BACKGROUND: In consideration of rising cost pressure in the German health care system, the usefulness of helicopter emergency medical service (HEMS) in terms of time- and cost-effectiveness is controversially discussed. The aim of the present study was to investigate whether HEMS is associated with significantly decreased arrival and transportation times compared to ground EMS. METHODS: In a retrospective study, we evaluated 1,548 primary emergency missions for time sensitive diagnoses (multiple trauma, traumatic brain and burn injury, heart-attack, stroke, and pediatric emergency) performed by a German HEMS using the medical database, NADIN, of the German Air Rescue Service. Arrival and transportation times were compared to calculated ground EMS times. RESULTS: HEMS showed significantly reduced arrival times at the scene in case of heart-attack, stroke and pediatric emergencies. In contrast, HEMS and ground EMS showed comparable arrival times in patients with multiple trauma, traumatic brain and burn injury due to an increased flight distance. HEMS showed a significantly decreased transportation time to the closest centre capable of specialist care in all diagnosis groups (p<0.001). CONCLUSIONS: The results of the present study indicate the time-effectiveness of German air ambulance services with significantly decreased transportation times.
BACKGROUND: In consideration of rising cost pressure in the German health care system, the usefulness of helicopter emergency medical service (HEMS) in terms of time- and cost-effectiveness is controversially discussed. The aim of the present study was to investigate whether HEMS is associated with significantly decreased arrival and transportation times compared to ground EMS. METHODS: In a retrospective study, we evaluated 1,548 primary emergency missions for time sensitive diagnoses (multiple trauma, traumatic brain and burn injury, heart-attack, stroke, and pediatric emergency) performed by a German HEMS using the medical database, NADIN, of the German Air Rescue Service. Arrival and transportation times were compared to calculated ground EMS times. RESULTS:HEMS showed significantly reduced arrival times at the scene in case of heart-attack, stroke and pediatric emergencies. In contrast, HEMS and ground EMS showed comparable arrival times in patients with multiple trauma, traumatic brain and burn injury due to an increased flight distance. HEMS showed a significantly decreased transportation time to the closest centre capable of specialist care in all diagnosis groups (p<0.001). CONCLUSIONS: The results of the present study indicate the time-effectiveness of German air ambulance services with significantly decreased transportation times.
Authors: Hagen Andruszkow; Rolf Lefering; Michael Frink; Philipp Mommsen; Christian Zeckey; Katharina Rahe; Christian Krettek; Frank Hildebrand Journal: Crit Care Date: 2013-06-21 Impact factor: 9.097
Authors: Kamilia S Funder; Lars S Rasmussen; Nicolai Lohse; Rasmus Hesselfeldt; Volkert Siersma; Jesper Gyllenborg; Sandra Wulffeld; Ole M Hendriksen; Freddy K Lippert; Jacob Steinmetz Journal: Scand J Trauma Resusc Emerg Med Date: 2017-02-23 Impact factor: 2.953
Authors: Diarmuid Coughlan; Peter McMeekin; Darren Flynn; Gary A Ford; Hannah Lumley; David Burgess; Joyce Balami; Andrew Mawson; Dawn Craig; Stephen Rice; Phil White Journal: Emerg Med J Date: 2020-11-10 Impact factor: 2.740