Air Medical Journal
Volume 26, Issue 1 , Pages 50-54 , January 2007

Medically appropriate use of helicopter EMS: The mission acceptance/triage process

  • David A Petrie, BSc, MD, FRCPC, ABEM

      Affiliations

    • Department of Emergency Medicine, Dalhouse University, Halifax, NS Canada
    • Corresponding Author InformationAddress for correspondence: David A Petrie, Department of Emergency Medicine, Dalhousie University, 372, Bethune VG Site, 1278 Tower Road, Halifax, NS Canada B3H 2Y9
    • ,
  • John M. Tallon, BSc, MSc (c), MD, FRCPC

      Affiliations

    • Department of Emergency Medicine, Dalhouse University, Halifax, NS Canada
    • ,
  • Wilma Crowell, BscHe

      Affiliations

    • Emergency Health Services LifeFlight, Enfield, NS Canada
    • ,
  • Ed Cain, BSc, MD, FRCPC
    • ,
  • Paula Martell, RN, ICP
    • ,
  • Dagmar McManus, BScH

References 

  1. Thomas SH , Cheema F , Wedel SK , Thomson D . Trauma helicopter emergency medical services transport: Annotated review of selected outcomes-related literature . Prehospital Emergency Care . 2002;6:359–371
  2. Thomas SH , Cheema F , Cumming M , Wedel SK , Thomson D . Nontrauma helicopter emergency medical services transport: annotated review of selected outcomes-related literature . Prehospital Emergency Care . 2002;6:242–255
  3. Thomas SH . Helicopter emergency medical services transport outcomes literature: annotated review of articles published 2000-2003 . Prehospital Emergency Care . 2004;8:322–333
  4. Lawless J , Tallon JM , Petrie D . Aborted air medical missions: a 4-year quality review of a Canadian province-wide air medical program . Air Med J . 2005;24:79–82
  5. Helliker K , Fuhrmans V . Air ambulances are under fire . Wall Street J . 2005; Mar 3.
  6. Bledsoe Bryan E , Smith Michael G . Medical helicopter accidents in the United States: a 10 year review . J Trauma . 2004;56:1325–1329
  7. Fallon WF . Editorial comment end of article by Bledsoe BE and Smith MG; Medical helicopter accidents in the United States: A 10-year review . J Trauma . 2004;56:1325–1329
  8. Brathwaite CE , Rosko M , McDowell R , Gallagher J , Proenca J , Spott MA . A critical analysis of on-scene helicopter transport on survival in a statewide trauma system . J Trauma . 1998;45:144–146
  9. Lubin JS , Delbridge TR , Cole JS , Nicholas DH , Fore CA , Wadas RJ . EMS and emergency department physician triage . Prehosp Emerg Care . 2005;9:198–202
  10. Silbergleit R , Burney RE , Nelson K , Snyder M , Lowell MJ , Maio RF . Long-term air medical services system performance using APACHE-II and mortality benchmarking . Prehosp Emerg Care . 2003;7:195–198
  11. Black JJM , Ward ME , Lockey DJ . Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: an algorithm . Emerg Med J . 2004;21:355–361
  12. Committee on Trauma  . Resources for optimal care of the injured patient: 1999 . Chicago, IL: American College of Surgeons; 1998;
  13. Champion H, Augenstein JS, Blatt AJ, Cushing B, Digges KH, Flanigan MC, et al. New tools to reduce deaths and disabilities by improving emergency care: urgency software, occult injury warnings, and air medical services database. NHTSA Proceedings of the 19th International Technical Conference on Enhanced Safety of Vehicles. DOT HS 809 825. 2005. Washington DC. June 6, 2005.
  14. Howlett MK . Adapting prehospital care to a large rural geographic area: a review of the Emergency Health Services Nova Scotia implementation . Healthcare Manage Forum . 2003;16:20–25
  15. LeBlanc CH , Tallon JM , Ackroyd-Stolarz S . Geriatric air medical transport: A program review . Air Med J . 2002;21:38–40
  16. Mitchell AD , Tallon JM . Air medical transport of suspected aortic emergencies . Air Med J . 2002;21:34–37
  17. Sibley AK , Tallon JM , Day AL , Ackroyd-Stolarz S . Occupational injuries and stressors among Canadian air medical health care professionals in rotor-wing programs . Air Med J . 2005;24:252–257
  18. Thomson D , Thomas SH . Guidelines for air medical dispatch . Prehosp Emerg Care . 2003;7:265–271
  19. Wish JR , Davis DP . Auto launch/early activation: a survey of AAMS members and literature review . Air Med J . 2005;24:83–88
  20. Cunningham P , Rutledge R , Baker CC , Clancy TV . A comparison of the association of helicopter and ground ambulance transport with the outcome of injury in trauma patients transported from the scene . J Trauma . 1997;43:940–946
  21. Davis DP , Peay J , Serrano JA , Buono C , Vilke GM , Sise MJ , et al.   The impact of aeromedical response to patients with moderate to severe traumatic brain injury . Ann Emerg Med . 2005;46:115–122
  22. Frankema SP , Ringburg AN , Steyerberg EW , Edwards MJ , Schipper IB , van Vugt AB . Beneficial effect of helicopter emergency medical services on survival of severely injured patients . Br J Surg . 2004;91:1520–1526
  23. Nathens AB , Brunet FP , Maier RV . Development of trauma systems and effect on outcomes after injury . The Lancet . 2004;363:1794–1801
  24. Sampalis JS , Denis R , Lavoie A , Frechette P , Boukas S , Nikolis A , et al.   Trauma care regionalization: a process-outcome evaluation . J Trauma . 1999;46:565–581
  25. Sampalis JS , Lavoie A , Williams JI , Mulder DS , Kalina M . Impact of on-site care, prehospital time, and level of in-hospital care on survival in severely injured patients . J Trauma . 1993;252–261
  26. Rivers E , Nguyen B , Havstad S , Ressler J , Muzzin A , Knoblich B , et al.   Early goal-directed therapy in the treatment of severe sepsis and septic shock . N Engl J Med . 2001;345:1368–1377
  27. Andersen HR , Nielsen TT , Vesterlund T , Grande P , Abildgaard U , Thayssen P , et al.   Danish multicenter randomized study on fibrinolytic therapy versus acute coronary angioplasty in acute myocardial infarction: rationale and design of the Danish trial in acute myocardial infarction-2 (DANAMI-2) . Am Heart J . 2003;146:234–241
  28. Andersen HR , Nielsen TT , Rasmussen K , Thuesen L , Kelbaek H , Thayssen P , et al.   A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction . N Engl J Med . 2003;349:733–742
  29. Ghali WA , Donaldson CR , Knudtson ML , Lewis SJ , Maxwell CJ , Tu JV . Rising to the challenge: transforming the treatment of ST-segment elevation myocardial infarction . CMAJ . 2003;169:35–37
  30. Jacobs AK . Primary angioplasty for acute myocardial infarction is it worth the wait? . N Engl J Med . 2003;349:798–800
  31. Widimsky P , Groch L , Zelizko M , Aschermann M , Bednar F , Suryapranata H . Multicentre randomized trial comparing transport to primary angioplasty vs immediate thrombolysis vs combined strategy for patients with acute myocardial infarction presenting to a community hospital without a catheterization laboratory. The PRAGUE Study . Eur Heart J . 2000;21:823–831

 The paper was presented at the Air Medical Transport Conference in Austin, Texas, on October 25, 2005.

PII: S1067-991X(06)00311-7

doi: 10.1016/j.amj.2006.10.005

Air Medical Journal
Volume 26, Issue 1 , Pages 50-54 , January 2007

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