ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Patient profiles and P-HEMS specific interventions performed by a HEMS team in the netherlands; A retrospective cohort study of 18,199 patients.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe objective of this study was to provide an overview of dispatches and procedures performed by a Dutch P-HEMS-team during a nine-year period.
methodsIn this retrospective cohort study, all non-cancelled dispatches of the Rotterdam P-HEMS team between January 1, 2015 and December 31, 2023, were analyzed. Dispatches were stratified by specific medical conditions and age. Furthermore, data on P-HEMS specific procedures were collected and temporal trends were analyzed.
resultsDuring the nine-year study period, the P-HEMS-team was dispatched 36,242 times, of which 18,396 (50.8%) dispatches were cancelled before arrival on scene. In 17,846 (49.2%) non-cancelled dispatches, the P-HEMS team assessed 18,199 patients. The main reasons for dispatch were trauma (62.9% in adults, 41.5% in children), out of hospital cardiac arrest (14.8% in adults, 9.8% in children) and neurological disorders (6.8% in adults, 22.3% in children). The number of annual non-cancelled dispatches increased from 1,605 to 2,114 (31.7% increase) during the study period, mostly due to an increase in dispatches for non-traumatic conditions. One or more P-HEMS specific procedures were performed in 7,793 (43.2%) of patients. The most frequently performed procedures were administration of P-HEMS specific medication (n = 6,298; 34.9%) and drug assisted advanced airway management (n = 5,348; 29.7%).
conclusionOver a nine-year period, there has been an increasing demand for P-HEMS care in the Southwestern part of the Netherlands for traumatic and non-traumatic conditions. P-HEMS specific procedures were performed in 43.2% of patients attended by the P-HEMS team. This proportion has remained fairly stable during the study period.
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