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dc.contributor.authorSamdal, Martin
dc.contributor.authorHaugland, Helge H.
dc.contributor.authorFjeldet, Cato
dc.contributor.authorRehn, Marius
dc.contributor.authorSandberg, Mårten
dc.coverage.spatialNorwayen_US
dc.date.accessioned2020-03-20T13:11:48Z
dc.date.available2020-03-20T13:11:48Z
dc.date.created2018-07-20T12:56:09Z
dc.date.issued2018-06
dc.identifier.citationSamdal, M., Hauagland, H., Fjeldet, C. et al. (2018) Static rope evacuation by helicopter emergency medical services in rescue operations in Southeast Norway. Wilderness & environmental medicine, 29(3), 1-10.en_US
dc.identifier.issn1080-6032
dc.identifier.urihttps://hdl.handle.net/11250/2647870
dc.description.abstractIntroduction Physician-staffed helicopter emergency medical services (HEMS) in Norway are an adjunct to existing search and rescue services. Our aims were to study the epidemiological, operational, and medical aspects of HEMS daylight static rope operations performed in the southeastern part of the country and to examine several quality dimensions that are characteristic of this service. Methods We reviewed the static rope operations performed at 3 HEMS bases during a 3-y period and applied a set of quality indicators designed for physician-staffed emergency medical services to evaluate the quality of care. Data are presented as medians with quartiles, except National Advisory Committee for Aeronautics (NACA) scores, which are presented as mean (SD). Results Fifty-nine static rope operations were identified, involving 60 patients. Median (quartiles) age was 43 (27–55) y. Median (quartiles) take-off time was 9 (5–13) min. Trauma-related injuries were found in 48 patients. The main conditions were lower limb injuries, found in 32 patients. Ten patients experienced medical conditions. Mean (SD) NACA score was 3.3 (1.3). A potential or actual life-threatening diagnosis (NACA score: 4–6) was reported among 15 patients. The main interventions were intravenous lines (19 patients), analgesics (17), and oxygen treatment (14). Four patients were intubated, and 1 thoracostomy was performed. Conclusions Static rope operations are rarely performed. The quality indicators suggest that the service is safe, available, and equitable. Its main benefit seems to be evacuation and the maintenance of readiness before rapid transport of the physician to the scene or the patient to the hospital.en_US
dc.language.isoengen_US
dc.publisherElsevier Ltd.en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.subjectakuttmedisinen_US
dc.subjecttraumatologien_US
dc.subjectHEMSen_US
dc.subjectluftambulanseen_US
dc.subjectredningsoperasjoneren_US
dc.titleStatic rope evacuation by helicopter emergency medical services in rescue operations in Southeast Norwayen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2018 The Authors.en_US
dc.subject.nsiVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783en_US
dc.source.pagenumber1-10en_US
dc.source.volume29en_US
dc.source.journalWilderness & environmental medicineen_US
dc.source.issue3en_US
dc.identifier.doi10.1016/j.wem.2018.03.010
dc.identifier.cristin1598115
cristin.unitcode217,13,0,0
cristin.unitnameDet helsevitenskapelige fakultet
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal