Academic Journal

What clinical crew competencies and qualifications are required for helicopter emergency medical services? A review of the literature

التفاصيل البيبلوغرافية
العنوان: What clinical crew competencies and qualifications are required for helicopter emergency medical services? A review of the literature
المؤلفون: Siobhán Masterson, Conor Deasy, Mark Doyle, David Hennelly, Shane Knox, Jan Sorensen
المصدر: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 28, Iss 1, Pp 1-9 (2020)
بيانات النشر: BMC, 2020.
سنة النشر: 2020
المجموعة: LCC:Medical emergencies. Critical care. Intensive care. First aid
مصطلحات موضوعية: Prehospital care, Helicopter retrieval, Clinical assessment, Competence, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
الوصف: Abstract Background Patients served by Helicopter Emergency Medical Services (HEMS) tend to be acutely injured or unwell and in need of stabilisation followed by rapid and safe transport. It is therefore hypothesised that a particular clinical crew composition is required to provide appropriate HEMS patient care. A literature review was performed to test this hypothesis. Methods MEDLINE, EMBASE, Web of Science and the Cochrane Database of Systematic Reviews were systematically searched from 1 January 2009 to 30 August 2019 to identify peer-reviewed articles of relevance. All HEMS studies that mentioned ‘staffing’, ‘configuration’, ‘competencies’ or ‘qualifications’ in the title or abstract were selected for full-text review. Results Four hundred one studies were identified. Thirty-eight studies, including one systematic review and one randomised controlled trial, were included. All remaining studies were of an observational design. The vast majority of studies described clinical crews that were primarily doctor-staffed. Descriptions of non-doctor staff competencies were limited, with the exception of one paramedic-staffed model. Conclusions HEMS clinical crews tended to have a wider range of competencies and experience than ground-based crews, and most studies suggested a patient outcome benefit to HEMS provision. The conclusions that can be drawn are limited due to study quality and the possibility that the literature reviewed was weighted towards particular crewing models (i.e. primarily doctor-staffed) and countries. There is a need for trial-based studies that directly compare patient outcomes between different HEMS crews with different competencies and qualifications.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1757-7241
Relation: http://link.springer.com/article/10.1186/s13049-020-00722-z; https://doaj.org/toc/1757-7241
DOI: 10.1186/s13049-020-00722-z
URL الوصول: https://doaj.org/article/e6347bb5b073478e8b988ddc28717466
رقم الانضمام: edsdoj.6347bb5b073478e8b988ddc28717466
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17577241
DOI:10.1186/s13049-020-00722-z