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Title:Factors impacting on the activation and approach times of helicopter emergency medical services in four Alpine countries
Authors:ID Tomazin, Iztok (Author)
ID Vegnuti, Miljana (Author)
ID Ellerton, John (Author)
ID Reisten, Oliver (Author)
ID Sumann, Guenther (Author)
ID Kersnik, Janko (Author)
Files:.pdf Scandinavian_Journal_of_Trauma,_Resuscitation_and_Emergency_Medicine_2012_Tomazin_et_al._Factors_impacting_on_the_activation_and_approa.pdf (1,22 MB)
MD5: D491C8D639E14CBCF372CABC63616239
URL http://sjtrem.biomedcentral.com/articles/10.1186/1757-7241-20-56
Work type:Scientific work (r2)
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract:Background: The outcome of severely injured or ill patients can be time dependent. Short activation and approach times for emergency medical service (EMS) units are widely recognized to be important quality indicators. The use of a helicopter emergency medical service (HEMS) can significantly shorten rescue missions especially in mountainous areas. We aimed to analyze the HEMS characteristics that influence the activation and approach times. Methods: In a multi-centre retrospective study, we analyzed 6121 rescue missions from nineHEMS bases situated in mountainous regions of four European countries. Results: We found large differences in mean activation and approach times among HEMS bases. The shortest mean activation time was 2.9 minutes; the longest 17.0 minutes. The shortest mean approach time was 10.4 minutes; the longest 45.0 minutes. Short times are linked (p < 0.001) to the following conditions: helicopter operator is not state owned; HEMS is integrated in EMS; all crew members are at the same location; doctors come from state or private health institutions; organization performing HEMS is privately owned; helicopters are only for HEMS; operation area is around 10.000 km2; HEMS activation is by a dispatching centre of regional government who is in charge of making decisions; there is only one intermediator in the emergency call; helicopter is equipped with hoist or fixed line; HEMS has more than one base with helicopters, and one team per base; closest neighboring base is 90 km away; HEMS is about 20 years old and has more than 650 missions per year; and modern helicopters are used. Conclusions: An improvement in HEMS activation and approach times is possible. We found 17 factors associated with shorter times.
Keywords:emergency medical services, air ambulances, emergency helicopters, quality of health care, activation and approach time
Year of publishing:2012
Publication status in journal:Published
Article version:Publisher's version of article
Number of pages:str. 1-16
Numbering:Letn. 20
PID:20.500.12556/DKUM-66521 New window
ISSN on article:1757-7241
COBISS.SI-ID:30086617 New window
DOI:10.1186/1757-7241-20-56 New window
Publication date in DKUM:29.06.2017
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Record is a part of a journal

Title:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Shortened title:Scand. J. Trauma Resusc. Emerg. Med.
Publisher:BioMed Central
COBISS.SI-ID:30081241 New window


License:CC BY 4.0, Creative Commons Attribution 4.0 International
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:29.06.2017

Secondary language

Keywords:urgentna medicinska služba, zračni rešilec, reševalni helikopter, kvaliteta zdravstva, čas aktivacije in pristopa


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