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    ‘Interception’: a model for specialist prehospital care provision when helicopters are not available

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    Author
    McQueen, Carl
    Apps, Richard
    Mason, Fay
    Crombie, Nicholas
    Hulme, Jon
    Keyword
    Emergency Medical Services
    Trauma Management
    Helicopter Emergency Medical Service (HEMS)
    Pre-hospital Care
    Transportation of Patients
    Journal title
    Emergency Medicine Journal
    
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    URI
    http://hdl.handle.net/20.500.12417/565
    DOI
    10.1136/emermed-2013-202989
    Abstract
    The deployment of specialist teams to incident scenes by helicopter and the delivery of critical care interventions such as Rapid Sequence Induction of anaesthesia to patients are becoming well-established components of trauma care in the UK. Traditionally in the UK, Helicopter Emergency Medical Services (HEMS) are limited to daylight operations only. The safety and feasibility of operating HEMS services at night is a topic of debate currently in the UK HEMS community. Within the West Midlands Major Trauma Network, the Medical Emergency Response Incident Team (MERIT) provides a physician-led prehospital care service that responds to incidents by air during daylight hours and by Rapid Response Vehicle during the hours of darkness. The MERIT service is coordinated and supported by a dedicated Major Trauma Desk manned by a HEMS paramedic in the ambulance service control room. This case illustrates the importance of coordination and integration of specialist resources within a major trauma network to ensure the expedient delivery of HEMS-level care to patients outside of normal flying hours. https://emj.bmj.com/content/emermed/30/11/956.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2013-202989
    ae974a485f413a2113503eed53cd6c53
    10.1136/emermed-2013-202989
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