The potential of an anaesthesiologist–manned ambulance service in a rural/urban district

The use of anaesthesiologists in prehospital emergency care is controversial. We wanted to assess the impact of an anaesthesiologist and a short time interval from acceptance of a mission to take–off at survival rates in a rural/urban emergency medical service. Prospectively registered data for 991 consecutive patients through a 12–month period were retrospectively evaluated by an independent foreign expert. Of all primary missions, 3.3% were considered probably lifesaving from site of injury to receiving hospital. Of these, the lifesaving result in 50% were dependent on both the qualifications of the anaesthesiologist and a short response time. Survival from hospital admission to discharge was 44%. All patients were discharged to their own homes, able to live a fully functional life. The consistent use of anaesthesiologists compared to less qualified personnel and the maintaining of response times below presently required minima doubles the potential for lives saved in services comparable to the one studied.

[1]  H. Champion,et al.  The Major Trauma Outcome Study: establishing national norms for trauma care. , 1990, The Journal of trauma.

[2]  K. J. Rhee,et al.  Is the flight physician needed for helicopter emergency medical services? , 1986, Annals of Emergency Medicine.

[3]  M. Dalsgaard,et al.  Intellectual and social function of patients surviving cardiac arrest outside the hospital. , 2009, Acta medica Scandinavica.

[4]  H. Meislin,et al.  A Prospective Evaluation of the Impact of Initial Glasgow Coma Score on Prehospital Treatment and Transport of Seizure Patients , 1992, Prehospital and Disaster Medicine.

[5]  W. Baxt,et al.  The impact of a physician as part of the aeromedical prehospital team in patients with blunt trauma. , 1987, JAMA.

[6]  L. Lapidus,et al.  Home monitoring of blood glucose and insulin therapy without a photometer. , 2009, Acta medica Scandinavica. Supplementum.

[7]  N. Snow,et al.  Physician presence on a helicopter emergency medical service: necessary or desirable? , 1986, Aviation Space and Environmental Medicine.

[8]  J. Richardson,et al.  Helicopter transport of trauma victims: does a physician make a difference? , 1991, The Journal of trauma.

[9]  M. Dagher,et al.  Developing EMS Quality Assessment Indicators , 1992, Prehospital and Disaster Medicine.

[10]  T Gennarelli,et al.  Progress in characterizing anatomic injury. , 1990, The Journal of trauma.

[11]  T A Gennarelli,et al.  A revision of the Trauma Score. , 1989, The Journal of trauma.

[12]  R. Goris,et al.  [Revision of the trauma score]. , 1992, Nederlands tijdschrift voor geneeskunde.