Helicopter air ambulance services

Current Opinion in Anaesthesiology
Keith J Ruskin

Abstract

Helicopter air ambulances are an integral component of modern trauma care, and are able to transport patients to facilities with greater capabilities, extract injured patients from hostile terrain, and speed transport to a trauma center. HAA transport does not reduce the total time required to transport a patient, but it does reduce the time that the patient is between healthcare facilities. Factors that have been suggested to improve outcomes for trauma patients include the availability of advanced interventions, skilled personnel, speed, and trauma center access. Despite their potential benefits to the patient, HAA operations carry significant risks. HAA operations are among the most dangerous professions for both pilot and crew with a mortality rate greater than commercial fishing, loggers, and steelworkers. The US Federal Aviation Administration (FAA) has identified that the four most common causes of HAA accidents as inadvertent flight into instrument meteorological conditions, loss of control, controlled flight into terrain, and night conditions. HAA operations are safe and can improve patient care, but additional research is needed to improve our understanding of HAA operations and their effect on outcomes.

References

Sep 22, 2016·Injury·Julia AussererUNKNOWN International Alpine Trauma Registry Study Group
Oct 27, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Sioban NelsonMaria Tassone
Jan 17, 2017·Air Medical Journal·Danny Jon Nian WongRoger Bloomer
Mar 25, 2017·Air Medical Journal·Jeff PhillipsChris Evanson
Oct 8, 2017·The Journal of Surgical Research·SriGita Krishna MadirajuMarko Bukur
May 23, 2018·The Journal of Trauma and Acute Care Surgery·Xilin ChenJoshua B Brown

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Citations

Aug 14, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John W LyngAshley Larrimore

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