Survey and analysis of the status of aeromedical rescue in medical institutions in the Qinling-Daba mountainous area_West China Medical Journal

Authors：

BAI Yong ¹ , HUANG Guangqing ¹ , LI Hunian ² , ZHAO Xu ¹ ,  GUO Wenping ³

1. Department of Intensive Care Unit, Shiyan Renmin Hospital (Renmin Hospital, Hubei University of Medicine), Shiyan, Hubei 442000, P. R. China;
2. Department of Emergency, Shiyan Renmin Hospital (Renmin Hospital, Hubei University of Medicine), Shiyan, Hubei 442000, P. R. China;
3. Department of Aeromedical Rescue, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P. R. China;

Corresponding author：

GUO Wenping, Email: 286058258@qq.com

Keywords：

Qinling-Daba mountainous area; medical institutions; aeromedical rescue; investigation and analysis

DOI：

10.7507/1002-0179.202312010

Video：

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Objective To understand the situation and technical level of aeromedical rescue in medical institutions in Qinling-Daba mountainous area. Methods A questionnaire survey was conducted on the staff of medical institutions of the medical consortium of Renmin Hospital of Hubei University of Medicine, located in Qinling-Daba mountainous area between June and September 2023. The basic information and development, demand, and knowledge mastery of aeromedical rescue were investigated. Results A total of 45 medical institutions participated in the research, 500 questionnaires were sent out, and 479 valid questionnaires were recovered, with an effective rate of 95.8%. Among them, there were 7 tertiary hospitals, 23 secondary hospitals, and 15 township health institutions; 11 medical institutions had participated in aeromedical rescue, and 17 hospitals had participated in aerial rescue drills. The survey subjects were mainly from emergency departments and intensive care medicine departments, women, aged>30 and ≤40 years old, undergraduate students, intermediate professional titles, and doctors. Twenty-one medical workers had received formal training in aeromedical rescue skills, 77 had received short-term theoretical and practical training, 123 had participated in short-term simulation exercises, and 93 had participated in aeromedical rescue activities. There was a statistically significant difference among the scores of first aid knowledge, aviation flight knowledge, and aeromedical rescue knowledge (9.34±0.35 vs. 4.65±2.91 vs. 3.28±3.44; F=15.048, P=0.001). There were statistically significant differences between first aid knowledge and aviation flight knowledge, as well as between first aid knowledge and aeromedical rescue knowledge (P<0.05). There was no statistically significant difference between aviation flight knowledge and aeromedical medical rescue knowledge (P>0.05). Conclusion There is an urgent demand for aviation rescue in medical institutions in Qinling-Daba mountainous area, and there is a shortage of professionals, so it is necessary to strengthen the training, rehearsal and practice of aeromedical rescue.

Citation： BAI Yong, HUANG Guangqing, LI Hunian, ZHAO Xu, GUO Wenping. Survey and analysis of the status of aeromedical rescue in medical institutions in the Qinling-Daba mountainous area. West China Medical Journal, 2024, 39(9): 1465-1469. doi: 10.7507/1002-0179.202312010 Copy

1.	彭博, 张进军. 航空医学救援医疗装备的专家共识. 中华灾害救援医学, 2019, 7(4): 186-189.
2.	航空医学救援衔接应急技术包共识专家组. 航空医学救援衔接应急技术包专家共识. 中华急诊医学杂志, 2023, 32(4): 464-470.
3.	郭爱斌, 高雯, 刘斌, 等. 空地一体化医疗救援体系建设实践及运行模式研究. 中国急救医学, 2021, 41(5): 438-443.
4.	Aiolfi A, Benjamin E, Recinos G, et al. Air versus ground transportation in isolated severe head trauma: a national trauma data bank study. J Emerg Med, 2018, 54(3): 328-334.
5.	Albrecht R, Knapp J, Theiler L, et al. Transport of COVID-19 and other highly contagious patients by helicopter and fixed-wing air ambulance: a narrative review and experience of the Swiss air rescue Rega. Scand J Trauma Resusc Emerg Med, 2020, 28(1): 40.
6.	方瑜, 郑丹莉, 白祥军, 等. 湖北省医务人员航空医学救援培训及技能现况调查. 中国急救复苏与灾害医学杂志, 2023, 18(4): 544-547, 555.
7.	刘江. 冬季运动严重创伤航空医学救援与转运专家共识. 中国急救复苏与灾害医学杂志, 2021, 16(12): 1333-1337.
8.	张新蕾, 李春辉, 李雷雷, 等. 航空医学救援感染防控专家共识. 中国急救复苏与灾害医学杂志, 2021, 16(8): 837-844.
9.	Jagtenberg CJ, Vollebergh MAJ, Uleberg O, et al. Introducing fairness in Norwegian air ambulance base location planning. Scand J Trauma Resusc Emerg Med, 2021, 29(1): 50.
10.	李子好, 王浩文, 王婷婷, 等. 我国航空医疗救援的现状、研究进展及发展趋势. 中国医院建筑与装备, 2022, 23(12): 23-26.
11.	暴雨, 高萌, 谢宇霖, 等. 国内外航空医疗救援队伍发展现状. 解放军医学院学报, 2021, 42(7): 776-779.
12.	余付勤, 张百平. 秦巴山地自然保护地空间分布特征研究. 自然保护地, 2023, 3(2): 34-43.
13.	李佳宇, 姚永慧, 刘俊杰, 等. 秦巴山地典型垂直带带幅变化分析. 自然保护地, 2023, 3(2): 12-25.
14.	中国医药教育协会急诊专业委员会, 航空医学救援急诊专家共识组, 中国空中急救医院联盟. 航空医学救援安全管理专家共识. 中华航空航天医学杂志, 2019, 30(4): 241-245.
15.	Das Neves Coelho F, Alves R, Raposo C. Helicopter air transport of a patient using high flow nasal cannula: a case report. Cureus, 2023, 15(7): e41317.
16.	Jones A, Donald MJ, Jansen JO. Evaluation of the provision of helicopter emergency medical services in Europe. Emerg Med J, 2018, 35(12): 720-725.
17.	娄靖, 张进军. 航空医学救援医务人员配置的专家共识. 中华灾害救援医学, 2019, 7(4): 181-185.
18.	吕瑞, 彭明强. 我国空运救护队组建实践及探索. 中日友好医院学报, 2017, 31(2): 116-117.

1. 彭博, 张进军. 航空医学救援医疗装备的专家共识. 中华灾害救援医学, 2019, 7(4): 186-189.
2. 航空医学救援衔接应急技术包共识专家组. 航空医学救援衔接应急技术包专家共识. 中华急诊医学杂志, 2023, 32(4): 464-470.
3. 郭爱斌, 高雯, 刘斌, 等. 空地一体化医疗救援体系建设实践及运行模式研究. 中国急救医学, 2021, 41(5): 438-443.
4. Aiolfi A, Benjamin E, Recinos G, et al. Air versus ground transportation in isolated severe head trauma: a national trauma data bank study. J Emerg Med, 2018, 54(3): 328-334.
5. Albrecht R, Knapp J, Theiler L, et al. Transport of COVID-19 and other highly contagious patients by helicopter and fixed-wing air ambulance: a narrative review and experience of the Swiss air rescue Rega. Scand J Trauma Resusc Emerg Med, 2020, 28(1): 40.
6. 方瑜, 郑丹莉, 白祥军, 等. 湖北省医务人员航空医学救援培训及技能现况调查. 中国急救复苏与灾害医学杂志, 2023, 18(4): 544-547, 555.
7. 刘江. 冬季运动严重创伤航空医学救援与转运专家共识. 中国急救复苏与灾害医学杂志, 2021, 16(12): 1333-1337.
8. 张新蕾, 李春辉, 李雷雷, 等. 航空医学救援感染防控专家共识. 中国急救复苏与灾害医学杂志, 2021, 16(8): 837-844.
9. Jagtenberg CJ, Vollebergh MAJ, Uleberg O, et al. Introducing fairness in Norwegian air ambulance base location planning. Scand J Trauma Resusc Emerg Med, 2021, 29(1): 50.
10. 李子好, 王浩文, 王婷婷, 等. 我国航空医疗救援的现状、研究进展及发展趋势. 中国医院建筑与装备, 2022, 23(12): 23-26.
11. 暴雨, 高萌, 谢宇霖, 等. 国内外航空医疗救援队伍发展现状. 解放军医学院学报, 2021, 42(7): 776-779.
12. 余付勤, 张百平. 秦巴山地自然保护地空间分布特征研究. 自然保护地, 2023, 3(2): 34-43.
13. 李佳宇, 姚永慧, 刘俊杰, 等. 秦巴山地典型垂直带带幅变化分析. 自然保护地, 2023, 3(2): 12-25.
14. 中国医药教育协会急诊专业委员会, 航空医学救援急诊专家共识组, 中国空中急救医院联盟. 航空医学救援安全管理专家共识. 中华航空航天医学杂志, 2019, 30(4): 241-245.
15. Das Neves Coelho F, Alves R, Raposo C. Helicopter air transport of a patient using high flow nasal cannula: a case report. Cureus, 2023, 15(7): e41317.
16. Jones A, Donald MJ, Jansen JO. Evaluation of the provision of helicopter emergency medical services in Europe. Emerg Med J, 2018, 35(12): 720-725.
17. 娄靖, 张进军. 航空医学救援医务人员配置的专家共识. 中华灾害救援医学, 2019, 7(4): 181-185.
18. 吕瑞, 彭明强. 我国空运救护队组建实践及探索. 中日友好医院学报, 2017, 31(2): 116-117.

West China Medical Journal

Survey and analysis of the status of aeromedical rescue in medical institutions in the Qinling-Daba mountainous area

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