Doctor helicopter’s hoped any role

Hello, everyone.

Today, I am going to about Doctor helicopter’s hoped any role. I am not good at English.

Therefore, I may use sometimes wrong English. But I do my best! Then I mainly speak about three roles.

First of all, Medical effectiveness

"The research report about the actual condition of the doctor helicopter in the 2004 fiscal year and evaluation" compared the actual gross result in the case corresponding to the doctor helicopter which was possible for gross result investigation, and the presumed gross result by inland water way conveyance. As a result, the patient made the rate which returns to work increase by 30% by using a doctor helicopter. And the sequel of the intermediary degree was decreased by 15%. The serious illness sequel was decreased by 47%. The vegetative state was decreased by 37%. Death was decreased by 27%.Since these results of researching are subjective investigation, there is a limit. However, if it is the conventional ambulance conveyance, 27% of life of the patient who had died will be saved. And it is thought that 45% of aftereffects of the patients who could not avoid serious aftereffects were reduced. That is, the validity of the doctor helicopter was proved. That is, the start of the quick respiratory circulation management from the spot by the flight doctor and a flight nurse improves a very critical trauma patient's morbidity. And it became clear to have made possibility of survival high and to have carried the patient to the hospital. In other words, the doctor helicopter improved the quality of prehospital care and has improved the gross result of carry cases.

Secondly, the reduction effect of future earnings

According to researching, the future-earnings evasion effect of the whole doctor helicopter enterprise was calculated as 4,580 million yen. That is, it became clear that the effect which a doctor helicopter that has the rapidity and mobility has extended to reduction in a death rate or not only mitigation of aftereffects but also reduction of social cost.

Thirdly, shortening of duration of hospitalization and reduction effect of medical expenses

For 70 traffic accident patients carried at the Nippon Medical School Chiba north total hospital were computed the injury severity score (ISS), the physiological severity-of-illness score (RTS), and the rate (TRISS) of prediction lifesaving. After adjusting the background factor, the doctor helicopter conveyance group and the ambulance conveyance group compared the number of days in the hospital and a medical treatment fee. As a result, doctor helicopter conveyance shortened the number of days in the hospital for about 17 days compared with ambulance conveyance. And about 110,000 hospitalization mark became low. That is, introduction of the doctor helicopter suggested that the medical expenses to a traffic accident patient may be reduced.

　　　　　　　　　　　　　　　

The above is a role. I think probably that it was difficult to understand, because the contents were special.Could you know about helicopter’s hoped any role?

I am going to talk about activity of the doctor helicopter next time.

See you, next week.

The difference from a fire-fighting disaster-prevention helicopter

Hello, everyone.

Today, I am going to about the difference from a fire-fighting disaster-prevention helicopter.

The emergency number which the fire-fighting disaster prevention helicopter which is all over the country 70 sets mobilized during 2006 is 2,775 affairs. They are increasing every year. However, a detached island and remote medical conveyance are also included in these, and it is not utilized only for emergency business. There are differences among four in a doctor helicopter and a fire-fighting disaster-prevention helicopter.

First of all, Body and equipmentThe body of a fire-fighting disaster prevention helicopter is large-sized, or a medium size. The body of a doctor helicopter is small to it. Therefore, the downwash and noise with the direction of a doctor helicopter for noise taking off and landing are hurt small, and are suitable for taking off and landing all over the ground and town of a school. However, a passenger is restricted to 6～7 persons, and it cannot carry many goods. On the other hand, a fire-fighting disaster prevention helicopter embarks many medical staffs and sick persons. Or it is suitable for carrying much medical equipment and carrying out broader-based conveyance. Moreover, since a doctor helicopter is a helicopter only for emergency, it is possible to always carry emergency care apparatus and to be quickly mobilized when requesting. However, since it does not have the equipment for rescue and has not trained, either, it cannot respond to the rescue case in a mountains place. On the other hand, a fire-fighting disaster prevention helicopter is a multiuse machine, and training of the boarding staff's hoist descent, lifting of the sick person on a stretcher, etc. is also performing it daily. Therefore, big power is demonstrated on the occasion of the rescue case in a mountains place. However, since it is necessary to exchange equipment if the request of emergency mobilization enters in the state where emergency equipment is not carried out, mobility and quick nature are missing.

Secondly, the waiting position of a helicopter

The waiting position of a fire-fighting disaster-prevention helicopter is a flying corps base or an airfield. A doctor helicopter is a heliport in a hospital site.

Thirdly, The crew

A flying corps member, rescuers, a firefighter of a fire-fighting disaster-prevention helicopter are at the core. For some rescue parties, a paramedic may board as the staff. However, the doctor has not boarded. In order to make a doctor ride together, after taking up a doctor toward a hospital first, the system which goes to the spot is adopted.

　　　　In addition mobilization organization

There are six features in a fire-fighting disaster-prevention helicopter. ①The aviation fire companies with whom a doctor rides are 25 parties. ②Even if it is an aviation fire company of a disaster prevention helicopter with whom a doctor rides, the doctor always is not securable.③The party which is the organization which can carry out communication directly to a critical care center from the inside of a plane is only twenty percent.④If the helicopter mobilization instructions for less than 5 minutes are possible from reception, it is possible to receive a patient to a hospital about 30 minutes after reception.⑤75% of the aviation fire companies of a disaster prevention helicopter with whom a doctor does not ride have the problem of prolonged conveyance of an ambulance.⑥In the aviation fire company of a disaster prevention helicopter with whom a doctor does not ride, the number of cases which hospital conveyance by an ambulance took 30 minutes or more goes up also to an average of 40% in the rate which accounts for all the emergency mobilization numbers. On the other hand, the doctor helicopter is enabling the medical treatment start at the spot within 15 minutes after a mobilization request. Thus, that it is in quick mobilization organization can say that it has led to the increase in the on-site mobilization number of a doctor helicopter. However, although all doctor helicopters are operations in the daytime, some fire-fighting disaster prevention helicopters operate also at night.

I am going to talk about doctor helicopter’s hoped any role next time.See you again.

History

The beginning of “Germany helicopter first aid” is the experiment navigation in Munich at the end of 1960s. In those day, there were many fatal accidents of the autobahn, so ADAC which the travel accident insurance dealt with reduced casualties and wanted to reduce the payment of the insurance. However, it was not only a purpose. It is humanitarian that the member of ADAC saves human life as much as possible,not only so, it was extremely noble duties but was a way of thinking to be to raise social fame of ADAC.

In this way, Mr.Kugler and the emergency medical specialist belonging to ADAC chater a small helicopter from 1968s, and the possibility of use as an emergency machine and the effect of the medical side were checked by experiment navigation.
As a result, full-scale helicopter first aid began in the HARAHIN Hospital in Munich on November 1, 1970. In those days the helicopter was MBB BO105 made in Germany, it was latest .
It was a small helicopter of five standard seating-passenger, but It was safe because it was equipped with two turbine engines.There is a shell door in the rear of a helicopter, and it became double doors opening outward greatly. Therefore, it was suitable also for shipping and discharging of the stretcher.

The basic concept of the "Munich model" was spread quickly, and it increased to ten places in four years after a start. In 1974, the West Germany government accepted the result of ADAC, and the government also began to operate a helicopter.
The above is the beginning of helicopter emergency.
By the way, what is a doctor helicopter？

Doctor helicopter is the system to convey the doctor familiar with emergency care, for the seriously ill patient who dose not choose a time and a place. The time from sick person generating to a primary care start is shortened sharply, and it is shown cleaely that a good gross result is brought to an emergency patient.

The environment which surrounds the rescue and the emergency that utilized the Japanese airplane has accomplished the big change in 2000 downward.

The Southern Hyogo Prefecture Earthquake occurred on January 17, 1995 in Japan. The Kobe earthquake accompanying it became a cause of doctor helicopter introduction. As for the doctor helicopter of the Ministry of Health, Labour and Welfare which became formal enforcement from the 2001 fiscal year, the enterprise is undertaken in 14 place 13 all prefectures way prefectures all over the country now in February, 2008. Organization maintenance which enables taking off and landing of a up to [ the highway main line ] is also advanced in response to 4 ministries-and-government-offices agreement of a country. At the ordinary Diet session in June, 2007, "Special Measures Law about the reservation of emergency care using the helicopter for emergency care" was approved and enacted, and the organization by which the helicopter which saves a life still more is arranged in the whole country solidified.