Wisborg Torben, Bjerkan Bjørn
Anesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway; Department of Anesthesiology and Intensive Care Medicine, Finnmark Health Trust, Hammerfest Hospital, Norway; Air Ambulance Service of Alta, Finnmark Health Trust, Norway.
Department of Anesthesiology and Intensive Care Medicine, Finnmark Health Trust, Hammerfest Hospital, Norway; Air Ambulance Service of Alta, Finnmark Health Trust, Norway.
Air Med J. 2014 Jan-Feb;33(1):40-3. doi: 10.1016/j.amj.2013.08.004.
Flight nurses in the Norwegian National Air Ambulance Service are specialist nurse anesthetists or intensive care nursing specialists. For air ambulance bases far from hospitals, these nurses present otherwise unavailable competencies. This study reports a 6-year experience with flight nurse participation in local emergencies beyond the transportation phase.
The fixed-wing air ambulance base in Alta, Northern Norway (20,000 inhabitants), with 2 aircraft and 2 on-call teams is 150 km by road from the nearest hospital. We did a prospective registration of all emergency nonflight missions near the air ambulance base from January 1, 2005, to December 31, 2010.
The 217 completed missions corresponded to 3 missions per month, half during daytime. Twenty-three percent of patients were under age 18, injury rate was high (36%), 63% had potentially or manifest life-threatening conditions, and 11% died during treatment. One third of all missions (67/217) resulted in an air ambulance flight to the hospital.
Mission frequency did not significantly reduce flight availability, and precision in case selection for this special service was good. The use of flight nurses in the local community promotes equal access to advanced medical services for populations far from hospitals.
挪威国家空中救护服务中的飞行护士是专科护士麻醉师或重症监护护理专家。对于远离医院的空中救护基地而言，这些护士具备其他情况下无法获得的专业能力。本研究报告了飞行护士参与运输阶段以外的当地紧急情况的6年经验。
挪威北部阿尔塔的固定翼空中救护基地（有2万居民），配备2架飞机和2个待命小组，距离最近的医院有150公里的公路路程。我们对2005年1月1日至2010年12月31日期间空中救护基地附近所有非飞行紧急任务进行了前瞻性登记。
217次完成的任务相当于每月3次任务，其中一半在白天。23%的患者年龄在18岁以下，受伤率很高（36%），63%的患者有潜在或明显的危及生命的情况，11%的患者在治疗期间死亡。所有任务的三分之一（67/217）导致空中救护飞机将患者送往医院。
任务频率并未显著降低飞行可用性，并且这项特殊服务的病例选择准确性良好。在当地社区使用飞行护士促进了远离医院的人群平等获得高级医疗服务。
