Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Shizuoka, Japan.
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Shizuoka, Japan.
Air Med J. 2022 Jan-Feb;41(1):52-56. doi: 10.1016/j.amj.2021.09.003. Epub 2021 Nov 14.
The purpose of this study was to present the management of 3 physician-staffed helicopters (helicopter emergency medical service [HEMS]) in 3 different requests in eastern Shizuoka based on a collaboration agreement and to investigate the current state of dispatches based on the agreement.
We investigated 3 incidents managed simultaneously by HEMS based on the collaboration agreement by inquiry to the bases, which were located in eastern Shizuoka, Yamanashi, and Kanagawa. We also investigated all records on the management of HEMS based on the collaboration agreement since the contract was made in 2014 by inquiry to the Shizuoka prefectural government.
Three simultaneous flight requests were successfully completed. The total number of dispatches based on the collaboration agreement was 112 flights for 7 years from 2014 to 2020. The most frequent reason for request was overlapping request (n = 71). The prefecture with the highest number of requests was Shizuoka (n = 79), where medical resources were limited and the most frequent disease was trauma (n = 93).
The present study reports how 3 HEMS were operated simultaneously for 3 different requests. To use medical resources effectively, including HEMS, the collaboration agreement among neighboring prefectures was very important, especially for areas in which medical resources are limited.
本研究旨在根据合作协议介绍 3 架配备医师的直升机（直升机紧急医疗服务[HEMS]）在静冈县东部的 3 个不同请求中的管理情况，并根据协议调查当前的派遣情况。
我们通过向位于静冈县、山梨县和神奈川县的基地查询，调查了根据合作协议同时管理的 3 起事件。我们还通过向静冈县政府查询，调查了自 2014 年签订合同以来根据合作协议管理 HEMS 的所有记录。
3 次同时飞行请求均成功完成。2014 年至 2020 年 7 年间，根据合作协议的派遣总数为 112 次。请求的最常见原因是重叠请求（n=71）。请求最多的县是静冈县（n=79），那里医疗资源有限，最常见的疾病是创伤（n=93）。
本研究报告了如何同时为 3 个不同的请求操作 3 架 HEMS。为了有效利用医疗资源，包括 HEMS，相邻县之间的合作协议非常重要，特别是在医疗资源有限的地区。
