{"title":"救护车紧急医疗服务专业人员与直升机紧急医疗服务医师合作的观点","authors":"Elina Panula MD , Sami Länkimäki MD, PhD , Heini Huhtala MSc , Piritta Setälä MD, PhD , Sanna Hoppu MD, PhD","doi":"10.1016/j.amj.2025.06.018","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Collaboration between ambulance emergency medical service (EMS) professionals and helicopter EMS (HEMS) physicians has not been extensively highlighted in the literature. This study aims to address this gap by exploring the perspectives of ambulance EMS professionals on their collaboration with the physician-staffed HEMS unit in Finland.</div></div><div><h3>Methods</h3><div>This survey study was conducted in Finland’s first rural physician-staffed HEMS unit’s, FinnHEMS40 (FH40), operating area in the autumn of 2023 and repeated after a year. A digital survey link was sent through e-mail to all EMS professionals working in ambulance units. The surveys consisted of 5-point Likert-scale questions, multiple-choice questions, and open-ended questions. Likert-scale answers were analyzed with contingency tables and the chi-square test and Fisher’s exact test.</div></div><div><h3>Results</h3><div>Response rates were 210 of 522 (40%) for the first survey and 200 of 518 (39%) for the second survey. Most of all respondents (90%) felt that collaboration with FH40 has been good or excellent. The opinions on the importance of a HEMS physician’s attendance on EMS missions depended on their educational background and previous work experience in EMS. Results indicated that EMS professionals with 2 to 5 years of work experience seemed to feel more confident in managing various EMS missions independently without assistance from a HEMS physician.</div></div><div><h3>Conclusion</h3><div>Collaboration between HEMS physicians and ambulance units is appreciated and deemed important among EMS professionals working in ambulances. Educational background and work experience influence opinions on the necessity of HEMS physicians’ attendance in EMS missions.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"44 5","pages":"Pages 409-415"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ambulance Emergency Medical Services Professionals’ Perspectives on Collaboration With Helicopter Emergency Medical Services Physicians\",\"authors\":\"Elina Panula MD , Sami Länkimäki MD, PhD , Heini Huhtala MSc , Piritta Setälä MD, PhD , Sanna Hoppu MD, PhD\",\"doi\":\"10.1016/j.amj.2025.06.018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>Collaboration between ambulance emergency medical service (EMS) professionals and helicopter EMS (HEMS) physicians has not been extensively highlighted in the literature. This study aims to address this gap by exploring the perspectives of ambulance EMS professionals on their collaboration with the physician-staffed HEMS unit in Finland.</div></div><div><h3>Methods</h3><div>This survey study was conducted in Finland’s first rural physician-staffed HEMS unit’s, FinnHEMS40 (FH40), operating area in the autumn of 2023 and repeated after a year. A digital survey link was sent through e-mail to all EMS professionals working in ambulance units. The surveys consisted of 5-point Likert-scale questions, multiple-choice questions, and open-ended questions. Likert-scale answers were analyzed with contingency tables and the chi-square test and Fisher’s exact test.</div></div><div><h3>Results</h3><div>Response rates were 210 of 522 (40%) for the first survey and 200 of 518 (39%) for the second survey. Most of all respondents (90%) felt that collaboration with FH40 has been good or excellent. The opinions on the importance of a HEMS physician’s attendance on EMS missions depended on their educational background and previous work experience in EMS. Results indicated that EMS professionals with 2 to 5 years of work experience seemed to feel more confident in managing various EMS missions independently without assistance from a HEMS physician.</div></div><div><h3>Conclusion</h3><div>Collaboration between HEMS physicians and ambulance units is appreciated and deemed important among EMS professionals working in ambulances. Educational background and work experience influence opinions on the necessity of HEMS physicians’ attendance in EMS missions.</div></div>\",\"PeriodicalId\":35737,\"journal\":{\"name\":\"Air Medical Journal\",\"volume\":\"44 5\",\"pages\":\"Pages 409-415\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Air Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1067991X25002044\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Air Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1067991X25002044","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
Ambulance Emergency Medical Services Professionals’ Perspectives on Collaboration With Helicopter Emergency Medical Services Physicians
Objective
Collaboration between ambulance emergency medical service (EMS) professionals and helicopter EMS (HEMS) physicians has not been extensively highlighted in the literature. This study aims to address this gap by exploring the perspectives of ambulance EMS professionals on their collaboration with the physician-staffed HEMS unit in Finland.
Methods
This survey study was conducted in Finland’s first rural physician-staffed HEMS unit’s, FinnHEMS40 (FH40), operating area in the autumn of 2023 and repeated after a year. A digital survey link was sent through e-mail to all EMS professionals working in ambulance units. The surveys consisted of 5-point Likert-scale questions, multiple-choice questions, and open-ended questions. Likert-scale answers were analyzed with contingency tables and the chi-square test and Fisher’s exact test.
Results
Response rates were 210 of 522 (40%) for the first survey and 200 of 518 (39%) for the second survey. Most of all respondents (90%) felt that collaboration with FH40 has been good or excellent. The opinions on the importance of a HEMS physician’s attendance on EMS missions depended on their educational background and previous work experience in EMS. Results indicated that EMS professionals with 2 to 5 years of work experience seemed to feel more confident in managing various EMS missions independently without assistance from a HEMS physician.
Conclusion
Collaboration between HEMS physicians and ambulance units is appreciated and deemed important among EMS professionals working in ambulances. Educational background and work experience influence opinions on the necessity of HEMS physicians’ attendance in EMS missions.
期刊介绍:
Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.