Department of Anesthesiology, Pain and Palliative Medicine and Helicopter Mobile Medical Team Lifeliner 3 and 5, Radboud University Medical Centre, P.O. Box 9101, Geert Grooteplein Zuid 10, 6500 HB, Nijmegen, the Netherlands.
ANWB-Medical Air Assistance , Emoeweg 16, 8218 PC, Lelystad, the Netherlands.
Scand J Trauma Resusc Emerg Med. 2021 Aug 3;29(1):111. doi: 10.1186/s13049-021-00894-2.
The COVID-19 pandemic limited hospital resources and necessitated interhospital transport of ICU-patients in order to provide critical care to all patients in the Netherlands. However, not all hospitals have an approved landing site. The ICU-transport operation was executed under HEMS-license and landing on non-aerodrome terrain was permitted. This allowed the search for an ad-hoc landing site in the direct vicinity of the ICU. The following characteristics were judged: slope, obstacles, size, soil conditions and the presence of foreign objects.Before the start of this transport operation, in two days, all hospitals in the Netherlands were visited and presumed landing sites explored, described, photographed and recorded in the electronic flight bag. At 71 (87,6 %) of the hospitals it was possible to install a temporary approved landing site in the direct vicinity of the ICU. 110 landings were made on these landing sites and 114 landings on approved heliports. Only 11 patients required secondary transport to or from the helicopter landings site. This occurred only in two patients from a heliport to a receiving hospital.The construction of pre-explored approved landing sites in the vicinity of hospitals allows safe transportation of patients by helicopter to hospitals without a heliport.
在 COVID-19 大流行期间，医院资源有限，需要在医院之间转移 ICU 患者，以便为荷兰的所有患者提供重症监护。然而，并非所有医院都有获批的着陆点。ICU 转运操作是在 HEMS 许可证下执行的，允许在非机场地形上着陆。这使得可以在 ICU 附近寻找临时着陆点。评估了以下特征：坡度、障碍物、大小、土壤条件和异物存在。在开始这项转运操作之前，在两天内，访问了荷兰的所有医院，并对推定的着陆点进行了探索、描述、拍照和记录在电子飞行袋中。在 71 家（87.6%）医院可以在 ICU 附近安装临时批准的着陆点。在这些着陆点上进行了 110 次降落，在批准的直升机停机坪上进行了 114 次降落。只有 11 名患者需要从直升机着陆点进行二次转运。这种情况仅发生在两名从直升机停机坪转运到接收医院的患者身上。在医院附近预先勘查的批准着陆点的建设允许直升机安全地将患者转运到没有直升机停机坪的医院。
