[空中救护车对重伤患者救治的重要性]
[Importance of air ambulances for the care of the severely injured].
作者信息
Schweigkofler U, Reimertz C, Lefering R, Hoffmann R
机构信息
Notfall und Rettungszentrum, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt, Deutschland,
出版信息
Unfallchirurg. 2015 Mar;118(3):240-4. doi: 10.1007/s00113-014-2566-7.
BACKGROUND
In the late 1960s, helicopter emergency medical services (HEMS) were established because of the increasing number of severely injured in road traffic accidents. It was initially thought to bring the doctor to the patient quickly.
AIM
Today, the rescue helicopter covers the entire field of emergency medicine. By analyzing the databases of the TraumaRegister DGU® (2005-2011), the importance of the HEMS for the treatment of the severely injured was examined.
RESULTS
The results showed that around 30 % of severely injured are allocated to hospitals by HEMS. In addition to regional differences, the level of the hospital also plays a particularly important role. The combination of the transfer by HEMS and treatment in a level I trauma center has a significantly positive effect on the survival rate of the patient, especially in patients with traumatic brain injury (TBI).
背景
20世纪60年代末，由于道路交通事故中重伤患者数量不断增加，直升机紧急医疗服务（HEMS）应运而生。最初人们认为它能迅速将医生送到患者身边。
目的
如今，救援直升机覆盖了整个急诊医学领域。通过分析创伤注册数据库DGU®（2005 - 2011年），研究了直升机紧急医疗服务对重伤患者治疗的重要性。
结果
结果显示，约30%的重伤患者由直升机紧急医疗服务送往医院。除了地区差异外，医院级别也起着特别重要的作用。直升机紧急医疗服务转运与在一级创伤中心治疗相结合对患者生存率有显著的积极影响，尤其是对创伤性脑损伤（TBI）患者。
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