Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T17:32:44.947Z Has data issue: false hasContentIssue false

Large-Scale Airmedical Transport from a Peripheral Hospital to Level-1 Trauma Centers after Remote Mass-Casualty Incidents in Israel

Published online by Cambridge University Press:  28 June 2012

Ophir Lavon*
Affiliation:
Israeli Air Force Rescue and Airmedical Evacuation Unit, Israel
Dan Hershko
Affiliation:
Israeli Air Force Rescue and Airmedical Evacuation Unit, Israel
Erez Barenboim
Affiliation:
Israeli Air Force Surgeon General Headquarters, Israel
*
Israeli Air Force Rescue and AirmedicalEvacuation UnitPOB 13289Nesher 36760Israel E-mail: [email protected]

Abstract

Introduction:

Mass-casualty incidents (MCIs) result in the evacuation of many patients to the nearest medical facility. However, an overwhelming number of patients and the type and severity of injuries may demand rapid, mass airmedical transport to more advanced medical centers. This task may be challenging, particularly after a MCI in a neighboring country. The Israeli Air Force Rescue and Airmedical Evacuation Unit (RAEU) is the main executor of airmedical transport in Israel, including MCIs.

Problem:

The available data on airmedical transport from remote MCIs are limited. The objective of this study was to evaluate the airmedical transport from a rural hospital after two remote MCIs.

Methods:

The study was retrospective and reviewed descriptive records of airmedical transports.

Results:

The RAEU was involved in airmedical transports from a peripheral hospital shortly after two remote MCIs that occurred in the Sinai desert near the Egyptian-Israeli border. Nineteen (22.4%) and 25 (100%) of the treated trauma patients from each event were airmedically transported to Level-1 Trauma Centers in Israel within hours of the dispatch. The rapid dispatch and accumulation of medical personnel and equipment was remarkable. The airmedical surge capacity was broad and sufficient. Cooperation with local authorities and a tailored boarding procedure facilitated a quality outcome.

Conclusions:

The incorporation of a large-scale airmedical transport program with designated multidisciplinary protocols is an essential component to a remote disaster preparedness plan.

Type
Case Study
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2009

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. Doyle, CJ: Mass-casualty incident integration with prehospital care. Emerg Med Clin North Am 1990;8:163175.CrossRefGoogle ScholarPubMed
2. Garner, A, Lee, A, Harrison, K, Schultz, CH: Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med 2001;38:541548.CrossRefGoogle ScholarPubMed
3. Demetriades, D, Martin, M, Salim, A, et al. : The effect of trauma center designation and trauma volume on outcome in specific severe injuries. Ann Surg 2005;242:512519.Google Scholar
4. Newgard, CD, McConnell, KJ, Hedges, JR, Mullins, RJ: The benefit of higher level of care transfer of injured patients from nontertiary hospital emergency departments. J Trauma 2007;63:965971.Google ScholarPubMed
5. Teichman, PG, Donchin, Y, Kot, RJL: International aeromedical evacuation. NEngl J Med 2007;356:262270.Google Scholar
6. Marmor, M, Goldstein, L, Levi, Y, et al. : Mass medical repatriation of injured civilians after terrorist attack in Mombassa, Kenya: Medical needs, resources used, and lessons learned. Prehosp Disaster Med 2005;20:98102.CrossRefGoogle ScholarPubMed
7. Hampson, GV, Cook, SP, Frederiksen, SR: Operation Bali Assist. MJA 2002;177:620623.Google Scholar
8. Canchio, LC: Airplane crash in Guam, August 6, 1997: The aeromedical evacuation response. J Burn Care Res 2006;27:642648.CrossRefGoogle Scholar
9. Vassallo, DJ, Sargeant, ID, Sadler, PJ, et al. : Mass casualty incident at Hospital Squadron Sipovo, Bosnia following a Czech hip helicopter crash, 8 Jan 1998. J R Army Med Corps 1998;144:6166.Google Scholar
10. Vassallo, DJ, Klezl, Z, Sargeant, ID, et al. : British-Czech co-operation in a mass casualty incident, Sipovo: From aeromedical evacuation from Bosnia to discharge from Central Military Hospital, Prague. J R Army Med Corps 1999;145:712.Google Scholar
11. Vassallo, DJ, Gerlinger, T, Maholtz, P, et al. : Combined UK/US field hospital management of a major incident arising from a Chinook helicopter crash in Afghanistan, 28 Jan 2002. J R Army Med Corps 2003;149:4752.Google Scholar
12. Stratton, SJ, Tyler, RD: Characteristics of medical surge capacity demand for sudden-impact disasters. Acad Emerg Med 2006;13:11931197.Google ScholarPubMed
13. Kaji, A, Koenig, KL, Bey, T: Surge capacity for healthcare systems: A conceptual framework. Acad Emerg Med 2006;13:11571159.Google Scholar
14. Handler, JA, Gillam, M, Kirsch, TD, Feied, CF: Metrics in the science of surge. Acad Emerg Med 2006;13:11731178.Google Scholar
15. Tadmor, B, McManus, J, Koenig, KL: The art and science of surge: Experience from Israel and the US military. Acad Emerg Med 2006;13:11301134.CrossRefGoogle Scholar