Rescue helicopters are used for emergency care and transport of emergency patients. The dimension of the cabin is clearly limited. A transport is carried out under spatial narrowness and high noise levels. Acoustic alarms or noises caused by the patient are hardly to be perceived, so that the view at optical alarms is necessary. Environmental conditions affect the concentration on the patient. Rearrangement maneuvers represent the most critical phases. Always the whole apparative monitoring and respirator must be in the field of view of the emergency doctor, drugs to the care must be handy to be quickly administered, the quantity of oxygen has to be observed. Infusions and option of airway management are ready to set in advance. Standardized work with the aid of algorithms and knowledge of treatment recommendations and guidelines help to prevent errors. To optimize the care of emergency patients, special training courses for the crew of rescue helicopters are offered. A training simulator to practice different scenarios and the establishment of a CIRS system are recommended.
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http://dx.doi.org/10.1055/s-0031-1274928 | DOI Listing |
J Clin Med
December 2024
Department of Medical and Health Sciences Tarnobrzeg, State Higher Vocational School Memorial of Prof. Stanislaw Tarnowski in Tarnobrzeg, 39-400 Tarnobrzeg, Poland.
The World Health Organization (WHO) estimates that 180,000 patients die from burns every year, which is considered a serious public health issue. Patients with burns require immediate pre-hospital care and transport to specialized treatment facilities. The aim of this study was to outline the profile of the burn patient from the perspective of the Polish Medical Air Rescue (PMAR), as well as to analyze the medical procedures being implemented.
View Article and Find Full Text PDFPatient Relat Outcome Meas
December 2024
Clinical-Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, Galati, Romania.
Introduction: Polytrauma remains a major global health challenge, with rapid intervention being critical for survival, especially during the "Golden Hour". This study examines the impact of Helicopter Emergency Medical Services (HEMS) on procedural care during the transfer of polytraumatized patients to urban hospitals in Romania.
Methods: A retrospective cohort study was conducted at the County Emergency Hospital "St.
Scand J Trauma Resusc Emerg Med
December 2024
Mountain Medicine Research Group, The Norwegian Air Ambulance Foundation, Bergen, Norway.
Background: Accidental hypothermia is associated with increased morbidity and mortality and poses a significant challenge for both professional and volunteer rescue services in prehospital settings. This study investigated the methods and equipment available to treat patients with cold stress or accidental hypothermia before reaching hospital in Norway.
Methods: We surveyed 156 respondents representing 708 units from both the professional and volunteer Norwegian prehospital chain of care between 2023 and 2024.
Heliyon
December 2024
Department of Clinical Medicine, Public Health, Life Sciences and the Environment, Piazzale Salvatore Tommasi, 67100, Coppito, L'Aquila, Italy.
Introduction: The use of helicopter emergency medical services is useful for rescuing or transporting highly time-dependent disease patients, from urban remote areas or harsh environments in the hospital, providing advanced pre-hospital life support in an emergency setting.
Study Objective: This study aims to identify changes in mission characteristics, crew composition, and operational procedures within the helicopter emergency medical service (HEMS) system of L'Aquila, Italy, to identify operational patterns, mission characteristics, crew composition and patient outcomes over time, with specific attention to changes implemented after the Monte Cefalone incident.
Methods: Changes in the characteristics of the rescued patients, the helicopter missions, the crew members and the type of interventions were analysed.
Chemosphere
December 2024
Arcadis G&M of North Carolina, Inc., 175 Regency Woods Place, Suite 400, Cary, NC, 27518, USA. Electronic address:
When fire suppression systems that held aqueous film forming foams (AFFF) are transitioned to per- and polyfluoroalkyl substance (PFAS)-free firefighting formulations, PFAS can dissolve from the wetted surfaces of the systems and release into the new firefighting formulations. The overall objective of this work was to characterize PFAS residual mass on the wetted surfaces of aircraft rescue and firefighting (ARFF) vehicle on-board fire suppression system components from the water, mixed fire water, and foam concentrate systems with various geometries, materials of construction, and locations within the fire suppression system. The ARFF vehicle components were dismantled from the system after a triple water rinse procedure which removed 19,600 mg total measured PFAS post-TOP assay from the foam concentrate system and 23 mg total measured PFAS post-TOP assay from the water system.
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