Cross-sectional investigation of HEMS Activities in Europe: A feasibility study

Stefano Di Bartolomeo*, Paolo Gava, Anatolij Truhlář, Mårten Sandberg, Roland Albrecht, Stefan Becker, Ivo Breitenmoser, Maaret Castrén, Alasdair Corfield, Knut Fredriksen, Dan Gryth, Björn Gunnarsson, Laszlo T. Hetzman, Hans Kirkegaard, David Lockey, Hans Morten Lossius, Søren Mikkelsen, Stephen Sollid, Péter Temesvári, Janne VirtaWolfgang Voelckel, Torben Wisborg, Zakariassen Erik, Mathias Zuercher, Jouni Kurola

*Corresponding author for this work

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    Abstract

    Objectives. To gather information on helicopter emergency medical services (HEMSs) activities across Europe. Methods. Cross-sectional data-collection on daily (15 November 2013) activities of a sample of European HEMSs. A web-based questionnaire with both open and closed questions was used, developed by experts of the European Prehospital Research Alliance (EUPHOREA). Results. We invited 143 bases from 11 countries; 85 (60%) reported base characteristics only and 73 (51%) sample-day data too. The variety of base characteristics was enormous; that is, the target population ranged from 94.000 to 4.500.000. Of 158 requested primary missions, 62 (0.82 per base) resulted in landing. Cardiac aetiology (36%) and trauma (36%) prevailed, mostly of life-threatening severity (43%, 0.64 per mission). Had HEMS been not dispatched, patients would have been attended by another physician in 67% of cases, by paramedics in 24%, and by nurses in 9%. On-board physicians estimated to have caused a major decrease of death risk in 47% of missions, possible decrease in 22%, minor benefit in 17%, no benefit in 11%, and damage in 3%. Earlier treatment and faster transport to hospital were the main reasons for benefit. The most frequent therapeutic procedure was drug administration (78% of missions); endotracheal intubation occurred in 25% of missions and was an option hardly offered by ground crews. Conclusions. The study proved feasible, establishing an embryonic network of European HEMS. The participation rate was low and limits the generalizability of the results. Fortunately, because of its cross-sectional characteristics and the handy availability of the web platform, the study is easily repeatable with an enhanced network.

    Original languageEnglish
    Article number201570
    JournalScientific World Journal
    Volume2014
    DOIs
    Publication statusPublished - 2014

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    Copyright © 2014 Stefano Di Bartolomeo et al.

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