B-11 B-12 AEROMEDICAL EVACUATION OF CIVILIANS IN ISRAEL - A STUDY OF 1088 CASES. Urlel Y. Dreyfuss, Nachshon Knoller, Dani Boyanover, and Baruch Marganitt The IsraelAir-Force Air Rescue Services, Israel. Introdu(21on The IsraelAir-Force Air-Rescue Services (IAFAR$), provide air-rescue and aeromedical evacuation services to civilans as a service to the public. 1088 civilians,whowere evacuated by the IAFAR$ during the period 1980-87, were analyzed retrospectively. Methods The information included in the evacuation-report of each evacuee, was tabulatedintoa questionnaire, especiallydesigned for thisstudy. Demographic, clinicaland aviator7 data was analyzsed, using the "SAPIENS" computer program. Results 17% of the evacuees were children under the age of thirteen. 38% were inhabitantsof the Sinai peninsula, the West Bank and the Golan Hights. 28% were injured in road accidents, 25% by warfare causes and 11% by fallfrom hight.Head injuriescomprised 38%. 13% suffered from non-traumatic diseases. The injuries of 31% of the casualtieswere rated as severe or critical.4% diedwhile being treatedat the siteof injury or during flightto the hospital. 1094 medical procedures were performed by the air-medical-teams, including the startingof infusions (36%), and respiration therapy ( 26 %). Rescue operations preceded air-evacuation of 10% of the casualties. 84% of the casualtieswere evacuated in BELL 212 helicopters. 60% of the operations were conducted during day-time, and 40% during the night. 69% of the missions lastedlessthan one hour. The conditionof 89% of the casualtiesremained unchanged during the airlift. conclusions An average of ca. 130 civiliansare evacuated each year by the IAFARG. The evacuation of adults sufferingfrom various diseases, and of children, necessitatespecial equipment and specifictraining of the air-medical teams in the management of such situations. Granting aeromadelcal evacuation services to the civil sector enables the medical teams to enlarge their volume of activitybeyond that of the military sector alone, and enables them to gather experience in peace-time medical situationstoo. AIRLINE MEDICAL ADVISORY SERVICES Michael N. Cowan, MD; Karen W. Bates, RN, CEN, MICN, MICP; Air Ambulance, Inc., 795 Skyway Blvd., San Carlos, CA 94070. Introduction. A program has been developed which provides a broad spectrum of aeromedical services designed to support airline delivery systems. Airlines face daily decisions regarding passengers whose medical status requires assessment prior to acceptance. Their medical condition may allow for unrestricted boarding, boarding under certain conditions, boarding with a variety of support services or denial of boarding. Each airline has promulgated internal standards and regulations regarding their own willingness to provide the necessary flight environment for passengers with medical needs. Methods. Airline Medical Advisory provides a 24 hour 7 day access to aeromedical service personnel who are trained to assess each situation and provide assessment, planning and implementation of passenger management from a medical perspective. All pertinent data is accumulated and studied. Based upon this information, recommendations are made to the airline for each case. Medical factors provide for overall preparation for flight. Results. Each case is triaged into a category: in-flight emergency, gate emergency, or reservation medical request A breakdown of types, handling and disposition of calls will be presented. Conclusions. An aeromedical program has been developed to serve airlines without medical support systems and supplement areas already served by existing medical depar~nents. Al~$ SEPTEMBER/OCTOBER1988 51

B-12 Airline medical advisory services

Download PDF Report

Upload
karen-w
View
212
Download
0

Embed Size (px)

Citation preview

Page 1: B-12 Airline medical advisory services

B-11 B-12

AEROMEDICAL EVACUATION OF CIVILIANS IN ISRAEL - A STUDY OF 1088 CASES.

Urlel Y. Dreyfuss, Nachshon Knoller, Dani Boyanover, and Baruch Marganitt The Israel Air-Force Air Rescue Services, Israel.

Introdu(21on The Israel Air-Force Air-Rescue Services (IAFAR$), provide air-rescue and aeromedical evacuation services to civilans as a service to the public. 1088 civilians,who were evacuated by the IAFAR$ during the period 1980-87, were analyzed retrospectively.

Methods The information included in the evacuation-report of each evacuee, was tabulated into a questionnaire, especially designed for this study. Demographic, clinical and aviator7 data was analyzsed, using the "SAPIENS" computer program.

Results 17% of the evacuees were children under the age of thirteen. 38% were inhabitants of the Sinai peninsula, the West Bank and the Golan Hights. 28% were injured in road accidents, 25% by warfare causes and 11% by fall from hight. Head injuries comprised 38%. 13% suffered from non-traumatic diseases. The injuries of 31% of the casualties were rated as severe or critical. 4% died while being treated at the site of injury or during flight to the hospital. 1094 medical procedures were performed by the air-medical-teams, including the starting of infusions (36%), and respiration therapy ( 26 %). Rescue operations preceded air-evacuation of 10% of the casualties. 84% of the casualties were evacuated in BELL 212 helicopters. 60% of the operations were conducted during day-time, and 40% during the night. 69% of the missions lasted less than one hour. The condition of 89% of the casualties remained unchanged during the airlift.

conclusions An average of ca. 130 civilians are evacuated each year by the IAFARG. The evacuation of adults suffering from various diseases, and of children, necessitate special equipment and specific training of the air-medical teams in the management of such situations. Granting aeromadelcal evacuation services to the civil sector enables the medical teams to enlarge their volume of activity beyond that of the military sector alone, and enables them to gather experience in peace-time medical situations too.

AIRLINE MEDICAL ADVISORY SERVICES

Michael N. Cowan, MD; Karen W. Bates, RN, CEN, MICN, MICP; Air Ambulance, Inc., 795 Skyway Blvd., San Carlos, CA 94070.

Introduction. A program has been developed which provides a broad spectrum of aeromedical services designed to support airline delivery systems. Airlines face daily decisions regarding passengers whose medical status requires assessment prior to acceptance. Their medical condition may allow for unrestricted boarding, boarding under certain conditions, boarding with a variety of support services or denial of boarding. Each airline has promulgated internal standards and regulations regarding their own willingness to provide the necessary flight environment for passengers with medical needs.

Methods. Airline Medical Advisory provides a 24 hour 7 day access to aeromedical service personnel who are trained to assess each situation and provide assessment, planning and implementation of passenger management from a medical perspective. All pertinent data is accumulated and studied. Based upon this information, recommendations are made to the airline for each case. Medical factors provide for overall preparation for flight.

Results. Each case is triaged into a category: in-flight emergency, gate emergency, or reservation medical request A breakdown of types, handling and disposition of calls will be presented.

Conclusions. An aeromedical program has been developed to serve airlines without medical support systems and supplement areas already served by existing medical depar~nents.

Al~$ SEPTEMBER/OCTOBER1988 51