Universität zu Köln

Hilbert-Carius, P., Struck, M. F., Hofer, V., Hinkelbein, J., Wurmb, Th., Bernhard, M. and Hossfeld, B. (2018). Transport of ventilated emergency patients from the air rescue service to the hospital destination (HOVER study). Results of an online survey. Anaesthesist, 67 (11). S. 821 - 829. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-055X

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Abstract

BackgroundIn Germany more than 110,000 helicopter emergency medical service (HEMS) missions are carried out annually. Aconsiderable number of patients are ventilated during the flight. So far, structured surveys with respect to the ground transport from the helipad to the hospital facility and handover of ventilated patients in the emergency room (ER) are not available in the German-speaking HEMS system. The handover of ventilated HEMS patients in the ER (HOVERI study) explored the use of the helicopter ventilator and medical equipment during the transport from the hospital landing site to the ER.MethodAfter approval by the HEMS operators, emergency medical doctors and HEMS technical crew members (HEMS-TC) of 145 German-speaking HEMS bases were invited to participate in an anonymous online survey (period: 1 February 2018-1 March 2018). Each participant was only allowed to submit the survey once.ResultsData of 569 participants were completely analyzed, with responses from 429 emergency physicians and 140 HEMS-TC (75% from Germany, 13% Switzerland, 11% Austria, 1% Italy and Luxembourg). The most frequent type of aircraft used was the Eurocopter (EC)/Airbus helicopter(H) 135 (60.5%) followed by the EC/H 145 (33%). The majority of the respondents (53%) principally used the helicopter ventilator machine for patient transport from the helipad to the ER, 38% used it depending on the circumstances and 7% never used it. Of the participants 52% always took the emergency backpack for patient transport to the ER, 43% depending on the situation and 5% never took it along. The availability of oxygen or aventilator at the helipad was considered to be helpful (59% and 45%, respectively), obligatory (25% and 14%, respectively) but was also considered unnecessary by some participants (16% and 40%, respectively). The collection of the HEMS team by ahospital team at the helipad was rated as helpful (64%) or mandatory (19%), 12% considered it to be unimportant and 5% even disturbing. For most respondents (58.5%) the responsibility for the patient ended after astructured handover on reaching the internal hospital target area (e.g. the ER).ConclusionThe management of the handover of ventilated emergency patients in German-speaking HEMS is heterogeneously structured. Only approximately 50% of the participants frequently carried the helicopter ventilator and emergency equipment during patient transport to the ER. Depending on the situation, more than 90% of the respondents used the helicopter ventilator and emergency backpack during the transport. The collection of the HEMS team by ahospital team at the helipad was appreciated by the majority of participants. The use of the helicopter ventilator for patient transport to the ER needs to be explored in future studies.The study was registered at the Research Registry (www.researchregistry.com) under the following number: researchregistry2925

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hilbert-Carius, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Struck, M. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hofer, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wurmb, Th. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bernhard, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hossfeld, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-167850
DOI:	10.1007/s00101-018-0484-8
Journal or Publication Title:	Anaesthesist
Volume:	67
Number:	11
Page Range:	S. 821 - 829
Date:	2018
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-055X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CRITICALLY-ILL PATIENTS; INTRAHOSPITAL TRANSPORT; MECHANICAL VENTILATION; GUIDELINES; CARE Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/16785