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The Scientific World Journal
Volume 2014, Article ID 201570, 5 pages
http://dx.doi.org/10.1155/2014/201570
Research Article

Cross-Sectional Investigation of HEMS Activities in Europe: A Feasibility Study

1Department of Research and Development, Norwegian Air Ambulance Foundation, Holterveien 24, P.O. Box 94, 1441 Drøbak, Norway
2Azienda Ospedaliero Universitaria di Udine, Piazza SM Misericordia 15, 33100 Udine, Italy
3Department of Anesthesiology and Intensive Care, Charles University in Prague, Faculty of Medicine in Hradec Kralove, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic
4Air Ambulance Department, Division of Emergencies and Critical Care, Oslo University Hospital, Sykehusveien 19, 1474 Nordbyhagen, Norway

Received 31 July 2014; Revised 5 November 2014; Accepted 6 November 2014; Published 30 November 2014

Academic Editor: Jochen Hinkelbein

Copyright © 2014 Stefano Di Bartolomeo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To gather information on helicopter emergency medical services (HEMSs) activities across Europe. Methods. Cross-sectional data-collection on daily (15 November 2013) activities of a sample of European HEMSs. A web-based questionnaire with both open and closed questions was used, developed by experts of the European Prehospital Research Alliance (EUPHOREA). Results. We invited 143 bases from 11 countries; 85 (60%) reported base characteristics only and 73 (51%) sample-day data too. The variety of base characteristics was enormous; that is, the target population ranged from 94.000 to 4.500.000. Of 158 requested primary missions, 62 (0.82 per base) resulted in landing. Cardiac aetiology (36%) and trauma (36%) prevailed, mostly of life-threatening severity (43%, 0.64 per mission). Had HEMS been not dispatched, patients would have been attended by another physician in 67% of cases, by paramedics in 24%, and by nurses in 9%. On-board physicians estimated to have caused a major decrease of death risk in 47% of missions, possible decrease in 22%, minor benefit in 17%, no benefit in 11%, and damage in 3%. Earlier treatment and faster transport to hospital were the main reasons for benefit. The most frequent therapeutic procedure was drug administration (78% of missions); endotracheal intubation occurred in 25% of missions and was an option hardly offered by ground crews. Conclusions. The study proved feasible, establishing an embryonic network of European HEMS. The participation rate was low and limits the generalizability of the results. Fortunately, because of its cross-sectional characteristics and the handy availability of the web platform, the study is easily repeatable with an enhanced network.