PMID- 29908723
OWN - NLM
STAT- MEDLINE
DCOM- 20181220
LR  - 20181220
IS  - 1545-1534 (Electronic)
IS  - 1080-6032 (Linking)
VI  - 29
IP  - 3
DP  - 2018 Sep
TI  - Static Rope Evacuation by Helicopter Emergency Medical Services in Rescue 
      Operations in Southeast Norway.
PG  - 315-324
LID - S1080-6032(18)30064-4 [pii]
LID - 10.1016/j.wem.2018.03.010 [doi]
AB  - INTRODUCTION: Physician-staffed helicopter emergency medical services (HEMS) in 
      Norway are an adjunct to existing search and rescue services. Our aims were to 
      study the epidemiological, operational, and medical aspects of HEMS daylight 
      static rope operations performed in the southeastern part of the country and to 
      examine several quality dimensions that are characteristic of this service. 
      METHODS: We reviewed the static rope operations performed at 3 HEMS bases during 
      a 3-y period and applied a set of quality indicators designed for 
      physician-staffed emergency medical services to evaluate the quality of care. 
      Data are presented as medians with quartiles, except National Advisory Committee 
      for Aeronautics (NACA) scores, which are presented as mean (SD). RESULTS: 
      Fifty-nine static rope operations were identified, involving 60 patients. Median 
      (quartiles) age was 43 (27-55) y. Median (quartiles) take-off time was 9 (5-13) 
      min. Trauma-related injuries were found in 48 patients. The main conditions were 
      lower limb injuries, found in 32 patients. Ten patients experienced medical 
      conditions. Mean (SD) NACA score was 3.3 (1.3). A potential or actual 
      life-threatening diagnosis (NACA score: 4-6) was reported among 15 patients. The 
      main interventions were intravenous lines (19 patients), analgesics (17), and 
      oxygen treatment (14). Four patients were intubated, and 1 thoracostomy was 
      performed. CONCLUSIONS: Static rope operations are rarely performed. The quality 
      indicators suggest that the service is safe, available, and equitable. Its main 
      benefit seems to be evacuation and the maintenance of readiness before rapid 
      transport of the physician to the scene or the patient to the hospital.
CI  - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Samdal, Martin
AU  - Samdal M
AD  - Department of Research, Norwegian Air Ambulance Foundation, Drobak (Drs Samdal, 
      Haugland, and Rehn); Division of Emergencies and Critical Care, Department of 
      Anesthesiology (Drs Samdal and Rehn). Electronic address: 
      martin.samdal@norskluftambulanse.no.
FAU - Haugland, Helge H
AU  - Haugland HH
AD  - Department of Research, Norwegian Air Ambulance Foundation, Drobak (Drs Samdal, 
      Haugland, and Rehn); Department of Anesthesiology and Intensive Care, St. Olav's 
      University Hospital, Trondheim, Norway (Dr Haugland).
FAU - Fjeldet, Cato
AU  - Fjeldet C
AD  - Norwegian Air Ambulance, Evenes, Norway (Mr Fjeldet).
FAU - Rehn, Marius
AU  - Rehn M
AD  - Department of Research, Norwegian Air Ambulance Foundation, Drobak (Drs Samdal, 
      Haugland, and Rehn); Division of Emergencies and Critical Care, Department of 
      Anesthesiology (Drs Samdal and Rehn); Department of Health Studies, University of 
      Stavanger, Stavanger, Norway (Dr Rehn).
FAU - Sandberg, Marten
AU  - Sandberg M
AD  - Air Ambulance Department, Prehospital Clinic (Dr Sandberg), Oslo University 
      Hospital, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway (Dr 
      Sandberg).
LA  - eng
PT  - Journal Article
DEP - 20180613
PL  - United States
TA  - Wilderness Environ Med
JT  - Wilderness & environmental medicine
JID - 9505185
SB  - IM
MH  - Adult
MH  - Air Ambulances/*statistics & numerical data
MH  - Aircraft
MH  - Databases, Factual
MH  - Emergency Medical Services
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Norway/epidemiology
MH  - Physicians
MH  - Quality of Health Care
MH  - Severity of Illness Index
MH  - Wilderness Medicine/*methods/*statistics & numerical data
MH  - Wounds and Injuries/*epidemiology/*therapy
OTO - NOTNLM
OT  - air ambulances
OT  - healthcare
OT  - quality indicators
OT  - rescue work
EDAT- 2018/06/18 06:00
MHDA- 2018/12/21 06:00
CRDT- 2018/06/18 06:00
PHST- 2017/09/10 00:00 [received]
PHST- 2018/03/08 00:00 [revised]
PHST- 2018/03/26 00:00 [accepted]
PHST- 2018/06/18 06:00 [pubmed]
PHST- 2018/12/21 06:00 [medline]
PHST- 2018/06/18 06:00 [entrez]
AID - S1080-6032(18)30064-4 [pii]
AID - 10.1016/j.wem.2018.03.010 [doi]
PST - ppublish
SO  - Wilderness Environ Med. 2018 Sep;29(3):315-324. doi: 10.1016/j.wem.2018.03.010. 
      Epub 2018 Jun 13.