The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands

Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isola...

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Autores principales:	Alice Herrlin Jensen, Asger Sonne, Lars S. Rasmussen
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	physician-staffed helicopter HEMS air ambulance emergency care Medicine R
Acceso en línea:	https://doaj.org/article/7381f1cf8dd649388498270ac6280ad0
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spelling	oai:doaj.org-article:7381f1cf8dd649388498270ac6280ad02021-11-25T17:44:02ZThe Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands10.3390/healthcare91114462227-9032https://doaj.org/article/7381f1cf8dd649388498270ac6280ad02021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1446https://doaj.org/toc/2227-9032Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isolated islands with a focus on the role of a physician-staffed helicopter. The data were obtained from Danish national registries and databases. We included data on emergency calls from isolated islands from the time of emergency call to discharge. We identified 1130 emergency calls from which 775 patients were registered with a hospital admission. Of these, 41% were transported by the HEMS and 36% by a ground ambulance. The median time to admission was 83 min (IQR 66–104) and 90 min (IQR 45–144) for the HEMS and ground ambulance, respectively (<i>p</i> = 0.26). The overall 30-day mortality was 6.2% (95% CI: 4.6–8.1%), and 37% of all the patients were admitted to the hospital with an unspecified diagnosis. The emergency calls from isolated islands led to the dispatch of the HEMS in 41% of the cases. The use of the HEMS did not significantly reduce the time to admission but was used in a greater proportion of patients with an acute cardiac disease (66%) or stroke (67%).Alice Herrlin JensenAsger SonneLars S. RasmussenMDPI AGarticlephysician-staffed helicopterHEMSair ambulanceemergency careMedicineRENHealthcare, Vol 9, Iss 1446, p 1446 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	physician-staffed helicopter HEMS air ambulance emergency care Medicine R
spellingShingle	physician-staffed helicopter HEMS air ambulance emergency care Medicine R Alice Herrlin Jensen Asger Sonne Lars S. Rasmussen The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
description	Emergency calls may lead to the dispatch of either ground ambulances or helicopter emergency medical services (HEMS). For residents on isolated islands, the HEMS can reduce the time to hospital admission and lead to improved outcomes. This study investigated the emergency care for residents on isolated islands with a focus on the role of a physician-staffed helicopter. The data were obtained from Danish national registries and databases. We included data on emergency calls from isolated islands from the time of emergency call to discharge. We identified 1130 emergency calls from which 775 patients were registered with a hospital admission. Of these, 41% were transported by the HEMS and 36% by a ground ambulance. The median time to admission was 83 min (IQR 66–104) and 90 min (IQR 45–144) for the HEMS and ground ambulance, respectively (<i>p</i> = 0.26). The overall 30-day mortality was 6.2% (95% CI: 4.6–8.1%), and 37% of all the patients were admitted to the hospital with an unspecified diagnosis. The emergency calls from isolated islands led to the dispatch of the HEMS in 41% of the cases. The use of the HEMS did not significantly reduce the time to admission but was used in a greater proportion of patients with an acute cardiac disease (66%) or stroke (67%).
format	article
author	Alice Herrlin Jensen Asger Sonne Lars S. Rasmussen
author_facet	Alice Herrlin Jensen Asger Sonne Lars S. Rasmussen
author_sort	Alice Herrlin Jensen
title	The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
title_short	The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
title_full	The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
title_fullStr	The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
title_full_unstemmed	The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands
title_sort	role of a physician-staffed helicopter in emergency care of patients on isolated danish islands
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/7381f1cf8dd649388498270ac6280ad0
work_keys_str_mv	AT aliceherrlinjensen theroleofaphysicianstaffedhelicopterinemergencycareofpatientsonisolateddanishislands AT asgersonne theroleofaphysicianstaffedhelicopterinemergencycareofpatientsonisolateddanishislands AT larssrasmussen theroleofaphysicianstaffedhelicopterinemergencycareofpatientsonisolateddanishislands AT aliceherrlinjensen roleofaphysicianstaffedhelicopterinemergencycareofpatientsonisolateddanishislands AT asgersonne roleofaphysicianstaffedhelicopterinemergencycareofpatientsonisolateddanishislands AT larssrasmussen roleofaphysicianstaffedhelicopterinemergencycareofpatientsonisolateddanishislands
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The Role of a Physician-Staffed Helicopter in Emergency Care of Patients on Isolated Danish Islands

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