|Abstract:||In the thesis is presented the HEMS unit in Slovenia, its history and current operation.
The efficency of the HEMS operation was reviewed on a sample of 252 patients with acute coronary syndrome, that the HEMS unit managed according to contemporary guidelines for the management of these patients and transported in the first five years (16.7.2003 – 16.7.2008).We have used the descriptive method of studying the literature for the management of ACS. We used the retrospective method of studying data from protocol forms filled for each interventions. The gathered data was analized (graphicons). Of the 252 patients with ACS, 139 (55,15%) patients had STEMI, 10 patients (3.96%) unstable pectoral angina, and 12 patients (4,76%) had NSTEMI. For 91 patients (36,11%) the leading diagnosis was not defined by the medical doctors. The mean values were calculated for the response times of the HEMS unit according to the flight crew – police, army or Flycom. Total mean times were calculated from the call until the arrival to the patient, from the call until arrival with the patient to hospital, and the mean time from landing at the helioport Roška, until arrival at the hospital by ambulance car. On the map of Slovenia the locations of intervention by the HEMS unit are graphically presented. The management of patients with acute coronary syndrome was studied. We concluded, that the HEMS unit provides good management of patients with ACS, that the staff are highly qualified, that the equipment used is of high standard and up to date, and that the service takes care of continuous education of its members. We also concluded, that there is a deficiency in implementation of the HEMS in Slovenia, limitation of service time to bright time of day, limitations in activation protocols, too long activation times, and too long times until arrival of the patient to hospital. There is considerable loss of time because of the inappropriateness of the helioport of the University clinical centre, Ljubljana. The dispatch system of the health service system was also found to be inappropriate.We also concluded, that the unit does not have a permanent flight crew, that there is daily change of helicopter type used for interventions, that none of the helicopters are intended for the sole use in HEMS, and that one unit in Slovenia is not efficient enough to cover all the population of the republic of Slovenia.