The air rescue is the use of rescue means over the airway in the emergency medicine. The air rescue is used then if due to the layer is a faster intervention than by earthbound emergency services possible. That occurs usually in rural areas, where a Rettungshubschrauber is then usually used; it flies however e.g. to Australia in the Outback of the Flying Doctor service emergency and also regular medical employments with airplanes.

Pro and cons

Due to the restrictions of the helicopter (at night only much causes applicable, no flights with fog or ice rain) the system of the air rescue understands itself as meaningful addition of the earthbound emergency service, not however as replacement or competition. The substantial advantage of the helicopter is its enormous surface effect due to the speed, the today's helicopter models flies on average with approximately 240 km/h.

Whether transport thereby effected in the rescue car (by the Hinzusteigen of the emergency surgeon to the emergency surgeon car becomes) or in the helicopter takes place, depends on several factors. The factor time plays thereby a role, however also the condition of the patient. Thus one will fly for example a patient with cardiac infarct only very ungerne, since the psychological load of a flight is to be estimated as higher, as a travel in the emergency surgeon car. In addition the intervention possibilities are very limited in the helicopter - with arising complications - due to the tightness. The helicopter represents a to a large extent vibrationless, however very restrained intensive care unit. Therefore all necessary measures are usually met for the supply of the patient before beginning of the flight, since the access options are reduced during the flight. In particular the communication with the patient is extremely reduced due to the flight noises.

Ways of application

Primary employment

Advancing the emergency surgeon and rescue assistant (Germany) and/or emergency medic (Austria) to the emergency place for accomplishing life-saving measures and for the production of the transportability is called primary employment.

The transfer hospital under maintenance of the transportability and avoidance of further damage, ready for input suitable, by emergency patients of the place of the happening into the next and, falls likewise under the term primary employment.

With the primary employment it is to be still differentiated whether the patient can be accepted in the course of an off-field landing, whether the aids must be roped around the patient locally to supply, before it can be accepted in the flight. This is particularly in hard-to-travel areas, as the alps frequent the case. Sometimes also a transport up to a suitable external landing strip at a rope is necessary, where the saving either it is invited or can be handed over to an earthbound rescue means (rescue car).

Secondary employment

Characteristic of the secondary employment is that the place of work is a hospital. With the secondary employment it goes around a far transfer of a medically supplied intensive-requiring emergency patient out of a hospital (with fewer supplying possibilities) into another, more specialized hospital with extended intervention possibilities (e.g. heart catheter investigation, special operations etc.).

Tertiary period employment

Blood, medicines, transplants or Amputate are flown in rare cases. This way of application is called every now and then also Tertiary period employment.

Binarily Use

Every now and then the machines are used in addition, both for rescue missions, and intensive transfer flights (as RTH/ITH, so-called binarily use system), for example the RTH from Regensburg and Murnau (Bavaria).

Crew

The helicopters are occupied either too third, a pilot, an emergency surgeon and a HEMS crew Member (Germany) and/or a particularly trained emergency medic (Austria) or too fourth (like before, additionally still with an on-board technician, a second pilot or - particularly in the alpine regions in Austria - a mountain rescuer).

Articles in category "Air rescue"

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