Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
An ambulance is a medically-equipped vehicle used to transport patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport. Ambulances are used to respond to medical emergencies by emergency medical services (EMS), and can rapidly transport paramedics and other first responders, carry equipment for administering emergency care, and transport patients to hospital or other definitive care. Most ambulances use a design based on vans or pickup trucks, though others take the form of motorcycles, buses, limousines, aircraft and boats.
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine.
Mobile Army Surgical Hospitals (MASH) were U.S. Army field hospital units conceptualized in 1946 as replacements for the obsolete World War II-era Auxiliary Surgical Group hospital units. MASH units were in operation from the Korean War to the Gulf War before being phased out in the early 2000s. Each MASH unit had 60 beds, as well as surgical, nursing, and other enlisted and officer staff available at all times. MASH units filled a vital role in military medicine by providing support to army units upwards of 10,000 to 20,000 soldiers. These units had a low mortality rate compared to others, as the transportation time to hospitals was shorter, resulting in fewer patients dying within the "Golden Hour", the first hour after an injury is first sustained, which is referred to in trauma as the "most important hour". The U.S. Army deactivated the last MASH unit on February 16, 2006, and the successors to Mobile Army Surgical Hospitals are combat support hospitals.
Casualty evacuation, also known as CASEVAC or by the callsign Dustoff or colloquially Dust Off, is a military term for the emergency patient evacuation of casualties from a combat zone. Casevac can be done by both ground and air. "DUSTOFF" is the callsign specific to U.S. Army Air Ambulance units. CASEVACs by air today are almost exclusively done by helicopter, a practice begun on a small scale toward the end of World War II; before that, STOL aircraft, such as the Fieseler Fi 156 or Piper J-3 were used.
A combat medic is responsible for providing emergency medical treatment at a point of wounding in a combat or training environment, as well as primary care and health protection and evacuation from a point of injury or illness. Additionally, medics may also be responsible for the creation, oversight, and execution of long-term patient care plans in consultation with or in the absence of a readily available doctor or advanced practice provider. Combat medics may be used in hospitals and clinics, where they have the opportunity to work in additional roles, such as operating medical and laboratory equipment and performing and assisting with procedures.
The Sikorsky R-4 is a two-seat helicopter that was designed by Igor Sikorsky with a single, three-bladed main rotor and powered by a radial engine. The R-4 was the world's first large-scale mass-produced helicopter and the first helicopter used by the United States Army Air Forces, the United States Navy, the United States Coast Guard and the United Kingdom's Royal Air Force and Royal Navy. In U.S. Navy and U.S. Coast Guard service, the helicopter was known as the Sikorsky HNS-1. In British service it was known as the Hoverfly.
ARCH Air Medical Service is an emergency medical service (EMS) that provides critical care air ambulance service in Missouri, Illinois, and the surrounding regions. Air ambulance programs offer transport by helicopter (rotor-wing) or fixed-wing aircraft. ARCH Air was the twelfth program in the U.S. to offer such services when it began operating in March 1979. Transporting approximately 4,200 patients per year by helicopter, ARCH aircraft are staffed by a pilot, nurse and paramedic. Flights are 80% inter-facility and 20% scene.
The Northland Emergency Services Trust (NEST) is an emergency air rescue service in Whangarei, New Zealand. The Trust is supported by contributions from local sponsors, individuals, families, businesses and organisations. The operator, Northern Rescue Helicopter Ltd. (NRHL), is a joint venture between Northland Emergency Services Trust and Auckland Rescue Helicopter Trust.
Aeromedical evacuation (AE) usually refers to the use of military transport aircraft to carry wounded personnel.
The Westpac Lifesaver Rescue Helicopter Service is a helicopter surf lifesaving service that operates in Australia.
Flight for Life is a prehospital care service with many bases of operation across the United States. Flight for Life is primarily known for its emergency medical helicopter transport, but also operates a fleet of land vehicles and fixed-wing aircraft for the transport of critically ill patients to specialized medical care. Helicopter transport is normally reserved for the most critically injured patients or patients who cannot be reached by traditional means of Emergency medical services. Helicopter transport is also especially useful for the transport of critically wounded patients to specialty medical facilities, such as burn, pediatric, or advanced trauma centers, that may be further away from the location of injury. Many rural communities rely on the speed of the helicopter to reach and evacuate their most serious patients to an available medical center. The helicopter may also be used for search and rescue operations in conjunction with ground units or alone.
STAT MedEvac "originally STAT Angel One" is a service of the Center for Emergency Medicine of Western Pennsylvania in Pittsburgh, Pennsylvania. The primary function of STAT MedEvac is to provide emergency medevac and air medical transport of critically wounded or sick civilians, either from emergency scenes or between hospitals. As of July of 2017, the organization also operates two ground ambulances for patients with severe injury or critical illness. STAT MedEvac is directed by a consortium of hospitals of the University of Pittsburgh Medical Center (UPMC) that include UPMC Children's Hospital of Pittsburgh, UPMC Altoona, UPMC Hamot, UPMC Mercy and UPMC Presbyterian Shadyside. STAT MedEvac's base of operations is in West Mifflin, Pennsylvania, at the Allegheny County Airport. With 18 air bases across Pennsylvania, Maryland, New York, Ohio, and the District of Columbia, it is one of the largest single operated and dispatched air-medical service organizations in the United States.
The Trauma Hawk Aero-Medical Program provides air ambulance services for Palm Beach County, Florida. On scene paramedics will decide whether or not a Traumahawk is necessary in a situation. On average, a Traumahawk is dispatched between 1 and 5 times a day for traumatic injuries, including those from vehicle accidents to sports injuries, as well as transport for stroke and cardiac patients. Operated by the Health Care District of Palm Beach County, the service uses two identical 1999 Sikorsky S76-C+ helicopters as air ambulances.
The 563rd Rescue Group is a United States Air Force unit stationed at Davis-Monthan Air Force Base, Arizona. The group also controls the rescue squadrons at Nellis Air Force Base, Nevada. It is assigned to the 355th Wing. The group directs flying operations dedicated to personnel recovery and is part of Air Combat Command. The group was activated under its current designation at Davis-Monthan in 2003 to command rescue units in the western United States.
The Helicopter unit is the police aviation unit of the Police of Serbia.
CareFlight is an air medical service headquartered in Westmead, New South Wales, Australia.
Major General Spurgeon Neel, MD, was a United States Army physician who pioneered the development of aeromedical evacuation of battlefield casualties.
Air medical services are the use of aircraft, including both fixed-wing aircraft and helicopters to provide various kinds of medical care, especially prehospital, emergency and critical care to patients during aeromedical evacuation and rescue operations.
This article incorporates public domain material from websites or documents of the United States Army.
