ArticleFrontiers in public health2026
A pilot study of helicopter emergency medical services in the Zhoushan Archipelago: clinical experience and operational insights from 18 cases.
Article in Frontiers in public health, 2026. 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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6 authors.
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Abstract
Background: The Zhoushan Archipelago faces challenges in delivering timely emergency care due to its dispersed geography and centralized medical resources. To address delays associated with ferry transport for critically ill patients on remote islands, a maritime helicopter emergency medical service (HEMS) was established. Methods: We conducted a pilot, retrospective study of all patients transported by this novel HEMS between March 2024 and June 2025. Data from electronic medical records were analyzed to assess initial feasibility, describe patient demographics, in-flight interventions, and clinical outcomes. Results: In this initial case series of 18 patients, the majority were male ( Conclusion: This pilot study suggests that maritime HEMS is a feasible and promising intervention for improving emergency response in remote island settings, with the potential to significantly reduce transfer times. Our initial experience supports the need for larger-scale studies to conclusively determine its impact on patient outcomes. Further improvements in operational efficiency are warranted.
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