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A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa
Thesis (MMed)--Stellenbosch University, 2013.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2017
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| _version_ | 1867613879570268160 |
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| access_status_str | Open Access |
| author | D’Andrea, Patrick Andrew |
| author2 | Van Hoving, Daniel Jacobus |
| author_browse | D’Andrea, Patrick Andrew Van Hoving, Daniel Jacobus |
| author_facet | Van Hoving, Daniel Jacobus D’Andrea, Patrick Andrew |
| author_sort | D’Andrea, Patrick Andrew |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2013. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/102523 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:09.148Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/102523 A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa D’Andrea, Patrick Andrew Van Hoving, Daniel Jacobus Wood, Darryl Smith, Wayne Patrick Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Emergency Medicine. Helicopter ambulances -- South Africa South African Red Cross Air Mercy Service South African Red Cross Society. National Health Department -- South Africa Air medical services -- South Africa UCTD Thesis (MMed)--Stellenbosch University, 2013. ENGLISH SUMMARY : Introduction: The study describes the first five years of operation of a HEMS service in rural South Africa. Methods: A chart review of all activated flights from 1 January 2006 to 31 December 2010 was conducted. Flights with missing patient report forms were excluded. Data collected included age, indication for flight, triage code, flight times, on-scene times, presence of doctor as part of crew, and whether the flight was for a primary response or inter-facility transfer. Results: 1429 flights were undertaken; three records were missing. Primary response accounted for 165 (11.57%) of flights. 139 (9.75%) flights were cancelled after take off (Interfacility Transfer (IFT) n=99, 7.9%; Primary n=32, 19.4%; unspecified n=8). Just over a third (n=472, 36.67%, IFT n=447, 38.74%; Primary n=25, 18.80%) of patients were under twelve years old. The main indications for flight in IFT were obstetrics (n=398, 34.49%), paediatrics (n=322, 27.90%), and trauma (n=183, 15.86%). In primary response trauma (n=97, 72.93%) was most common followed by obstetrics (n=15, 11.28%), and paediatrics (n=9, 6.78%). However the triage system used appeared to be subjective and inconsistent. There was a significantly longer median on-scene time for neonates (48 minutes, IQR 35-64 minutes) as compared to adults (36 minutes, IQR 26-48 minutes, p<0.001) and paediatrics (36 minutes, IQR 25-51 minutes, p<0.02). On-scene times for doctor-paramedic crews (45 minutes, IQR 27-50) were significantly longer than paramedic only crews (38 minutes, IQR 27-57, p<0.001). Conclusion: The low flight per population ratios and primary response rate may indicate underutilisation of HEMS in an area where it may have a major impact considering the shortage of ALS crew and the long transport distances. There is a need for further studies into HEMS in rural Africa, looking particularly at cost-benefit analyses, optimal activation criteria, and triage systems. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2017-11-30T09:49:25Z 2017-11-30T09:49:25Z 2013-12 Thesis http://hdl.handle.net/10019.1/102523 en_ZA Stellenbosch University 14 pages ; illustrations application/pdf application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Helicopter ambulances -- South Africa South African Red Cross Air Mercy Service South African Red Cross Society. National Health Department -- South Africa Air medical services -- South Africa UCTD D’Andrea, Patrick Andrew A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa |
| title | A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa |
| title_full | A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa |
| title_fullStr | A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa |
| title_full_unstemmed | A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa |
| title_short | A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa |
| title_sort | five year analysis of the rotor wing air mercy service in richards bay south africa |
| topic | Helicopter ambulances -- South Africa South African Red Cross Air Mercy Service South African Red Cross Society. National Health Department -- South Africa Air medical services -- South Africa UCTD |
| url | http://hdl.handle.net/10019.1/102523 |
| work_keys_str_mv | AT dandreapatrickandrew afiveyearanalysisoftherotorwingairmercyserviceinrichardsbaysouthafrica AT dandreapatrickandrew fiveyearanalysisoftherotorwingairmercyserviceinrichardsbaysouthafrica |