Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-23T10:20:24.216Z Has data issue: false hasContentIssue false

The Integration of a Helicopter Emergency Medical Service in a Mass Casualty Response System

Published online by Cambridge University Press:  28 June 2012

Lenworth M. Jacobs*
Affiliation:
Director, Emergency Medicine/Trauma, Hartford Hospital, Professor of Surgery, Univ. of Connecticut School of Medicine, Hartford, Ct., USA
Sheryl G. A. Gabram
Affiliation:
Assistant Director, Trauma/LIFE STAR, Hartford Hospital, Assistant Professor, Univ. of Connecticut School of Medicine, Hartford, Ct., USA
Sherry A. Stohler
Affiliation:
Chief Flight Nurse, LIFE STAR Helicopter Program, Hartford Hospital, Hartford, Ct., USA
*
Director, Trauma Program/Emergency Medicine, Hartford Hospital, 80 Seymour St., Hartford, CT 06115USA

Abstract

Since 1985, the state of Connecticut has been served by a hospital-based, advanced life support (ALS) helicopter air medical service. The service is stationed at a 1,000-bed, Level I, trauma center that is responsible for its operation. Connecticut statute requires the hospital to file operations reports with the Office of Emergency Medical Services, which reports to the Connecticut Department of Public Health. Operations include response to requests for transportation of severely ill or injured patients from the scene of an incident, and patient transport from one hospital to a higher level, definitive-care hospital.

This service also was charged to develop a disaster response plan to be integrated into the overall state plan for disaster responses. The helicopter disaster response involves all six New England states and the three hospital-based emergency medical helicopter programs that operate in the New England states.

This approach has allowed for joint planning and multi-agency, simulated drills. The helicopter emergency medical service has responded to 15 simulated emergencies (drills) and seven actual mass casualty incidents from May, 1985 to June, 1989. In Connecticut, the planning process conducted by the Department of Public Health and the Office of State EMS produced a coordinated, multi-jurisdictional, mass-casualty response plan.

Type
Administrator
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Neel, S: Helicopter evacuation in Korea. USAF Med Journal 1955;6:681702.Google ScholarPubMed
2. Neel, S: Army aeromedical evacuation procedures in Vietnam: implications in rural America. JAMA 1968;204:309313.CrossRefGoogle ScholarPubMed
3. Morris, G: Applying the incident command system to mass casualty incidents. Emerg Care Q 1986;2:1527.Google Scholar
4. New England Council of Emergency Medical Services: Operational Protocols for EMS Helicopters in a Mass Casualty Incident. November, 1985.Google Scholar
5. Mahoney, LE, Reutershan, T: Catastrophic disasters and the design of disaster medical care systems. Ann Emerg Med 1987;16:10851091.CrossRefGoogle ScholarPubMed
6. Jacobs, LM, Bennett-Jacobs, B, Schwartz, R: A medical helicopter transportation system for Connecticut. Conn Med 1985;49:489495.Google ScholarPubMed
7. Jacobs, LM, Schwartz, RJ, Bennett-Jacobs, B et al. : A three-year report of the medical helicopter transportation system of Connecticut. Conn Med 1989;53:703710.Google ScholarPubMed
8. Goodwin, C: Mass casualty care planning, training and evaluation as organized in the New England states. Emerg Care Q 1986;2:3350.Google Scholar
9. Barbash, G, Yoeli, N, Ruskins, S et al. : Airport preparedness for mass disaster: A proposed schematic plan. Aviation, Space, and Environmental Medicine 1986;57:7781.Google ScholarPubMed
10. Vayer, J, Ten, Eyck R, Cowen, M: New concepts in triage. Ann Emerg Med 1986;15:927930.CrossRefGoogle ScholarPubMed