Survey and analysis of the status of aeromedical rescue in medical institutions in the Qinling-Daba mountainous areas_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 Mountain area. Methods A questionnaire survey was conducted on the staff of medical institutions of the Renmin Hospitd of Hubei University of Medicine, located in Qinling-Daba Mountain area between June and September 2023. The basic information, development of aeromedical rescue, demand and knowledge mastery 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 main survey subjects were emergency departments, intensive care medicine departments, women, Age>30 and ≤ 40 years old, undergraduate students, intermediate professional titles, and doctors. 21 medical staff 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 in 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 areas, and there is a shortage of professionals, so it is necessary to strengthen the training, rehearsal and practice of aeromedical rescue.

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.
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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.
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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.

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