Search Results (12)

The transportation of patients in emergency medical situations, particularly in rural areas, often faces significant challenges due to long travel distances and limited access to healthcare facilities. These challenges can result in critical delays in medical care, adversely affecting patient outcomes. Addressing this issue is essential for improving survival rates and health outcomes in underserved regions. This study explored the potential of advanced air mobility to enhance emergency medical services by reducing patient transport times through the strategic placement of vertiports. Using North Dakota as a case study, the research developed a GIS-based optimization workflow to identify optimal vertiport locations that maximize time savings. The study highlighted the benefits of strategic vertiport placement at existing airports and hospital heliports to minimize community disruption and leverage underutilized infrastructure. A key finding was that the optimized mixed-mode routes could reduce patient transport times by up to 21.8 min compared with drive-only routes, significantly impacting emergency response efficiency. Additionally, the study revealed that more than 45% of the populated areas experienced reduced ground travel times due to the integration of vertiports, highlighting the strategic importance of vertiport placement in optimizing emergency medical services. The research also demonstrated the replicability of the GIS-based optimization model for other regions, offering valuable insights for policymakers and stakeholders in enhancing EMS through advanced air mobility solutions. Full article

Due to concerns with air pollution and climate change, governments and transport operators around the world have engaged in transforming their fossil-fueled vehicles into electric vehicles (EVs). It is essential to build a model for the electrifying process to minimize the operation costs. This paper presents a systematic analytical approach for the electrification of a fire ambulance service station. This approach begins with the selection of suitable EVs to replace the current service vehicles. Subsequently, an in-depth analysis is conducted to determine the practical utilization of EVs at the station. The model proposes two charging strategies: immediate charging upon an EVs’ return and smart charging. Based on the chosen EVs and charging strategies, a comprehensive assessment of the load profiles for the planned EV charging station is performed. In accordance with the load profiles, a mathematical model to minimize the infrastructure and operation costs of the charging station is proposed. Various pricing schemes are compared to identify the most efficient pricing scheme for the charging station, and economic analyses of the EVs and traditional ambulance vehicles are proposed in this paper. The test results indicate that the progressive pricing scheme is well suited for immediate charging strategies, whereas smart charging should opt for the time-of-use pricing scheme. Selecting the appropriate pricing scheme has the potential to significantly reduce electric energy costs. Full article

Background. In Europe, ambulances are increasingly being equipped with blood products for prehospital use. Available evidence on the early administration of blood products comes from military medicine and the Anglo-American medical literature; the evidence cannot be easily transferred to European countries. Objectives. This study assesses the incidence of patients with massive haemorrhage after trauma and the potential need for prehospital blood transfusions. Methods. Data reported by 37 German air rescue stations between 2015 and 2020 were retrospectively analysed to predict the need for massive transfusion. Results. A total of 320,347 helicopter emergency medical service (HEMS) missions were performed and involved 2982 patients with potential need for massive transfusion after trauma (approximately 13 transfusions per helicopter per year). Men were most affected (73%). The median age of patients was 38 years. Traffic accidents accounted for 59% of the cases. Most patients sustained multiple injuries including traumatic brain injuries (62%), as well as thoracic (54%), abdominal (39%), and extremity injuries (41%). The median “rSIG” (reversed shock index multiplied with the Glasgow Coma Scale) decreased from 4.31 to 3.78. Conclusions. Although the incidence of haemorrhagic trauma patients is low, the prehospital administration of blood products might be useful as a potentially life-saving bridging treatment until hospital admission. Full article

Uncrewed aerial vehicles (UAVs), commonly known as drones, have emerged as transformative tools in the healthcare sector, offering the potential to revolutionize medical logistics, emergency response, and patient care. This scoping review provides a comprehensive exploration of the diverse applications of drones in healthcare, addressing critical gaps in existing literature. While previous reviews have primarily focused on specific facets of drone technology within the medical field, this study offers a holistic perspective, encompassing a wide range of potential healthcare applications. The review categorizes and analyzes the literature according to key domains, including the transport of biomedical goods, automated external defibrillator (AED) delivery, healthcare logistics, air ambulance services, and various other medical applications. It also examines public acceptance and the regulatory framework surrounding medical drone services. Despite advancements, critical knowledge gaps persist, particularly in understanding the intricate interplay between technological challenges, the existing regulatory framework, and societal acceptance. This review highlights the need for the extensive validation of cost-effective business cases, the development of control techniques that can address time and resource savings within the constraints of real-life scenarios, the design of crash-protected containers, and the establishment of corresponding tests and standards to demonstrate their conformity. Full article

The study examined sleep and sleepiness among shift working Helicopter Emergency Medical Service pilots from Norway (Norwegian Air Ambulance; NAA) and Austria (Christophorus Flugrettungverein; CFV). Both pilot groups (N = 47) worked seven consecutive 24 h shifts. Sleep was assessed by diaries and actigraphy while sleepiness was assessed by the Karolinska Sleepiness Scale, all administered throughout the workweek. The results indicated that all pilots had later bedtime (p < 0.05) and wake-up time (p < 0.01) as they approached the workweek end, but no change during the workweek was evident regarding wake after sleep onset, time in bed, total sleep time, or sleep efficiency. The NAA pilots had later bedtime (p < 0.001) and wake-up time (p < 0.001), spent more time awake after sleep onset (p < 0.001), more time in bed (p < 0.001), slept longer (p < 0.01), and had lower sleep efficiency (p < 0.001) compared with the CFV pilots. The sleepiness levels of all pilots were slightly elevated on the first workday but lower on the following workdays (^{day 2}p < 0.001, ^{day 3}p < 0.05). For both pilot groups, no major change in sleep or sleepiness parameters throughout the workweek was detected. The NAA pilots reported somewhat more disturbed sleep but obtained more sleep compared with the CFV pilots. Full article

Urban Air Mobility (UAM) constitutes a future aerial mobility alternative, which concerns the use of electric and autonomous aerial vehicles for transporting people throughout a planned network of vertiports. To materialize UAM, several actors of the air and urban transport ecosystem play a vital role. This paper describes the insights gathered from 32 key stakeholders around the world to present and frame the key aspects for the future implementation of UAM. The participants include representatives from the UAM industry such as airports, airlines, aviation consulting companies, academia, and authorities. The data collection encompasses various key research areas, covering topics such as UAM strengths, weaknesses, opportunities and risks, requirements for implementation, concept integration in the existing transport system, specific use cases, business models, and end-user segments. The research aims at setting up the stakeholder scene and expanding the current literature for UAM by engaging key decision makers and experts towards shaping the new mobility era. The results demonstrate that ensuring certification standards for UAM fleets and updating the current legal and regulatory framework are the main prerequisites for UAM’s realization. In addition, the usage of UAM for transporting cargo or for air ambulance services are the most mature business models for the coming decade. Full article

Advanced air mobility (AAM) is a broad concept enabling consumers access to on-demand air mobility, cargo and package delivery, healthcare applications, and emergency services through an integrated and connected multimodal transportation network. While a number of technical and social concerns have been raised about AAM, early use cases for emergency response and aeromedical transport may be key to demonstrating the concept and building public acceptance. Using a five-step multi-method approach consisting of preliminary scoping, modeling performance metrics, developing baseline assumptions, analyzing scenarios, and applying a Monte Carlo sensitivity analysis, this study examines the potential operational and market viability of the air ambulance market using a variety of aircraft and propulsion types. The analysis concludes that electric vertical take-off and land (eVTOL) aircraft could confront a number of operational and economic challenges for aeromedical applications compared to hybrid vertical take-off and land (VTOL) aircraft and rotorcraft. The study finds that technological improvements such as reduced charge times, increased operational range, and battery swapping could make the eVTOL aircraft more reliable and cost-effective for aeromedical transport. Full article

In the event of a road accident, a quick intervention is crucial. The mobile emergency services take care of patients whose condition requires an emergency repatriation to a hospital, by land in an ambulance or by air in a helicopter. The main criteria for choosing the means of transport are the time required for repatriation and the patient’s more or less critical state of health. Do the vehicle dynamic effects endured by the transported patient have an influence on their health condition? Vehicle dynamics data were recorded with a road data recorder for a period of 3 months, under real conditions of patient repatriation to a hospital; 39 trips were recorded by ambulance and 29 trips by helicopter. Significant differences in speed (average 42 versus 202 km/h) and distance travelled (average 23 versus 85 km) were observed. The sustained effects are similar in helicopters and ambulances. The ambulance causes more abrupt variations in longitudinal and transversal directions, whereas the helicopter has more variations in vertical direction. The vibration level in helicopters is higher than in ambulances. These results can be considered as a first reference baseline for establishing a characterization of transported patients’ exposure to vehicle dynamics. Full article

Air corridors are an integral part of the advanced air mobility infrastructure. They are the virtual highways in the sky for the transportation of people and cargo in a controlled airspace at an altitude of around 1000 ft. to 2000 ft. above ground level. These corridors will be utilized by (unmanned) air taxis, which will be deployed in rural and metropolitan regions to carry passengers and freight, as well as air ambulances, which will be deployed to offer first responder services such as 911 emergencies. This paper presents fundamental insights into the design of air corridors with high operational efficiency as well as zero collisions. It begins with the definitions of air cube, skylane or track, intersection, vertiport, gate, and air corridor. Then a multi-layered air corridor model is proposed. Traffic at intersections is analyzed in detail with examples of vehicles turning in different directions. The concept of capacity of an air corridor is introduced along with the nature of distribution of locations of vehicles in the air corridor and collision probability inside the corridor are discussed. Finally, results of traffic flow simulations are presented. Full article

The purpose of the study was to present the characteristics of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) interventions concerning newborns in Poland. The study involved a retrospective analysis of missions by Polish Medical Air Rescue crews concerning newborns, carried out in Poland between January 2011 and December 2020. Polish Medical Air Rescue crews were most commonly dispatched to urban areas (86.83%), for patient transfer (59.67%), using an airplane (65.43%), between 7 AM and 6:59 PM (93.14%), and in the summer (28.67%). Further management involved handing over the neonatal patient to a ground neonatal ambulance team. Most of the patients studied were male (58.02%), and the most common diagnosis requiring the HEMS or EMS intervention was a congenital heart defect (31.41%). The most common medical emergency procedure performed by Polish Medical Air Rescue crew members for the neonatal patients was intravenous cannulation (43.07%). The odds ratio for congenital malformations was higher in male newborns. The type of Polish Medical Air Rescue mission was associated with the location of the call, time of the call, ICD-10 diagnosis associated with the dispatch, selected clinical findings, most commonly performed medical emergency procedures, and mission duration and distance covered. Full article

During summer in early 2016, over 70 landscape fires in Tasmania (Australia) caused several severe episodes of fire smoke across the island state. To assess the health impact of the fire smoke, a case crossover analysis was performed, which measured the association between increased concentrations of PM_2.5 and emergency ambulance dispatches (EAD) from 1 January to 31 March 2016. Control days were matched by latitude and longitude, day of the week and calendar month. Exposure data were obtained from air quality monitoring stations at lag times of 1–48 h and for the 24-h mean on the same day and 1-day lag. Positive associations were observed between an increase of 10 µg/m³ in PM_2.5 and EAD for stroke on the same day (OR 1.10, 95% CI 1.02–1.19) and at 1-day lag (OR 1.10, 95% CI 1.02–1.18). Furthermore, there were non-significant increases in breathing problems (OR 1.04, 95% CI 1.00–1.08) and diabetic problems (OR 1.11, 95% CI 0.99–1.22) at 1-day lag. The EAD for all causes were not increased. These findings will be used for ambulance service planning and public health risk communication in future landscape fire events. Full article

Ambulance services are in operation around the world and yet, until recently, ambulance data has only been used for operational purposes rather than for assessing public health. Ambulance call-out data offers new and valuable (near) real-time information that can be used to assess the impact of environmental conditions, such as temperature, upon human health. A detailed analysis of London ambulance data at a selection of dates between 2003 and 2015 is presented and compared to London temperature data. In London, the speed of ambulance response begins to suffer when the mean daily air temperature drops below 2 °C or rises above 20 °C. This is explained largely by the increased number of calls past these threshold temperatures. The baseline relationships established in this work will inform the prediction of likely changes in ambulance demand (and illness types) that may be caused by seasonal temperature changes and the increased frequency and intensity of extreme/severe weather events, exacerbated by climate change, in the future. Full article