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EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents
Helicopter EMS (HEMS) teams may perform a variety of clinical, managerial and transport functions during major incident management. Despite national and international variations in HEMS systems, the rapid delivery of HEMS personnel with advanced skills in major incident management and clinical scene...
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Published in: | Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2018-08, Vol.26 (1), p.65-65, Article 65 |
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creator | Thompson, Julian Rehn, Marius Sollid, Stephen J M |
description | Helicopter EMS (HEMS) teams may perform a variety of clinical, managerial and transport functions during major incident management. Despite national and international variations in HEMS systems, the rapid delivery of HEMS personnel with advanced skills in major incident management and clinical scene leadership has been crucial to the delivery of an effective medical response at previous incidents. This document outlines the Best Practice Advice of the European HEMS and Air Ambulance Committee (EHAC) Medical Working Group on how HEMS and Pre Hospital Critical Care teams may maximise the positive impact of their resources in the event of Major Incidents.
Narrative literature review and expert consensus.
To ensure a safe, coordinated and effective response, HEMS teams require suitable, proportionate and up to date major incident plans that are integrated into the major incident plans of other regional emergency and healthcare services. Role specific protocols, training and equipment should be adapted to the expected HEMS role in the major incident plan and likely regional threats. System and incident factors will influence HEMS utilisation during the major incident response and can include patient and staff transfer, equipment resupply, aerial assessment, search and rescue, clinical leadership and advanced care. During the recovery phase of a major incident there is a need to ensure restoration of conventional service and address the welfare of involved HEMS personnel. Standardised reporting of major incidents is strongly recommended for clinical governance, legal and research reasons.
The rapid delivery of HEMS personnel with advanced skills in Major Incident management and clinical scene leadership is crucial to the delivery of an effective medical response at Major Incidents. |
doi_str_mv | 10.1186/s13049-018-0522-1 |
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Narrative literature review and expert consensus.
To ensure a safe, coordinated and effective response, HEMS teams require suitable, proportionate and up to date major incident plans that are integrated into the major incident plans of other regional emergency and healthcare services. Role specific protocols, training and equipment should be adapted to the expected HEMS role in the major incident plan and likely regional threats. System and incident factors will influence HEMS utilisation during the major incident response and can include patient and staff transfer, equipment resupply, aerial assessment, search and rescue, clinical leadership and advanced care. During the recovery phase of a major incident there is a need to ensure restoration of conventional service and address the welfare of involved HEMS personnel. Standardised reporting of major incidents is strongly recommended for clinical governance, legal and research reasons.
The rapid delivery of HEMS personnel with advanced skills in Major Incident management and clinical scene leadership is crucial to the delivery of an effective medical response at Major Incidents.</description><identifier>ISSN: 1757-7241</identifier><identifier>EISSN: 1757-7241</identifier><identifier>DOI: 10.1186/s13049-018-0522-1</identifier><identifier>PMID: 30111347</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aviation ; Best practice ; Communication ; Critical care ; Critical care medicine ; Decision making ; Emergency medical services ; Emergency preparedness ; Emergency services ; Evacuations & rescues ; Guideline ; Helicopter ambulances ; Helicopters ; Hospitals ; Mass casualty incidents ; Medical personnel ; Patients ; Personal protective equipment ; Planning ; Practice ; Radiation ; Teams ; Working groups</subject><ispartof>Scandinavian journal of trauma, resuscitation and emergency medicine, 2018-08, Vol.26 (1), p.65-65, Article 65</ispartof><rights>COPYRIGHT 2018 BioMed Central Ltd.</rights><rights>The Author(s). 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-408effbcbd1bdddc0e4e0b9857f513d6078e4747c72b6b97e1e37d3a4fad8bdf3</citedby><cites>FETCH-LOGICAL-c591t-408effbcbd1bdddc0e4e0b9857f513d6078e4747c72b6b97e1e37d3a4fad8bdf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2788437255/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2788437255?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30111347$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thompson, Julian</creatorcontrib><creatorcontrib>Rehn, Marius</creatorcontrib><creatorcontrib>Sollid, Stephen J M</creatorcontrib><creatorcontrib>European HEMS and Air Ambulance Committee (EHAC)</creatorcontrib><creatorcontrib>on behalf of the European HEMS and Air Ambulance Committee (EHAC)</creatorcontrib><title>EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents</title><title>Scandinavian journal of trauma, resuscitation and emergency medicine</title><addtitle>Scand J Trauma Resusc Emerg Med</addtitle><description>Helicopter EMS (HEMS) teams may perform a variety of clinical, managerial and transport functions during major incident management. Despite national and international variations in HEMS systems, the rapid delivery of HEMS personnel with advanced skills in major incident management and clinical scene leadership has been crucial to the delivery of an effective medical response at previous incidents. This document outlines the Best Practice Advice of the European HEMS and Air Ambulance Committee (EHAC) Medical Working Group on how HEMS and Pre Hospital Critical Care teams may maximise the positive impact of their resources in the event of Major Incidents.
Narrative literature review and expert consensus.
To ensure a safe, coordinated and effective response, HEMS teams require suitable, proportionate and up to date major incident plans that are integrated into the major incident plans of other regional emergency and healthcare services. Role specific protocols, training and equipment should be adapted to the expected HEMS role in the major incident plan and likely regional threats. System and incident factors will influence HEMS utilisation during the major incident response and can include patient and staff transfer, equipment resupply, aerial assessment, search and rescue, clinical leadership and advanced care. During the recovery phase of a major incident there is a need to ensure restoration of conventional service and address the welfare of involved HEMS personnel. Standardised reporting of major incidents is strongly recommended for clinical governance, legal and research reasons.
The rapid delivery of HEMS personnel with advanced skills in Major Incident management and clinical scene leadership is crucial to the delivery of an effective medical response at Major Incidents.</description><subject>Aviation</subject><subject>Best practice</subject><subject>Communication</subject><subject>Critical care</subject><subject>Critical care medicine</subject><subject>Decision making</subject><subject>Emergency medical services</subject><subject>Emergency preparedness</subject><subject>Emergency services</subject><subject>Evacuations & rescues</subject><subject>Guideline</subject><subject>Helicopter ambulances</subject><subject>Helicopters</subject><subject>Hospitals</subject><subject>Mass casualty incidents</subject><subject>Medical personnel</subject><subject>Patients</subject><subject>Personal protective equipment</subject><subject>Planning</subject><subject>Practice</subject><subject>Radiation</subject><subject>Teams</subject><subject>Working groups</subject><issn>1757-7241</issn><issn>1757-7241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkl9rFDEUxQdRbK1-AF8kIEhfpiaTv_MiLEtrCwVf9Dlkkju7WWeTNZlpEb-8mW6tuyJ5uOHm3F-Sw6mqtwRfEKLEx0woZm2Niaoxb5qaPKtOieSylg0jzw_2J9WrnDcYiwZz9rI6oZgQQpk8rX5dXi-WaAvOWzOg-5i--7BCqxSnHeogj2iXjB29BWTc3VxiQOMaUIpD2ffI-IQSZDsVQXBFDWgd886PhWaTHx-w1pS2GdHWbGJCPljvIIz5dfWiN0OGN4_1rPp2dfl1eV3ffvl8s1zc1pa3ZKwZVtD3ne0c6ZxzFgMD3LWKy54T6gSWCphk0sqmE10rgQCVjhrWG6c619Oz6mbPddFs9C75rUk_dTRePzRiWmmTyksH0NaAAkqcACWZcNYwCdIWr600jjlVWJ_2rN3UFdds-UcywxH0-CT4tV7FOy1wy7iYAeePgBR_TMVhvfXZwjCYAHHKusGqbSSVUhTp-3-kmzilUKzSjVSKUdlw_le1MuUDPvSx3GtnqF5wLtqWKjGzLv6jKsvB1tsYoPelfzTw4WBgDWYY1zkO0-hjyMdCshfaFHNO0D-ZQbCeY6r3MdUlpnqOqSZl5t2hi08Tf3JJfwOFhOMv</recordid><startdate>20180815</startdate><enddate>20180815</enddate><creator>Thompson, Julian</creator><creator>Rehn, Marius</creator><creator>Sollid, Stephen J M</creator><general>BioMed Central Ltd</general><general>Springer Nature B.V</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180815</creationdate><title>EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents</title><author>Thompson, Julian ; Rehn, Marius ; Sollid, Stephen J M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-408effbcbd1bdddc0e4e0b9857f513d6078e4747c72b6b97e1e37d3a4fad8bdf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aviation</topic><topic>Best practice</topic><topic>Communication</topic><topic>Critical care</topic><topic>Critical care medicine</topic><topic>Decision making</topic><topic>Emergency medical services</topic><topic>Emergency preparedness</topic><topic>Emergency services</topic><topic>Evacuations & rescues</topic><topic>Guideline</topic><topic>Helicopter ambulances</topic><topic>Helicopters</topic><topic>Hospitals</topic><topic>Mass casualty incidents</topic><topic>Medical personnel</topic><topic>Patients</topic><topic>Personal protective equipment</topic><topic>Planning</topic><topic>Practice</topic><topic>Radiation</topic><topic>Teams</topic><topic>Working groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thompson, Julian</creatorcontrib><creatorcontrib>Rehn, Marius</creatorcontrib><creatorcontrib>Sollid, Stephen J M</creatorcontrib><creatorcontrib>European HEMS and Air Ambulance Committee (EHAC)</creatorcontrib><creatorcontrib>on behalf of the European HEMS and Air Ambulance Committee (EHAC)</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest - Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Scandinavian journal of trauma, resuscitation and emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Julian</au><au>Rehn, Marius</au><au>Sollid, Stephen J M</au><aucorp>European HEMS and Air Ambulance Committee (EHAC)</aucorp><aucorp>on behalf of the European HEMS and Air Ambulance Committee (EHAC)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents</atitle><jtitle>Scandinavian journal of trauma, resuscitation and emergency medicine</jtitle><addtitle>Scand J Trauma Resusc Emerg Med</addtitle><date>2018-08-15</date><risdate>2018</risdate><volume>26</volume><issue>1</issue><spage>65</spage><epage>65</epage><pages>65-65</pages><artnum>65</artnum><issn>1757-7241</issn><eissn>1757-7241</eissn><abstract>Helicopter EMS (HEMS) teams may perform a variety of clinical, managerial and transport functions during major incident management. Despite national and international variations in HEMS systems, the rapid delivery of HEMS personnel with advanced skills in major incident management and clinical scene leadership has been crucial to the delivery of an effective medical response at previous incidents. This document outlines the Best Practice Advice of the European HEMS and Air Ambulance Committee (EHAC) Medical Working Group on how HEMS and Pre Hospital Critical Care teams may maximise the positive impact of their resources in the event of Major Incidents.
Narrative literature review and expert consensus.
To ensure a safe, coordinated and effective response, HEMS teams require suitable, proportionate and up to date major incident plans that are integrated into the major incident plans of other regional emergency and healthcare services. Role specific protocols, training and equipment should be adapted to the expected HEMS role in the major incident plan and likely regional threats. System and incident factors will influence HEMS utilisation during the major incident response and can include patient and staff transfer, equipment resupply, aerial assessment, search and rescue, clinical leadership and advanced care. During the recovery phase of a major incident there is a need to ensure restoration of conventional service and address the welfare of involved HEMS personnel. Standardised reporting of major incidents is strongly recommended for clinical governance, legal and research reasons.
The rapid delivery of HEMS personnel with advanced skills in Major Incident management and clinical scene leadership is crucial to the delivery of an effective medical response at Major Incidents.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>30111347</pmid><doi>10.1186/s13049-018-0522-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aviation Best practice Communication Critical care Critical care medicine Decision making Emergency medical services Emergency preparedness Emergency services Evacuations & rescues Guideline Helicopter ambulances Helicopters Hospitals Mass casualty incidents Medical personnel Patients Personal protective equipment Planning Practice Radiation Teams Working groups |
title | EHAC medical working group best practice advice on the role of air rescue and pre hospital critical care at major incidents |
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