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의사 탑승 헬기를 이용한 산악 응급 환자 이송: 시범 연구
박정호 ( Jeong Ho Park ),신상도 ( Sang Do Shin ),이의중 ( Eui Jung Lee ),박창배 ( Chang Bae Park ),이유진 ( Yu Jin Lee ),김경수 ( Kyoung Soo Kim ),박명희 ( Myoung Hee Park ),김한범 ( Han Bum Kim ),김도균 ( Do Kyun Kim ),권운용 ( W 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Purpose: We aimed to compare the transport time, the proportion of direct hospital visit and the emergency procedures between the current mountain rescue helicopter emergency medical service (HEMS) and physicianstaffed mountain-rescue HEMS. Methods: During weekends from October 2, to November 21, 2010, 9 emergency physicians participated as HEMS staff in the mountain-rescue HEMS program of the Seoul fire department. Patient demographic data, transport time, proportion of direct hospital visits, and emergency procedures were recorded. We also collected data on HEMS mountain-rescued patients from June 1, to September 1, 2010, and we compared them to those for the study patients. After an eight-week trial of the HEMS, we performed a delphi survey to determine the attitude of the physician staff, as well as the feasibility of using a physician staff. Results: Twenty-four(24) patients were rescued from mountains by physician-staffed HEMS during the study period, and 35 patients were rescued during the pre-study period. Patient demographic findings were not statistically different between the two groups, but the transport time and the emergency procedures were. During the study period, the time from call to take-off was 6.1±4.1min (vs. 12.1±8.9min during the pre-study period, pvalue=0.001), and the time from call to arrival at the scene was 15.0±4.8min (vs. 22. 3±8.1min during the pre-study period, p-value=0.0001). The proportions of direct hospital visit were not different between the two groups, but more aggressive emergency procedures were implemented in the study group. The delphi survey showed positive agreement on indications for HEMS, rapidity of transport and overall satisfaction. Conclusion: A pilot trial of physician-staffed HEMS for mountain rescue showed rapid response and more aggressive performance of emergency procedures with high satisfaction among the attending physicians. (J Trauma Inj 2012;25:230-240)