NDLI: A 6-year analysis of German emergency medical services helicopter crashes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hinkelbein, Jochen Dambier, Michael Viergutz, Tim Genzwürker, Harald
Spatial Coverage	Germany
Description	Country affiliation: Germany Author Affiliation: Hinkelbein J ( University Clinic for Anesthesiology and Intensive Care Medicine, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, University Hospital Mannheim, Mannheim, Germany. jochen.hinkelbein@anaes.ma.uni-heidelberg.de)
Abstract	BACKGROUND: Annually, there are about 80,000 helicopter emergency medical services (HEMS) missions for patients in Germany. In comparison to the commercial transport of passengers, the risk of aviation crashes increases during rescue operations. The aim of this study was to evaluate helicopter crashes related to HEMS in Germany within a 6-year period (1999-2004) and to analyze contributing factors. METHODS: Flight crashes were identified in the annually published flight crash reports of the Federal Agency for Flight Accident Investigation. Data were completed by telephone interview of the operators and by additional internet information. For statistical analysis, Fisher's exact test was used. A p < 0.05 was considered significant. RESULTS: Twenty-four helicopter crashes (n = 22 during day, n = 2 at night) of German HEMS were identified within the 6 years. Three crashes were fatal, another two caused nonfatal injuries. Seven persons were killed, four injured severely and four slightly. Patients were not hurt within the analyzed period. The crash rate per 10,000 missions sank significantly (p < 0.05), whereas no reduction was found per 100,000 flight hours (not significant) compared with previously published data. Fifty-four percent (n = 13) of all crashes were reported during approach and landing. Seventeen percent (n = 4) of the crashes occurred during ground run and 29% (n = 7) during the remaining flight phases (takeoff and cruise flight). CONCLUSIONS: In comparison to previous data a significantly lower crash rate per 10,000 missions was found. With the analysis of the same data per 100,000 flying hours, this trend was not evident. The majority of crashes occurred during the day and landings.
File Format	HTM / HTML
ISSN	00225282
Issue Number	1
Volume Number	64
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-01-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Mortality Humans Air Ambulances Accidents, Aviation Statistics & Numerical Data Trauma Severity Indices Aircraft Emergency Medical Services Discipline Traumatology Germany Journal Article
Content Type	Text
Resource Type	Article
Subject	Surgery Critical Care and Intensive Care Medicine

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