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The Golden Hour
The term "The Golden Hour" was originally coined by Dr. R Adams Cowley of the Maryland Institute for Emergency Medical Services, who is regarded as the pioneer of modern trauma care. Dr. Cowley advocated that most trauma patients die of shock, which comes from sluggish or nonexistent circulation and the resulting chemical changes in the body. He believed that most trauma patients could be saved if he could stop the bleeding and restore blood pressure within one hour. Patients who have experienced shock for more that one hour will likely die. Surgical intervention within that one hour, therefore, is critical for increasing the patient's chance of survival. This hour, called "The Golden Hour," begins the moment the injury occurs.

The Golden Hour Traumatic injury is one of the top three causes of death in the United States. If you are under 45 years of age, it is the leading cause of death. This critical period is the "Golden Hour" and chances of survival increases dramatically if trained professionals stop the bleeding, treat the injury, and restore blood pressure.

If you're interested or have additional questions on building a life saving air medical program with us, please contact us.
 
Trauma Guidelines
Air Medical Dispatch: Guidelines for Trauma Scene Response
National Association of Emergency Medical Services Physicians

Position of the Association
The use of helicopters to transport patients is becoming the standard of care for many critically ill and injured persons requiring transportation to a specialized center. However, there is no well-established body of clinical literature that delineates the best criteria for dispatching a helicopter to an emergency scene. Air Medical Services Committee of the National Association for Emergency Medical Services Physicians (NAEMSP) has developed a set of guidelines for scene response by helicopters. These guidelines have been adopted as the official position of NAEMSP and are presented for use by the emergency medical services community.

A set of guidelines, whether brief or exhaustive, cannot foresee clinical or operational instances in which the helicopter medical crew may be useful at an emergency scene. In many respects, the local emergency clinician will be the best arbiter of this question in as much as the local clinician will have the most intimate understanding of regional resources. In presenting these guidelines, NAEMSP emphasizes the fundamental importance of closely integrating resources so that ground and air services mesh smoothly and efficiently in the best interest of the patients.
 
Helpful Info
View PDF Approaching the Helicopter
  Landing Zone Diagram
  Landing Zone Safety and Security
  Landing Zone Selection and Preparation

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