Kirk C J, Earlam R J, Wilson A W, Watkins E S
Helicopter Emergency Medical Service, Royal London Hospital, Whitechapel, UK.
Br J Surg. 1993 Feb;80(2):218-21. doi: 10.1002/bjs.1800800231.
The additional workload on the support hospital created by using a helicopter for emergency trauma has been assessed in the first year of operation. A total of 135 patients were brought to the Royal London Hospital, of whom 30 died, 34 were transferred for convalescence or rehabilitation to another hospital, and 71 discharged home. The median Injury Severity Score was 17 (range 0-75) and 82 patients (60.7 per cent) had a reduced Revised Trauma Score at the scene. Blunt injury greatly outnumbered penetrating trauma (117 versus 15 patients). Accidental injuries accounted for 77.0 per cent of the total, self-inflicted wounds 14.1 per cent and assaults 8.9 per cent. Parameters employed to assess workload were hospital bed-days used (total 2361), operations (118, occupying 287 h of theatre time) and blood transfusion (total 702 units used). The second 6-month study period showed a considerable increase in the number of patients admitted (102 versus 33) because of increased efficiency in call-out procedures.
在运营的第一年，对使用直升机进行紧急创伤救治给支持医院带来的额外工作量进行了评估。共有135名患者被送往皇家伦敦医院，其中30人死亡，34人被转至其他医院进行康复治疗，71人出院回家。损伤严重度评分中位数为17（范围0 - 75），82名患者（60.7%）在现场时修正创伤评分降低。钝器伤远多于穿透伤（117例对15例）。意外伤害占总数的77.0%，自残伤占14.1%，袭击伤占8.9%。用于评估工作量的参数包括使用的医院病床日（总计2361天）、手术（118例，占用手术时间287小时）和输血（总计使用702单位）。第二个6个月的研究期显示，由于出诊程序效率提高，收治患者数量大幅增加（102例对33例）。
