我國離島急重症病患之空中醫療轉送實務經驗: 以金門為研究對象

Translated title of the contribution: Aeromedical Evacuation of Critical Patients from the Remote Islands to Taiwan: Kinmen Experience

Shin-Han Tsai, Wen-Ta Chiu, Li-Hua Lu, Tien-Shun Chen, Chiu-Man Tsang, Hsueh-Ru Wu

Research output: Contribution to journalArticle

Abstract

Kinmen, a remote island with a very low physician density, is located on the west side of Taiwan Strait. The distance is 360 km away from Taiwan. In Kinmen, there are only two local hospitals, Kinmen County Hospital and Kinmen Military Hospital. Thus, there is a shortage of manpower in neurosurgery, neurology, as well as a lack of specialists in infectious diseases. Thus, these two hospitals can only play a limited role in the provision of local accident and emergency healthcare. Aeromedical transportation of critically ill patients to Taiwan inevitably became the only solution. However, up now, regular weekly aeromedical transportations as well as a 24-hour dedicated helicopter service have not been able to meet the local residents' expectations. The present study reports the experience of 84 patients who were evacuated by fixed-wind aircraft. The evacuations consisted of a total of 75 flights from January 1 to December 31,2002. A professional medical team with aeromedical equipment was involved in each evacuation. The evacuations were completed within 6-8 hours and the expenses were lower than the present dedicated helicopter service. In conclusion, such an evacuation service may contribute to a better quality of emergency and critical care medicine for all residents in Kinmen. This successful experience may be a good model for other remote islands such as Penghu and Lianchian in the future.
Original languageTraditional Chinese
Pages (from-to)99-108
Number of pages10
Journal中華民國急救加護醫學會雜誌
Volume14
Issue number3
Publication statusPublished - 2003

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Aircraft
Taiwan
Islands
County Hospitals
Military Hospitals
Quality of Health Care
Neurosurgery
Emergency Medical Services
Critical Care
Neurology
Critical Illness
Accidents
Communicable Diseases
Emergencies
Medicine
Delivery of Health Care
Physicians
Equipment and Supplies

Keywords

  • aeromedical evacuation
  • aeromedical transportation
  • Kinmen
  • remote island healthcare
  • aeromedicine
  • emergency medical services

Cite this

我國離島急重症病患之空中醫療轉送實務經驗 : 以金門為研究對象. / Tsai, Shin-Han; Chiu, Wen-Ta; Lu, Li-Hua; Chen, Tien-Shun; Tsang, Chiu-Man; Wu, Hsueh-Ru .

In: 中華民國急救加護醫學會雜誌, Vol. 14, No. 3, 2003, p. 99-108.

Research output: Contribution to journalArticle

Tsai, S-H, Chiu, W-T, Lu, L-H, Chen, T-S, Tsang, C-M & Wu, H-R 2003, '我國離島急重症病患之空中醫療轉送實務經驗: 以金門為研究對象', 中華民國急救加護醫學會雜誌, vol. 14, no. 3, pp. 99-108.
Tsai, Shin-Han ; Chiu, Wen-Ta ; Lu, Li-Hua ; Chen, Tien-Shun ; Tsang, Chiu-Man ; Wu, Hsueh-Ru . / 我國離島急重症病患之空中醫療轉送實務經驗 : 以金門為研究對象. In: 中華民國急救加護醫學會雜誌. 2003 ; Vol. 14, No. 3. pp. 99-108.
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abstract = "Kinmen, a remote island with a very low physician density, is located on the west side of Taiwan Strait. The distance is 360 km away from Taiwan. In Kinmen, there are only two local hospitals, Kinmen County Hospital and Kinmen Military Hospital. Thus, there is a shortage of manpower in neurosurgery, neurology, as well as a lack of specialists in infectious diseases. Thus, these two hospitals can only play a limited role in the provision of local accident and emergency healthcare. Aeromedical transportation of critically ill patients to Taiwan inevitably became the only solution. However, up now, regular weekly aeromedical transportations as well as a 24-hour dedicated helicopter service have not been able to meet the local residents' expectations. The present study reports the experience of 84 patients who were evacuated by fixed-wind aircraft. The evacuations consisted of a total of 75 flights from January 1 to December 31,2002. A professional medical team with aeromedical equipment was involved in each evacuation. The evacuations were completed within 6-8 hours and the expenses were lower than the present dedicated helicopter service. In conclusion, such an evacuation service may contribute to a better quality of emergency and critical care medicine for all residents in Kinmen. This successful experience may be a good model for other remote islands such as Penghu and Lianchian in the future.",
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T2 - 以金門為研究對象

AU - Tsai, Shin-Han

AU - Chiu, Wen-Ta

AU - Lu, Li-Hua

AU - Chen, Tien-Shun

AU - Tsang, Chiu-Man

AU - Wu, Hsueh-Ru

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N2 - Kinmen, a remote island with a very low physician density, is located on the west side of Taiwan Strait. The distance is 360 km away from Taiwan. In Kinmen, there are only two local hospitals, Kinmen County Hospital and Kinmen Military Hospital. Thus, there is a shortage of manpower in neurosurgery, neurology, as well as a lack of specialists in infectious diseases. Thus, these two hospitals can only play a limited role in the provision of local accident and emergency healthcare. Aeromedical transportation of critically ill patients to Taiwan inevitably became the only solution. However, up now, regular weekly aeromedical transportations as well as a 24-hour dedicated helicopter service have not been able to meet the local residents' expectations. The present study reports the experience of 84 patients who were evacuated by fixed-wind aircraft. The evacuations consisted of a total of 75 flights from January 1 to December 31,2002. A professional medical team with aeromedical equipment was involved in each evacuation. The evacuations were completed within 6-8 hours and the expenses were lower than the present dedicated helicopter service. In conclusion, such an evacuation service may contribute to a better quality of emergency and critical care medicine for all residents in Kinmen. This successful experience may be a good model for other remote islands such as Penghu and Lianchian in the future.

AB - Kinmen, a remote island with a very low physician density, is located on the west side of Taiwan Strait. The distance is 360 km away from Taiwan. In Kinmen, there are only two local hospitals, Kinmen County Hospital and Kinmen Military Hospital. Thus, there is a shortage of manpower in neurosurgery, neurology, as well as a lack of specialists in infectious diseases. Thus, these two hospitals can only play a limited role in the provision of local accident and emergency healthcare. Aeromedical transportation of critically ill patients to Taiwan inevitably became the only solution. However, up now, regular weekly aeromedical transportations as well as a 24-hour dedicated helicopter service have not been able to meet the local residents' expectations. The present study reports the experience of 84 patients who were evacuated by fixed-wind aircraft. The evacuations consisted of a total of 75 flights from January 1 to December 31,2002. A professional medical team with aeromedical equipment was involved in each evacuation. The evacuations were completed within 6-8 hours and the expenses were lower than the present dedicated helicopter service. In conclusion, such an evacuation service may contribute to a better quality of emergency and critical care medicine for all residents in Kinmen. This successful experience may be a good model for other remote islands such as Penghu and Lianchian in the future.

KW - 空中醫療轉送

KW - 金門

KW - 離島醫療

KW - 航空醫學

KW - 緊急救護

KW - 固定翼救護

KW - aeromedical evacuation

KW - aeromedical transportation

KW - Kinmen

KW - remote island healthcare

KW - aeromedicine

KW - emergency medical services

M3 - 文章

VL - 14

SP - 99

EP - 108

JO - 中華民國急救加護醫學會雜誌

JF - 中華民國急救加護醫學會雜誌

SN - 1023-2214

IS - 3

ER -