The helicopter emergency medical service

The helicopter emergency medical service based at the Royal London Hospital is the only medical helicopter in the United Kingdom that carries a doctor. Stephen Hearns and Alastair Newton describe life as the doctor on board and what it takes to get the job

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Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom

Injury ◽

10.1016/j.injury.2014.10.067 ◽

2015 ◽

Vol 46 (5) ◽

pp. 781-786 ◽

Cited By ~ 4

Author(s):

Carl McQueen ◽

Nick Crombie ◽

Stef Cormack ◽

Arun George ◽

Steve Wheaton

Keyword(s):

United Kingdom ◽

Emergency Medical Service ◽

Major Trauma ◽

Medical Service ◽

Helicopter Emergency Medical Service ◽

Trauma Network ◽

The United Kingdom ◽

Emergency Medical

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Helicopter Emergency Medical Service operating from the Royal London Hospital: the first year

British Journal of Surgery ◽

10.1002/bjs.1800800231 ◽

1993 ◽

Vol 80 (2) ◽

pp. 218-221 ◽

Cited By ~ 13

Author(s):

C. J. C. Kirk ◽

R. J. Earlam ◽

A. W. Wilson ◽

E. S. Watkins

Keyword(s):

Emergency Medical Service ◽

Medical Service ◽

Helicopter Emergency Medical Service ◽

First Year ◽

Emergency Medical ◽

London Hospital ◽

Royal London Hospital

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The Cost and Effectiveness of the London Helicopter Emergency Medical Service

Journal of Health Services Research & Policy ◽

10.1177/135581969600100409 ◽

1996 ◽

Vol 1 (4) ◽

pp. 232-237 ◽

Cited By ~ 22

Author(s):

John Brazier ◽

Jon Nicholl ◽

Helen Snooks

Keyword(s):

Health Status ◽

Emergency Medical Service ◽

Medical Service ◽

Nottingham Health Profile ◽

Cost Effective ◽

Helicopter Emergency Medical Service ◽

Emergency Medical ◽

Prospective Comparison ◽

Royal London Hospital ◽

Injured Patients

Objectives: To assess the incremental consequences of the London Helicopter Emergency Medical Service (HEMS) for the outcomes of survivors in terms of disability and health status, and cost. Methods: Prospective comparison of outcomes in cohorts of seriously injured patients attended either by the HEMS or by paramedically crewed land ambulances. In survivors, disability was assessed using an 11-point disability scale, and general health status was measured by the six dimensions of the 100-point Nottingham Health Profile (NHP) assessed 6 months after the injury. Costs were estimated for the HEMS and associated facilities at the Royal London Hospital, and the extra admissions attributable to the HEMS. Results: There was no evidence of reduced disability in HEMS survivors (estimate: +0.8 disability grades worse; 95% CI: 0, 1.6), and no evidence of improvement in the six NHP dimension scores or in the mean number of problems with seven aspects of daily living (estimated difference: +0.5; 95% CI: −0.2, 1.2). The incremental costs of HEMS were estimated to be £2.0 million a year. Conclusion: As there is no evidence of any improvement in outcomes overall for the extra cost, the HEMS has not been found to be a cost-effective service.

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