Midlands Adult Burns Centre, University Hospital Birmingham, Raddlebarn Rd, Birmingham B29 6JD, United Kingdom.
Burns. 2010 Dec;36(8):1201-7. doi: 10.1016/j.burns.2010.05.023. Epub 2010 Aug 12.
Helicopter emergency medical services play a valuable role in the transfer of critically ill patients. This paper reviews the role of air ambulance services in the provision of regional burns care and suggests guidelines for their use.
A retrospective review of patients treated at the Midlands Adult Burns Centre over a 3-year period.
27 adult burns patients were transported by air ambulance during the study period. Patients were aged 19-89 years (average 41.3 years) with an estimated burn size of 5-70% TBSA. Distance travelled was 11-79 miles (average 41.2 miles). All patients were appropriately referred to the burns centre according to national referral guidelines but in 7 cases (26%) it was felt that transport by air ambulance was not clinically indicated and land transfer would have been safe and appropriate.
Air ambulances offer a fast and effective means of transferring patients to a regional burns centre in selected cases. There is limited data for the beneficial effects of helicopters and survival benefit is seen only in the most severely injured patients. We suggest criteria for the use of air ambulances in burns patients in order to maximise the benefit and reduce unnecessary flights.
直升机紧急医疗服务在危重病患者的转移中发挥了宝贵的作用。本文回顾了空中救护服务在提供区域性烧伤护理中的作用，并提出了使用空中救护服务的指南。
对过去 3 年在中部成人烧伤中心接受治疗的患者进行回顾性分析。
在研究期间，有 27 名成人烧伤患者通过空中救护进行了转运。患者年龄为 19-89 岁（平均 41.3 岁），烧伤面积估计为 5-70%TBSA。飞行距离为 11-79 英里（平均 41.2 英里）。所有患者均根据国家转诊指南被恰当地转诊至烧伤中心，但在 7 例（26%）中，认为空中救护并非临床指征，陆地转运将是安全且合适的。
在某些情况下，空中救护为将患者快速有效地转送至区域性烧伤中心提供了一种手段。直升机的有益效果的数据有限，只有在最严重受伤的患者中才能看到生存获益。我们建议制定烧伤患者使用空中救护的标准，以最大限度地提高效益并减少不必要的飞行。
