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from Section 10 - Transport
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. The principles of emergency out-of-hospital care include attending the scene and initiating immediate medical care (primary retrieval), and transferring between geographical locations, often to more specialist tertiary medical centres (secondary retrieval).
2. Models of care delivery used by helicopter emergency medical services (HEMS) include both doctor–paramedic and paramedic-only response teams.
3. Both land and air service delivery have associated pros and cons.
4. HEMS systems are tightly governed and work to standard operating procedures.
5. Pre-hospital traumatic injury management broadly follows similar principles to those of in-hospital management; however, life-threatening injuries are managed on scene, sometimes with the addition of pre-hospital blood transfusion.
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