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HEMS vs GEMS: by ground or by air, which is the best way to take care of traumatized patients
25 AprTake home points:
Speed
Mission Time
In case of simultaneous activation HEMS is competitive for distance >10 miles from Trauma Center
In case of non simultaneous activation HEMS is faster for distances >45 miles from Trauma Center
On scene time
HEMS > GEMS
Severity
HEMS patients are generally more severely injured than GEMS patients
Trauma Center Access
HEMS transported patients have more chances to be referred to a level I Trauma Center
Crew
More time on scene (beyond the golden hour)
More procedures performed
The accuracy of prehospital documented diagnoses was not increased in HEMS compared to GEMS rescue
Survival
No definitive evidences on HEMS benefits on survival rate
Recent literature points on a trend toward an increased chances of survival in some categories of trauma patients transported by HEMS
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Tag:emergency medicine, helicopter, HEMS, litterature review, prehospital emergency medicine