其中 295 次是飞往急诊现场，涉及 307 名患者。大多数是创伤患者（191 例，62.2%）。最终目的地医院是大学医院的有 104 名患者（33.9%）；99 名患者（30.3%）被转运到其他地区的三个紧急和危重病医疗中心（ECCMC）。大多数患者被转运到各自地区的适当医院。从急诊现场出发的转运方式以直升机医生为主（223 例，72.6%），最终目的地医院为 ECCMC 的有 81.6%。
来自急诊现场的患者通过直升机医生被转运到该地区的适当医院，并且各地区的医院都在与直升机医生的运作合作。
