Utilisation of helicopter emergency medical services in the early medical response to major incidents: a systematic literature review.

Autor:	Johnsen AS; Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway Department of Anaesthesiology, Oslo University Hospital, Oslo, Norway., Fattah S; Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway., Sollid SJ; Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway., Rehn M; Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway London's Air Ambulance, Royal London Hospital, Barts Health Trust, London, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2016 Feb 09; Vol. 6 (2), pp. e010307. Date of Electronic Publication: 2016 Feb 09.
DOI:	10.1136/bmjopen-2015-010307
Abstrakt:	Objective: This systematic review identifies, describes and appraises the literature describing the utilisation of helicopter emergency medical services (HEMS) in the early medical response to major incidents. Setting: Early prehospital phase of a major incident. Design: Systematic literature review performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, the Web of Science, PsycINFO, Scopus, Cinahl, Bibsys Ask, Norart, Svemed and UpToDate were searched using phrases that combined HEMS and 'major incidents' to identify when and how HEMS was utilised. The identified studies were subjected to data extraction and appraisal. Results: The database search identified 4948 articles. Based on the title and abstract, the full text of 96 articles was obtained; of these, 37 articles were included in the review, and an additional five were identified by searching the reference lists of the 37 articles. HEMS was used to transport medical and rescue personnel to the incident and to transport patients to the hospital, especially when the infrastructure was damaged. Insufficient air traffic control, weather conditions, inadequate landing sites and failing communication were described as challenging in some incidents. Conclusions: HEMS was used mainly for patient treatment and to transport patients, personnel and equipment in the early medical management of major incidents, but the optimal utilisation of this specialised resource remains unclear. This review identified operational areas with improvement potential. A lack of systematic indexing, heterogeneous data reporting and weak methodological design, complicated the identification and comparison of incidents, and more systematic reporting is needed. Trial Registration Number: CRD42013004473. (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)
Databáze:	MEDLINE
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