Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Introduction
- Guidelines and National Organisation
- Training and Staff
- Equipment
- Decision-Making
- Transport Modality
- Preparation
- Undertaking the Transfer
- Points to Remember
- Introduction
- Models of Care
- Benefits and Downsides of Rotary Wing (Helicopter) Transfer
- Delivery of Care
- Governance and Training
- Tasking
- Triage and Patient Destination
- Mechanisms and Management of Traumatic Injury
- 10.1 Principles of Transport of the Mechanically Ventilated Critically Ill Patient outside the ICU
- 10.2 Pre-hospital (Helicopter) Emergency Medical Services
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
10.2 - Pre-hospital (Helicopter) Emergency Medical Services
from Section 10 - Transport
Published online by Cambridge University Press: 27 July 2023
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Introduction
- Guidelines and National Organisation
- Training and Staff
- Equipment
- Decision-Making
- Transport Modality
- Preparation
- Undertaking the Transfer
- Points to Remember
- Introduction
- Models of Care
- Benefits and Downsides of Rotary Wing (Helicopter) Transfer
- Delivery of Care
- Governance and Training
- Tasking
- Triage and Patient Destination
- Mechanisms and Management of Traumatic Injury
- 10.1 Principles of Transport of the Mechanically Ventilated Critically Ill Patient outside the ICU
- 10.2 Pre-hospital (Helicopter) Emergency Medical Services
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. The principles of emergency out-of-hospital care include attending the scene and initiating immediate medical care (primary retrieval), and transferring between geographical locations, often to more specialist tertiary medical centres (secondary retrieval).
2. Models of care delivery used by helicopter emergency medical services (HEMS) include both doctor–paramedic and paramedic-only response teams.
3. Both land and air service delivery have associated pros and cons.
4. HEMS systems are tightly governed and work to standard operating procedures.
5. Pre-hospital traumatic injury management broadly follows similar principles to those of in-hospital management; however, life-threatening injuries are managed on scene, sometimes with the addition of pre-hospital blood transfusion.
Keywords
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 733 - 738Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
Association of Ambulance Chief Executives. Annual report 2019–2020. www.associationofairambulances.co.uk/resources/AOAA-Annual%20Report%202016-FULL.pdfGoogle Scholar
Leech, C, Porter, K, Steyn, R, et al. The pre-hospital management of life-threatening chest injuries: a consensus statement from the Faculty of Pre-Hospital Care, Royal College Surgeons of Edinburgh. Trauma 2017;19:54–62.CrossRefGoogle Scholar
Moore, LJ, Brenner, M, Kozar, RA, et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. J Trauma Acute Care Surg 2015;79:523–30.CrossRefGoogle ScholarPubMed
The Trauma Audit & Research Network (TARN). 2017. Major trauma in older people – 2017 report. www.tarn.ac.uk/content/downloads/3793/Major%20Trauma%20in%20Older%20People%202017.pdfGoogle Scholar
Walmsley, J, Turner, J. Stocklist—a study of clinical skills of critical care paramedics in the UK. Emerg Med J 2015;32:e5.CrossRefGoogle Scholar
Wilson, MH, Hinds, J, Grier, G, Burns, B, Carley, S, Davies, G. Impact brain apnoea – a forgotten cause of cardiovascular collapse in trauma. Resuscitation 2016;105:52–8.CrossRefGoogle ScholarPubMed