Evidence map›Paper›PMID 30157756›Full record

ArticleBMC emergency medicine2018

The mission characteristics of a newly implemented rural helicopter emergency medical service.

Daniel Kornhall, Robert Näslund, Cecilia Klingberg, Regina Schiborr, Mikael Gellerfors

Abstract read
In one paragraph

Article in BMC emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Physician-staffed prehospital units for severely injured patients in the Stockholm trauma system - is there a survival benefit?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
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  6. Optimizing remote and rural prehospital resources using air transport of thrombectomy candidates.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Review
  7. Article
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  9. Review
  10. Helicopter Ambulance Transport to the Emergency Department: Demographic and Clinical Factors Impacting Outcomes in a Turkish Medical Center.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
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  12. Observational
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  19. Review
  20. Helicopter Emergency Medical Service (HEMS) Response in Rural Areas in Poland: Retrospective Study.International journal of environmental research and public health · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Daniel KornhallSwedish Air Ambulance (SLA), Mora, Sweden. danielkornhall@me.com.
Robert NäslundSwedish Air Ambulance (SLA), Mora, Sweden.
Cecilia KlingbergSwedish Air Ambulance (SLA), Mora, Sweden.
Regina SchiborrSwedish Air Ambulance (SLA), Mora, Sweden.
Mikael GellerforsSwedish Air Ambulance (SLA), Mora, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician-staffed helicopter emergency services (HEMS) can provide benefit through the delivery of specialist competence and equipment to the prehospital scene and through expedient transport of critically ill patients to specialist care. This paper describes the integration of such a system in a rural Swedish county.

methodsThis is a retrospective database study recording the outcomes of every emergency call centre dispatch request as well as the clinical and operational data from all completed missions during this service's first year in operation.

resultsDuring the study period, HEMS completed 478 missions out of which 405 (84,7%) were primary missions to prehospital settings and 73 (15,3%) were inter-hospital critical care transfers. A majority (55,3%) of primary missions occurred in the regions furthest from our hospitals, in municipalities housing only 15,6% of the county's population. The NACA (IQR) score on primary and secondary missions was 4 (2) and 5 (1), respectively.

conclusionsThis study describes the successful integration of a physician-based air ambulance service in a Scandinavian rural region. Municipalities distant from our hospitals benefitted as they now have access to early specialist intervention and expedient transport to critical hospital care. Our hospitals and most populated areas benefitted from HEMS secondary mission capability as they gained a dedicated ICU transport service that could provide specialist intensive care during rapid inter-hospital transfer.

Indexed as

Air AmbulancesAnesthesiologistsCritical CareHumansPatient TransferRetrospective StudiesRural PopulationSeasonsSwedenTime FactorsWeatherAir ambulanceCritical careEmergency medicinePrehospital careRuralWilderness medicine

Identifiers

PMID30157756
PMCPMC6114183

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.