Reduced Mortality in Injured Adults Transported by Helicopter Emergency Medical Services

@article{Sullivent2011ReducedMI,
  title={Reduced Mortality in Injured Adults Transported by Helicopter Emergency Medical Services},
  author={Ernest E. Sullivent and M. Faul and M. Wald},
  journal={Prehospital Emergency Care},
  year={2011},
  volume={15},
  pages={295 - 302}
}
Abstract Background. Some studies have shown improved outcomes with helicopter emergency medical services (HEMS) transport, while others have not. Safety concerns and cost have prompted reevaluation of the widespread use of HEMS. Objective. To determine whether the mode of transport of trauma patients affects mortality. Methods. Data for 56,744 injured adults aged ≥18 years transported to 62 U.S. trauma centers by helicopter or ground ambulance were obtained from the National Sample Program of… Expand
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TLDR
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Prehospital helicopter transport and survival of patients with traumatic brain injury.
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Patient and trauma center characteristics associated with helicopter emergency medical services transport for patients with minor injuries in the United States.
TLDR
Interventions to optimize cost-effectiveness of helicopter transport will likely require an evaluation of helicopter triage guidelines in the context of regional and patient needs, as well as better recognizing which patients with falls and penetrating trauma have serious injuries that could benefit from being flown. Expand
Outcomes after helicopter versus ground emergency medical services for major trauma--propensity score and instrumental variable analyses: a retrospective nationwide cohort study
TLDR
HEMS transport was associated with a significantly lower mortality than GEMS in adult patients with major traumatic injuries after adjusting for measured and unmeasured confounders. Expand
Helicopter transport: help or hindrance?
TLDR
Recent studies suggest that strict criteria should be established to determine when helicopter transport is warranted and most likely to positively affect patient outcomes, to enable regional hospitals to determine if the costs and safety risks associated with HEMS are worthwhile given the potential benefits to patient morbidity and mortality. Expand
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References

SHOWING 1-10 OF 61 REFERENCES
Helicopters and the civilian trauma system: national utilization patterns demonstrate improved outcomes after traumatic injury.
TLDR
Trauma patients transported by helicopter were more severely injured, had longer transport times, and required more hospital resources than those transported by ground, but despite concerns regarding helicopter utilization in the civilian setting, this study shows that HT has merit and impacts outcome. Expand
Helicopter transport and blunt trauma mortality: a multicenter trial.
TLDR
The results of this study are consistent with an association between helicopter transport mode and increased survival in blunt trauma patients. Expand
A critical analysis of on-scene helicopter transport on survival in a statewide trauma system.
TLDR
A reappraisal of the cost-effectiveness of helicopter triage and transport criteria, when access to ground ALS squads is available, may be warranted. Expand
A comparison of the association of helicopter and ground ambulance transport with the outcome of injury in trauma patients transported from the scene.
TLDR
Only a very small subset of patients transported by helicopter appear to have any chance of improved survival based on their helicopter transport, and further effort should be expended to try to better identify patients who may benefit from this expensive and risky mode of transport. Expand
Helicopter scene transport of trauma patients with nonlife-threatening injuries: a meta-analysis.
TLDR
The majority of trauma patients transported from the scene by helicopter have nonlife-threatening injuries, and efforts to more accurately identify those patients who would benefit most from helicopter transport from the accident scene to the trauma center are needed to reduce helicopter overutilization. Expand
Helicopter air medical transport: ten-year outcomes for trauma patients in a New England program.
TLDR
Rapid utilization of helicopter air medical transport can have a dramatic impact upon patient outcome, especially within a select group of scene transported trauma patients with Trauma Scores ranging from four to 13. Expand
Air vs ground transport and outcome in trauma patients requiring urgent operative interventions.
TLDR
This study failed to identify, but had insufficient power to rule out, outcome benefit to air medical transport in a subset of trauma patients requiring urgent operative interventions. Expand
The Effect of Adding a Second Helicopter on Trauma-Related Mortality in a County-Based Trauma System
  • J. Schiller, J. Mccormack, +4 authors M. Henry
  • Medicine
  • Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
  • 2009
Objectives. Despite conflicting evidence regarding its efficacy, helicopter transportation of trauma victims is widespread. We determined the effect of adding a second helicopter to a countywideExpand
Role of an emergency helicopter transport service in rural trauma.
TLDR
The records of 916 trauma victims transported by an emergency helicopter service were reviewed and it was believed that the rapid evaluation of potentially serious injuries and the number of patients for whom the service proved beneficial justify its use, particularly in rural areas. Expand
Effects of 2 patterns of prehospital care on the outcome of patients with severe head injury.
TLDR
This study was conceived to emphasize the supposed advantages of the combined helicopter, physician, and advanced life-support rescue and found no increased benefit compared with the simpler rescue group could be demonstrated. Expand
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