Afzali Monika, Hesselfeldt Rasmus, Steinmetz Jacob, Thomsen Annemarie Bondegaard, Rasmussen Lars S
Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet.
Dan Med J. 2013 Jul;60(7):A4647.
Centralization of the hospital system entails longer transport for some patients. A physician-staffed helicopter may provide effective triage, advanced management and fast transport to highly specialized treatment for time-critical patients. The aim of this study was to describe activity and possible beneficial effect of a physician-staffed helicopter in a one-year trial period in eastern Denmark.
This was a prospective observational study of all missions related to a daylight operating, physician-staffed helicopter. We recorded information about the activity during 12 months, focusing on dispatchment, diagnoses, medical interventions, admission patterns and 30-day mortality.
There were a total of 574 missions resulting in 609 patient contacts. Activity ranged from 22 to 76 missions per month. The helicopter was grounded 6% of its operating time, mainly due to weather conditions. The primary patient categories were trauma (43.5%) and cardiac disease (26.1%). The physician acted as Medical Incident Officer at three major incidents. A total of 53 endotracheal intubations, 13 intraosseous cannula insertions and four tube thoracostomies were performed. The median hospital length-of-stay was four days, 30-day mortality was 6.1% and 86 patients were transferred to intensive care units.
The physician-staffed helicopter had approximately two missions per day the first year, mainly in relation to trauma and cardiac patients needing specialized treatment. Advanced medical interventions were commonly performed.
Funded by Trygfonden.
not relevant.
医院系统的集中化意味着一些患者需要更长的转运时间。配备医生的直升机可为时间紧迫的患者提供有效的分诊、高级管理和快速转运至高度专业化的治疗。本研究的目的是描述配备医生的直升机在丹麦东部为期一年的试验期内的活动情况及可能的有益效果。
这是一项对与白天运营、配备医生的直升机相关的所有任务进行的前瞻性观察研究。我们记录了12个月内的活动信息，重点关注派遣情况、诊断结果、医疗干预措施、入院模式和30天死亡率。
总共执行了574次任务，涉及609名患者。每月活动次数在22至76次之间。直升机因天气条件等原因有6%的运营时间处于停飞状态。主要患者类别为创伤（43.5%）和心脏病（26.1%）。医生在三次重大事件中担任医疗事件官员。总共进行了53次气管插管、13次骨内套管插入和4次胸腔闭式引流术。中位住院时间为4天，30天死亡率为6.1%，86名患者被转入重症监护病房。
配备医生的直升机在第一年每天约执行两次任务，主要涉及需要专科治疗的创伤和心脏病患者。常见进行高级医疗干预措施。
由Trygfonden资助。
不相关。
