From: Validity and risk factor analysis for helicopter emergency medical services in Japan: a pilot study
Keywords for HEMS orders | |
---|---|
1st line: If the tele-operator hears the following words, they should order Doctor-Heli immediately | |
1) Keywords that suggest severe trauma | |
Motor vehicles accident: locked in | |
Motor bicycle accident | |
Pedestrian/bicycle traffic accident (hit by a motor vehicle) | |
Fall injury (higher than the 3rd floor) | |
Traumatic asphyxiation to being buried | |
Mass casualty incident | |
2) Keywords that suggest a cardiovascular event or a respiratory disorder | |
Sudden onset of: | |
Chest pain | |
Chest and back pain | |
Dyspnea | |
(Patients are normally over 40 years old) | |
3) Scenarios that commonly suggest a cardiopulmonary arrest | |
Collapse | |
Unconsciousness | |
Respiratory arrest | |
Pulseless | |
Convulsions | |
2nd line: If a dispatcher recognises the following status order they should call Doctor-Heli immediately/if a tele-operator recognises the following emergency words, they should also order Doctor-Heli immediately | |
1: Consciousness disorder, dyspnea, pallor due to bleeding | |
2: Shock status | |
3: Chest pain/chest and back pain | |
4: Consciousness disorder | |
5: Status epilepticus hemi-paralysis | |
6: Locked in somewhere for more than 20 min | |
7: Fall from the upper level of a building | |
8: Hit by a motor vehicle going at a speed of over 30 km/h | |
9: Severe burn | |
10: Electric injury (including lighting injury) | |
11: Mass casualty incident | |
12: Any other stays life threating situations |