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Helicopter emergency medical services (HEMS) over-triage and the financial implications for major trauma centres in NSW, Australia

TitleHelicopter emergency medical services (HEMS) over-triage and the financial implications for major trauma centres in NSW, Australia
Publication TypeJournal Article
Year of Publication2013
AuthorsTaylor, CB, Curtis, KA, Jan, S, Newcombe, M
JournalBMC Emergency Medicine
Volume13
Pagination11
ISBN Number1471-227X (Electronic) - 1471-227X (Linking)
Accession Number23815080
KeywordsAdolescent, Adult, Aged, Air Ambulances/ economics, Child, Confidence Intervals, Costs and Cost Analysis, Female, Humans, Male, Middle Aged, New South Wales, Reimbursement Mechanisms, Trauma Centers/ economics, Triage/ economics, Wounds and Injuries/economics, Young Adult
Abstract

BACKGROUND: In NSW Australia, a formal trauma system including the use of helicopter emergency medical services (HEMS) has existed for over 20 years. Despite providing many advantages in NSW, HEMS patients are frequently over-triaged; leading to financial implications for major trauma centres that receive HEMS patients. The aim of this study was to investigate the financial implications of HEMS over-triage from the perspective of major trauma centres in NSW. METHODS: The study sample included all trauma patients transported via HEMS to 12 major trauma centres in NSW during the period: 1 July 2008 to 30 June 2009. Clinical data were gathered from individual hospital trauma registries and merged with financial information obtained from casemix units at respective hospitals. HEMS over-triage was estimated based on the local definition of minor to moderate trauma (ISS

Alternate JournalBMC emergency medicine
English