Rzońca Patryk, Tomaka Piotr, Gałązkowski Robertn
Department Of Emergrncy Medicine, Faculty Of Health Sciences, Medical University Of Lublin, Lublin, Poland.
Anaesthesiology And Intensive Care Unit, Leczna, Poland.
Wiad Lek. 2019;72(3):500-505.
Introduction: Burns are a huge problem for public health and a challenge for healthcare systems all around the world. They are responsible for 180.000 deaths worldwide each year. In order to ensure high quality treatment and rehabilitation of these patients burn centres are established in many countries. Another vital factor influencing the prognosis of patients with burns is quick transport that in many countries, including Poland is carried out by Helicopter Emergency Medical Service (HEMS). The aim: To describe the operations carried out by HEMS with particular stress put on the target medical facility.
Materials and methods: The research was conducted with the method of retrospective analysis of operations performed by HEMS crews. All missions from January 2011 to December 2018 were included in the study and 2534 cases were qualified for the final analysis.
Results: The study group was predominantly male (72.72%) aged 18 years old and less (36.65%). Nearly two thirds of the patients were transported to hospitals with a burn ward (61.88%). Opioid analgesics as well as crystalloids were the most commonly administered drugs (respectively 68.55% and 64.76%). Statistical analysis showed that HEMS arrival time (20.77 minutes vs 18.60 minutes) and duration of the transport to designated hospital (40.11 minutes vs 19.66 minutes) were significantly higher in the cases of deciding to transport the patient to the hospital with the burns department (p<0.001).
Conclusions: Presented results showed that HEMS crews are more often assigned to help ground-based Medical Rescue Teams in case of patients who required treatment in burn centres. Moreover, the time and distance to the hospital with burn ward was significantly longer compared to other healthcare facilities. This confirms that the assigning of HEMS crews for the patients with severe burns was reasonable.
引言：烧伤是一个重大的公共卫生问题，对全球医疗系统都是一项挑战。每年全球有18万人死于烧伤。为确保对这些患者进行高质量的治疗和康复，许多国家都设立了烧伤中心。另一个影响烧伤患者预后的重要因素是快速转运，在包括波兰在内的许多国家，这是由直升机紧急医疗服务（HEMS）来完成的。目的：描述HEMS开展的行动，特别强调目标医疗机构。
材料和方法：本研究采用回顾性分析HEMS机组人员执行任务的方法。纳入了2011年1月至2018年12月期间的所有任务，最终分析纳入了2534例病例。
结果：研究组以18岁及以下男性为主（72.72%）。近三分之二的患者被转运至设有烧伤病房的医院（61.88%）。阿片类镇痛药和晶体液是最常用的药物（分别为68.55%和64.76%）。统计分析表明，决定将患者转运至设有烧伤科的医院时，HEMS到达时间（20.77分钟对18.60分钟）和转运至指定医院的时长（40.11分钟对19.66分钟）显著更长（p<0.001）。
结论：呈现的结果表明，在需要在烧伤中心接受治疗的患者中，HEMS机组人员更常被派去协助地面医疗救援队。此外，与其他医疗机构相比，前往设有烧伤病房医院的时间和距离显著更长。这证实了为严重烧伤患者配备HEMS机组人员是合理的。
