Demartines N, Kiener A, Scheidegger D, Harder F
Département de chirurgie, Hôpital cantonal universitaire, Bâle.
Helv Chir Acta. 1990 Jun;57(1):135-40.
999 patients were treated and evacuated by medical helicopter in the region of Basel between 1986 and 1988. 687 were trauma patients (70.5%) and among them 53.9% were directly treated on the accident scene. Mortality during the stabilization prior to transport (2.6%) and during transport (0.3%) was low. The presence of a physician in the helicopter allows fast and intensive in-field care. All life-saving procedures like endotracheal tubes (36.3%), closed intercostal drainage (7.4% of trauma patients) and cardiovascular reanimation (1.9), even hemostasis, or fixation of fractures are performed. Early in-field intensive care by medical helicopter decreases lethality and mortality and must be recommended by severe trauma.
1986年至1988年期间，999名患者在巴塞尔地区通过医疗直升机接受治疗并被疏散。其中687名是创伤患者（占70.5%），其中53.9%在事故现场直接接受治疗。转运前稳定期的死亡率（2.6%）和转运期间的死亡率（0.3%）较低。直升机上配备医生可实现快速、密集的现场救治。所有救生程序，如气管插管（36.3%）、肋间闭式引流（创伤患者的7.4%）、心血管复苏（1.9%），甚至止血或骨折固定等均得以实施。医疗直升机进行的早期现场重症监护可降低致死率和死亡率，对于严重创伤患者必须推荐采用。
