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Abstract 5: Prevalence, Characteristics, and Accuracy of Stroke Diagnosis for Scene Transports to a Comprehensive Stroke Center by Helicopter Emergency Medical Services: A One Year Retrospective Evaluation
Publication date: July–August 2019Source: Air Medical Journal, Volume 38, Issue 4Author(s): Ekta Panjrolia, Anne Jackson, Stacie Stevens, Lorie Selleck, V. Ramana Feeser, Bert Bogue, Kathy Baker, Harinder DhindsaIschemic strokes affect 795,000 people per year in the US and are a major cause of long-term disability and mortality. These patients are often assessed by EMS at the scene and transported to appropriate centers of care for further evaluation and treatment. Utilization of helicopter emergency medical services (HEMS) greatly improves access to comprehensive stroke centers (CSC). However, the number of patients who...
Source: Air Medical Journal - June 25, 2019 Category: Emergency Medicine Source Type: research

Out-of-hospital Times Using Helicopters Versus Ground Services for Emergency Patients
ConclusionIn cases of severe trauma, acute coronary syndrome, or acute stroke, emergency medical helicopter transport can be chosen over ground transport when patients are in a severe state and when the distance is further than 35 km from the hospital.
Source: Air Medical Journal - January 15, 2019 Category: Emergency Medicine Source Type: research

Medical and Economical Effects by Introducing Helicopter Emergency Medical Service (HEMS) in Toyama Prefecture, Japan
ConclusionBased on this study, HEMS of Toyama showed effective medical and economical effects. HEMS staff recognize that early treatments and rapid transports improve patient's outcome. In case of Toyama, HEMS staff effort to contact patients rapidly, and start critical treatments as soon as possible after arrival on scene, and to minimum the staying time. Moreover, all hospitals in Toyama receive patients for treating optimal care immediately along with patient's conditions. Those efforts could lead to the result.
Source: Air Medical Journal - October 13, 2018 Category: Emergency Medicine Source Type: research

HEMS Guidelines Utilization
ConclusionWe detected a significant difference between the number of cases meeting Wisconsin HEMS utilization versus NAEMSP guidelines, and between Wisconsin HEMS utilization and CAMTS guidelines in all subgroups except STEMI patients. No statistically significant difference existed between the NAEMSP guidelines and the CAMTS guidelines. Further study is required to examine the lack of agreement between guidelines to clearly identify patients that should be transported by HEMS.Figure 1Total number of charts reviewed, number of patients transported by Helicopter Emergency Medical Services and number of patients analyzed in each subgroup.
Source: Air Medical Journal - October 13, 2018 Category: Emergency Medicine Source Type: research

Helicopter Scene Response for Stroke Patients: A 5-Year Experience
Conclusion Using a 3-step EMS triage for acute CVA, air medical transport from the scene to a comprehensive stroke center allowed for the timely administration of tissue plasminogen activator and/or a neurointerventional procedure in a substantive percentage of patients. Further investigation into air medical scene response for acute stroke is warranted.
Source: Air Medical Journal - July 1, 2016 Category: Emergency Medicine Source Type: research

Stroke and Helicopter Emergency Medical Service Transports: An Analysis of 25,332 Patients
Conclusions HEMS has increased access to stroke care for super-rural, rural, and urban communities offering timely transport within the treatment window if symptoms are recognized within 2.5 hours of onset. This study created a methodology for future multicenter aggregate data studies.
Source: Air Medical Journal - November 24, 2015 Category: Emergency Medicine Source Type: research

Characteristics of Nontrauma Scene Flights for Air Medical Transport
Conclusion The use of air transport for nontraumatic emergencies varied considerably between various air transport programs and regions. More research is needed to evaluate which nontraumatic emergencies benefit from air transport. National guidelines regarding the use of air transport for nontraumatic emergencies are needed.
Source: Air Medical Journal - November 6, 2014 Category: Emergency Medicine Source Type: research