scholarly journals Cost-effectiveness and quality-of-life analysis of physician-staffed helicopter emergency medical services

2009 ◽  
Vol 96 (11) ◽  
pp. 1365-1370 ◽  
Author(s):  
A. N. Ringburg ◽  
S. Polinder ◽  
T. J. Meulman ◽  
E. W. Steyerberg ◽  
E. M. M. van Lieshout ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cost Effectiveness ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical ◽  
Life Analysis

scholarly journals Effect of Acute Exposure to Altitude on the Quality of Chest Compression‐Only Cardiopulmonary Resuscitation in Helicopter Emergency Medical Services Personnel: A Randomized, Controlled, Single‐Blind Crossover Trial

2021 ◽  
Author(s):  
Anna Vögele ◽  
Michiel Jan van Veelen ◽  
Tomas Dal Cappello ◽  
Marika Falla ◽  
Giada Nicoletto ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Chest Compression ◽  
Acute Exposure ◽  
Medical Services ◽  
Compression Depth ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical ◽  
Emergency Medical Services Personnel ◽  
Cpr Quality

Background Helicopter emergency medical services personnel operating in mountainous terrain are frequently exposed to rapid ascents and provide cardiopulmonary resuscitation (CPR) in the field. The aim of the present trial was to investigate the quality of chest compression only (CCO)‐CPR after acute exposure to altitude under repeatable and standardized conditions. Methods and Results Forty‐eight helicopter emergency medical services personnel were divided into 12 groups of 4 participants; each group was assigned to perform 5 minutes of CCO‐CPR on manikins at 2 of 3 altitudes in a randomized controlled single‐blind crossover design (200, 3000, and 5000 m) in a hypobaric chamber. Physiological parameters were continuously monitored; participants rated their performance and effort on visual analog scales. Generalized estimating equations were performed for variables of CPR quality (depth, rate, recoil, and effective chest compressions) and effects of time, altitude, carryover, altitude sequence, sex, qualification, weight, preacclimatization, and interactions were analyzed. Our trial showed a time‐dependent decrease in chest compression depth ( P =0.036) after 20 minutes at altitude; chest compression depth was below the recommended minimum of 50 mm after 60 to 90 seconds (49 [95% CI, 46–52] mm) of CCO‐CPR. Conclusions This trial showed a time‐dependent decrease in CCO‐CPR quality provided by helicopter emergency medical services personnel during acute exposure to altitude, which was not perceived by the providers. Our findings suggest a reevaluation of the CPR guidelines for providers practicing at altitudes of 3000 m and higher. Mechanical CPR devices could be of help in overcoming CCO‐CPR quality decrease in helicopter emergency medical services missions. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT04138446.

scholarly journals The coast and benefits of helicopter emergency medical services instead of the ground unit in traumatic patients: A cost-effectiveness analysis

Health ◽  
2013 ◽  
Vol 05 (05) ◽  
pp. 903-907 ◽  
Author(s):  
Amin Shams Akhtari ◽  
Naghmeh Sadat Jafari ◽  
Hamid Kariman ◽  
Afshin Amini ◽  
Vahid Monsef ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Emergency Medical Services ◽  
Cost Effectiveness Analysis ◽  
Medical Services ◽  
Helicopter Emergency Medical Services ◽  
Effectiveness Analysis ◽  
Emergency Medical

scholarly journals Social factors in frequent callers: a description of isolation, poverty and quality of life in those calling emergency medical services frequently

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gina Agarwal ◽  
Janice Lee ◽  
Brent McLeod ◽  
Sabnam Mahmuda ◽  
Michelle Howard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Medical Services ◽  
Social Factors ◽  
Medical Services ◽  
Emergency Medical

scholarly journals Development of unmanned aerial vehicle (UAV) networks delivering early defibrillation for out-of-hospital cardiac arrests (OHCA) in areas lacking timely access to emergency medical services (EMS) in Germany: a comparative economic study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043791
Author(s):  
Jan Bauer ◽  
Dieter Moormann ◽  
Reinhard Strametz ◽  
David A Groneberg
Keyword(s):  
Cost Effectiveness ◽  
Emergency Medical Services ◽  
Rural Areas ◽  
Medical Services ◽  
Secondary Outcome ◽  
Annual Average ◽  
Emergency Medical ◽  
Life Years ◽  
Timely Access ◽  
The Cost

ObjectivesThis study wants to assess the cost-effectiveness of unmanned aerial vehicles (UAV) equipped with automated external defibrillators (AED) in out-of-hospital cardiac arrests (OHCA). Especially in rural areas with longer response times of emergency medical services (EMS) early lay defibrillation could lead to a significant higher survival in OHCA.Participants3296 emergency medical stations in Germany.SettingRural areas in Germany.Primary and secondary outcome measuresThree UAV networks providing 80%, 90% or 100% coverage for rural areas lacking timely access to EMS (ie, time-to-defibrillation: >10 min) were developed using a location allocation analysis. For each UAV network, primary outcome was the cost-effectiveness using the incremental cost-effectiveness ratio (ICER) calculated by the ratio of financial costs to additional life years gained compared with current EMS.ResultsCurrent EMS with 3926 emergency stations was able to gain 1224 life years on annual average in the study area. The UAV network providing 100% coverage consisted of 1933 UAV with average annual costs of €43.5 million and 1845 additional life years gained on annual average (ICER: €23 568). The UAV network providing 90% coverage consisted of 1074 UAV with average annual costs of €24.2 million and 1661 additional life years gained on annual average (ICER: €14 548). The UAV network providing 80% coverage consisted of 798 UAV with average annual costs of €18.0 million and 1477 additional life years gained on annual average (ICER: €12 158).ConclusionThese results reveal the relevant life-saving potential of all modelled UAV networks. Furthermore, all analysed UAV networks could be deemed cost-effective. However, real-life applications are needed to validate the findings.

A61 Effect of Helicopter Emergency Medical Services (HEMS) care in a cohort of 1,073 polytraumatized patients

Injury ◽  
2011 ◽  
Vol 42 ◽  
pp. S17
Author(s):  
G.F. Giannakopoulos ◽  
A. Noor ◽  
M.N. Kolodzinskyi ◽  
H.M.T. Christiaans ◽  
C. Boer ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Medical Services ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical
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