We investigated whether early intervention by a doctor-helicopter system influenced the outcome of multiple trauma patients. We divided multiple trauma patients who required emergency surgery for severe traumatic brain injury into two groups, one brought to hospital by doctor-helicopter (DH group) and the other by ambulance (AC group). Comparison between these groups revealed the time from perception of trauma to primary treatment to be significantly shorter for the DH group, at 16±7 minutes, than for the AC group, at 30±11 minutes. The lactate level on arrival at hospital was significantly higher in the AC group, at 3.6±1.3 mmol/L, than in the DH group, at 2.3±1.3 mmol/L. The patients in shock on arrival at hospital numbered 0 for the DH group (0%) and 3 (30%) for the AC group. GOS was good in 5 patients (45%) in the DH group and 2 patients (20%) in the AC group, showing that more patients in the DH group tended to have good GOS. The life-saving rate was 40% for the AC group and was higher, at 82%, for the DH group. These results suggest the possibility that intervention by doctor-helicopter would prevent circulatory failure and improve the life-saving rate.
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