Thomas F, Clemmer T P, Orme J F, Menlove R L, Gibbons H L
Aviat Space Environ Med. 1985 Jun;56(6):547-52.
To identify and characterize civilian air ambulance services, a questionnaire was mailed nationwide to 583 prospective air ambulance services, with 154 responding. Our survey identified differences between hospital, hospital-affiliated, and private air ambulance services as to aircraft ownership, availability, types of aircraft, types of patients being transported, types of medical personnel and equipment, aircraft retrofit, and their feelings regarding air ambulance regulations. We found that hospital air ambulances are better suited for transporting critically ill patients while many private air ambulances appear better suited to transport nonemergency patients. Hospital-affiliated air ambulance services, although not as consistent in providing the specialized care of hospital air ambulances, appear better able to provide critical care than private air ambulance services. Based upon this data, we recommend that air ambulance regulations be directed at levels of patient care. Such regulations and guidelines will assist patient safety during aeromedical transports without jeopardizing currently operating air ambulance services.
为了识别和描述民用空中救护服务,我们向全国范围内的583家潜在空中救护服务机构邮寄了调查问卷,有154家进行了回复。我们的调查确定了医院、医院附属和私人空中救护服务在飞机所有权、可用性、飞机类型、运送患者类型、医务人员和设备类型、飞机改装以及他们对空中救护法规的看法等方面存在差异。我们发现医院空中救护车更适合运送重症患者,而许多私人空中救护车似乎更适合运送非紧急患者。医院附属空中救护服务虽然在提供医院空中救护车的专科护理方面不如医院空中救护车一致,但似乎比私人空中救护服务更有能力提供重症护理。基于这些数据,我们建议空中救护法规应针对患者护理水平。此类法规和指南将有助于在航空医疗运输期间保障患者安全,同时不会危及目前运营的空中救护服务。