Purpose: Geographic problems can make it difficult for rescue
teams to access emergency patients in the mountains.
We developed the aeromedical relief program in conjunction
with fire department helicopter EMS teams. This study
describes the clinical ...
Purpose: Geographic problems can make it difficult for rescue
teams to access emergency patients in the mountains.
We developed the aeromedical relief program in conjunction
with fire department helicopter EMS teams. This study
describes the clinical experience of patients transported
from the mountains in this program.
Methods: We reviewed the employed protocols and the
medical records of patients transported to our hospital from
the mountains by the aeromedical transport system from
June 2006 to June 2007.
Results: Thirty-one patients were transported by helicopter
during the study period, most of them (84%) from Mt.
Bukhan. The time interval from call for help to hospital
arrival was 80±56 min, and rescue time alone was 30±24
min. Eleven patients (36%) were pronounced dead on
arrival, and 11 patients were admitted for management.
The number of trauma patients were 24 (77%), who had an
average RTS score (excluding the 11 patients who expired
before arrival) of 11.7±0.6. When the ground team and the
aeromedical team were dispatched at the same time, the
total transport time was 54.0±22.8 min, compared to 133.0
±75.7 min when the aeromedical team was dispatched
only upon the request of the ground team, a large and statistically
significant difference.
Conclusion: This study suggests that the helicopter transport
system can be successfully employed to achieve early
access to patients in the mountains. To optimize the current
program, cooperation between hospital and the regional
helicopter EMS is required.