Andruszkow Hagen, Frink Michael, Zeckey Christian, Krettek Christian, Hildebrand Frank, Mommsen Philipp
Trauma Department, Hannover Medical School, Hannover, Germany.
Technol Health Care. 2012;20(5):435-44. doi: 10.3233/THC-2012-0691.
Since the introduction of helicopter emergency medical service (HEMS) into the civilian rescue system, there is an ongoing discussion on its potential benefits in terms of time- and cost-effectiveness as well as clinical outcome improvement. Currently, the use of HEMS seems to provide a survival benefit in traumatized patients due to several aspects compared to ground emergency medical service (GEMS). First of all, HEMS facilitate rapid transport from the scene to hospital based on increased transportation velocity. Furthermore, HEMS medical crew members are experienced in trauma management resulting in improved on-scene management and patients' triaging. However, these aspects should be considered carefully as specific circumstances referring to rescue teams, on-scene management as well as preclinical durations, triaging of trauma patients and subsequent treatment at different hospitals have to be attended. In the present review current aspects of HEMS compared to GEMS are discussed.
自从直升机紧急医疗服务（HEMS）引入民用救援系统以来，关于其在时间和成本效益以及改善临床结果方面的潜在益处的讨论一直在进行。目前，与地面紧急医疗服务（GEMS）相比，由于几个方面的原因，使用HEMS似乎能为创伤患者带来生存益处。首先，HEMS基于更高的运输速度，便于将患者从现场快速转运至医院。此外，HEMS医护人员在创伤管理方面经验丰富，从而改善了现场管理和患者分诊。然而，由于涉及救援团队、现场管理以及院前时间、创伤患者分诊和不同医院后续治疗等具体情况，这些方面应仔细考虑。在本综述中，将讨论与GEMS相比HEMS的当前情况。
