Zalstein S, Cameron P A
Emergency Department, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Aust N Z J Surg. 1997 Sep;67(9):593-8. doi: 10.1111/j.1445-2197.1997.tb04604.x.
The role of helicopters in trauma management must be considered in the context of the provision of sophisticated, high-quality trauma care. The present review examines the evolution of systems of trauma care, the value of advanced life support (ALS), and the role of the Helicopter Emergency Medical Service (HEMS) in improving outcomes. Comparison is made of outcomes of patients managed by HEMS and road ambulances, and important aspects of HEMS including staffing and safety are discussed. There is a role for HEMS as part of a modern trauma system, in particular in bringing ALS skills and access to expert medical care to the rural accident scene or hospital at distances of up to 160 km. It is of greatest value when it is integrated into a well-organized ambulance service and emergency system with good triage and close medical supervision.
在提供复杂、高质量创伤护理的背景下，必须考虑直升机在创伤管理中的作用。本综述探讨了创伤护理系统的演变、高级生命支持（ALS）的价值以及直升机紧急医疗服务（HEMS）在改善治疗结果方面的作用。对由直升机紧急医疗服务和公路救护车救治的患者的治疗结果进行了比较，并讨论了直升机紧急医疗服务的重要方面，包括人员配备和安全性。直升机紧急医疗服务作为现代创伤系统的一部分具有重要作用，特别是在将高级生命支持技能和专家医疗服务带到距离达160公里的农村事故现场或医院时。当它融入组织良好、具备良好分诊和密切医疗监督的救护车服务和应急系统时，其价值最大。
