Carter G, O'Brien D J
J Emerg Med. 1986;4(6):471-6. doi: 10.1016/0736-4679(86)90177-0.
Using emergency medicine residents as helicopter flight physicians is a recent evolution in residency training. In an effort to study the impact such a system has on residents in emergency medicine, residents participating in helicopter transport were surveyed at 10 programs in the United States. The potential survey field was 118 residents with (81%) responding. Generally helicopter transport was perceived to be educational (80%), enjoyable (88%), and safe (74%). A total of 75% felt that benefits of transport outweighed the risks, despite an increase in aeromedical helicopter fatalities in 1985. In six of ten programs residents wore shoulder restraints, in two they wore helmets, and in no program were fire-retardant clothing worn on a regular basis. Of the 72 residents involved in mandatory participation, 69% would continue flying in a voluntary system. Although it is clear that selected patients benefit from aeromedical transports, refined triage protocols as well as further studies to identify the costs and benefits of such transport programs to participating emergency medicine residents are needed. Flight safety equipment including helmets, shoulder-harness restraints, and fire-retardant suits are underutilized at all programs surveyed.
将急诊医学住院医师用作直升机飞行医生是住院医师培训领域的一项最新进展。为了研究这样一个系统对急诊医学住院医师的影响，在美国的10个项目中对参与直升机转运的住院医师进行了调查。潜在的调查对象有118名住院医师，其中81% 进行了回应。总体而言，直升机转运被认为具有教育意义（80%）、令人愉快（88%）且安全（74%）。尽管1985年航空医疗直升机死亡事故有所增加，但仍有75% 的人认为转运的益处大于风险。在10个项目中的6个项目里，住院医师系着肩部安全带，2个项目中他们戴着头盔，没有一个项目的住院医师经常穿着防火服。在72名参与强制转运的住院医师中，69% 的人表示在自愿系统中仍会继续飞行。虽然很明显部分患者从航空医疗转运中受益，但仍需要完善分诊方案以及进一步研究，以确定此类转运项目对参与的急诊医学住院医师的成本和收益。在所调查的所有项目中，包括头盔、肩部安全带和防火服在内的飞行安全设备都未得到充分利用。
