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[Deployment and efficacy of ground versus helicopter emergency service for severely injured patients. Analysis of a nationwide Swiss trauma center]

S Günkel, M König, R Albrecht, M Brüesch, R Lefering, K Sprengel, C M L Werner, H-P Simmen & G A Wanner

abstract The influence of the transport mode, i.e. Helicopter Emergency Medical Service (HEMS) versus ground-based Emergency Medical Service (EMS) on the mortality of multiple trauma patients is still controversially discussed in the literature. In this study a total of 333 multiple trauma patients treated over a 1-year period in a level I trauma center in Switzerland were analyzed. Using the newly established revised injury severity classification (RISC) score there was a tendency towards a better outcome for patients transported by HEMS (standardized mortality ratio 1.06 for HEMS versus 1.29 for EMS). Overall a short preclinical time and the presence of an emergency physician (EP) were associated with a better outcome.
   
citation Günkel S, König M, Albrecht R, Brüesch M, Lefering R, Sprengel K, Werner C M L, Simmen H P, Wanner G A. [Deployment and efficacy of ground versus helicopter emergency service for severely injured patients. Analysis of a nationwide Swiss trauma center]. Unfallchirurg 2015; 118:233-9.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 3-2015
journal title Unfallchirurg (118/3)
ISSN electronic 1433-044X
pages 233-9
PubMed 25783692
DOI 10.1007/s00113-014-2567-6