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Helicopter emergency medical service: motivation for focused research

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Abstract

Since the early helicopter developments, there has been tremendous progress in performance, handling qualities, comfort and efficiency. This is why helicopters have conquered their niche in the aircraft market despite their very limited capabilities in terms of maximum speed and range or fuel efficiency, especially when compared with modern fixed wing aircraft. However, some features make helicopters very useful for many missions, which to date cannot be performed by any other contemporary series production aircraft. These features include their capability to hover, to climb or sink either vertically or almost vertically, to fly slowly in any horizontal direction (even backwards) and still maintain good handling qualities. When compared to other aircraft which are able to hover (e.g. tiltrotors or fixed wing vertical take-off and landing aircraft), they even show in that flight regime superior flight performances. These features allow helicopters to fly “nap of the earth” at low altitudes within an obstacle backdrop and land almost anywhere, even in confined areas (provided any obstacles do not present a threat level which is too high). These capabilities make helicopters prone not only to simply rescue people in distress (e.g. from mountains or ships in emergency situations), but also to provide full emergency medical service. This service is called helicopter emergency medical service (HEMS). No other aircraft is more suitable for such a service than helicopters. This is why many nations have established professional HEMS systems in their countries; ranging from young systems such as that adopted in Japan to the oldest one, located in Germany. This paper aims to first give an overview on some historical aspects on the development of HEMS. Secondly, it outlines HEMS Systems established in various nations like Germany, Switzerland, Japan, and the United States of America. Next the paper gives a short survey on statistical data on rescue helicopters and to some extent on noise aspects of helicopters in general. The latter topic will be discussed briefly, since noise problems are linked to all helicopters not just to rescue helicopters. Following this, some sobering facts on HEMS will be reviewed, more precisely the high number of accidents. Finally, the paper concludes with some remarks and gives a brief outlook on a research concept dubbed the “Rescue Helicopter 2030” which has been started recently at the Deutsches Zentrum für Luft- und Raumfahrt (DLR, German Aerospace Center).

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Notes

  1. A trauma center is a hospital equipped and staffed to provide comprehensive emergency medical services to patients suffering from traumatic injuries. Trauma centers are classified as Level I, II, III or IV, Level I being the highest.

  2. The S-97 Raider focusses on military customers and civil variants are not foreseen so far.

  3. The exact date is not quite clear. In most sources April 26–27, 1944 is being mentioned. Some sources mention the 23rd of April, others simply refer to April.

  4. Hans-Helmut Gerstenhauer died in October 23, 2014 at the age of 99 years.

  5. Saint Christopher was a Christian martyr (third century) and is patron of travelers. The name means carrier of Christ.

  6. G. Kugler (1935–2009) was one of the pioneers of the German HEMS system. In 1971, he took over the position of the head of the young air rescue department at ADAC. From 1990 till his retirement in 2000 he was CEO of the ADAC Luftrettung GmbH and author of [30].

  7. The exchange rate was taken on Dec. 7, 2014.

  8. The numbers sum up to 77 instead of 76, since DRF Luftrettungs counts its station in Halle only once, although two helicopters with different call signs are operated at this station. Usually, this is counted as a separate station, but the figures of the operator were used in Table 2.

  9. The mission number of JUH can be found at the web site given for Ref. [29].

  10. The average number of patients flown in the US from 2002 till 2007 was about 410–460 patients and the average flight hours about 580 h per helicopter. The number of missions has steadily gone down since 1990 from an all-time high of about 690 patients per helicopter [155]. In recent years, these numbers are even lower (about 340 patients and 490 flight hours per helicopter).

  11. Shown here is the T2 model. The P2 model shows a noise level in approach which is 2.2 EPNdB below the T2 [142]. In approach with its low power requirement, the engine should not have such an impact on noise. It is quite likely that flight certification of the T2 have been conducted under less optimal conditions than for the P2.

  12. Numbers have to be taken with some care, since accident and fatal accident numbers or rates vary, depending on the report.

  13. In this context it might be helpful to refer to other industry sectors like the automobile industry. The traffic fatalities have been reduced significantly, see e.g. Fig. 5, despite an enormous increase in registered motor vehicles and hence driving hours.

  14. Regulations allowed US HEMS operators to conduct work under FAR Part 135, Commercial Aviation Operations, or under Part 91, General Aviation Operations. Flights with patients on board have to be performed under Part 135, but without patients on board they were allowed to be operated under Part 91, which is less stringent than Part 135 [160]. The latter rule has been aggravated in-between, see below.

  15. Dual-purpose helicopters in the US are helicopters combining dedicated EMS with other services. This differs from the definition given above.

Abbreviations

ABC:

Advancing blade concept

ACN:

Automatic crash notification

ACT/FHS:

Active control technology/flying helicopter simulator

ADAC:

Allgemeiner Deutscher Automobilclub (General German Automobile Association)

AE, AME:

Aeromedical evacuation

AH:

Ambulance helicopter

AHS:

American Helicopter Society

AMPA:

Air Medical Physician Handbook

ANWB:

Algemene Nederlandse Wielrijders Bond (Dutch Automobile Association)

BMI:

Bundesinnenministerium (German Federal Department of the Interior)

BVI:

Blade vortex interaction

CARESOM:

Coordinated Accident Rescue Endeavor—State of Mississippi

CFIT:

Controlled flight into terrain

DLR:

Deutsches Zentrum für Luft- und Raumfahrt e.V. (German Aerospace Center)

DRF:

Deutsche Rettungsflugwacht (German Aviation Rescue Guard)

EDH:

Emergency doctor helicopter

EHEST:

European Helicopter Safety Team

EPN:

Effective perceived noise level

ERATO:

Etude d'un Rotor Aéroacoustique Technologiquement Optimisé

FAA:

Federal Aviation Administration

FAR:

Federal Aviation Regulation

FW:

Fixed wing aircraft

GPS:

Global Positioning System

HCM:

HEMS crew member

HELLAS:

Helicopter laser radar

HEM-Net:

Emergency Medical Network of Helicopters and Hospitals (Japan)

HEMS:

Helicopter emergency medical service

HICAMS:

Helicopter Intensive Care Medical Services

HOGE:

Hover (altitude) out of ground effect

HTAWS:

Helicopter Terrain Awareness and Warning System

ICAO CAEP:

International Civil Aviation Organization Committee on Aviation Environmental Protection

IFR:

Instrument flight rules

IHST:

International Helicopter Safety Team

ISA:

International Standard Atmosphere

ISS:

Injury Severity Score

ITH:

Intensive care transport helicopter

JUH:

Johanniter-Unfall-Hilfe e.V. (Johanniter-Accident-Care)

MAC:

Moscow Aviation Center

MAST:

Military Assistance to safety and traffic

MEDEVAC:

Medical evacuation

MTOW:

Maximum take-off weight

NOTAR:

No tail rotor

NTSB:

National Transportation Safety Board

NVG:

Night vision goggle

ÖAMTC:

Österreichischer Automobil-, Motorrad- und Touring Club (Austrian Automobile, Motorcycle and Touring Association)

REGA:

Rettungsflugwacht Garde Aérienne (Air Rescue Guard)

RTH:

Rescue transport helicopter

RW:

Rotary wing aircraft

SAR:

Search and rescue

SEL:

Sound exposure level

SRFW:

Schweizerische Rettungsflugwacht (Swiss Air Rescue Guard)

TCAS:

Traffic Alert and Collision Avoidance System

TCS:

Touring Club Switzerland

USA:

United States of America (short US)

USAF:

US Air Force

VFR:

Visual flight rules

VTOL:

Vertical take-off and landing

WAH:

Wide area helicopter

WW:

World War

ZSH:

Zivilschutz-Hubschrauber (Civil Protection Helicopter)

DL:

Disc loading

H :

Impact factor for price estimation in Eqs. (1) and (2)

m e :

Empty weight

m f :

Fuel weight

m TOW :

Take-off weight

m UL, ff :

Useful load mass at full fuel

N BL :

Blades per rotor

l FW :

Fuselage width

l FL :

Fuselage length

R :

Rotor radius

P total,Engine(s) :

Total engine/engines rated power in shp

S :

Rotor disc area

V cab :

Cabin volume

V Cruise, econ :

Economic cruising speed

µ :

Advance ratio µ = V/(RΩ)

Ω :

Rotor rotational frequency

References

  1. Tune, R.L.: It’s only a Delusion if it doesn’t work: everyone has a delusion! What’s yours? Xlibris Corporation, ISBN-10: 1-4931-6575-5, ISBN-13: 978-1-4931-6575-9 (2014)

  2. NN: Commission Regulation (EU) No 965/2012, October 5 (2012)

  3. Stepniewski, Z., Tarczynski, T.: Open Airscrew VTOL Concepts. NASA Contractor Report 177603, September (1992)

  4. Burgess, R.K.: The ABC™Rotor—a historical perspective. In: 60th Annual Forum of the AHS, Baltimore, MD, 7–10 June (2004)

  5. Walsh, D., Weiner, S., Arifian, K., Lawrence, T., Wilson, M., Millott, T., Blackwell, R.: High airspeed testing of the sikorsky X2 technology™ demonstrator. In: 67th Annual Forum of the AHS, Virginia Beach, VA, May 3–5 (2011)

  6. Walsh, D., Weiner, S., Arifian, K., Bagai, A., Lawrence, T., Blackwell, R.: Development testing of the sikorsky X2 technology™ demonstrator. In: 65th Annual Forum of the AHS, Grapevine, TX, May 27–29 (2009)

  7. Hirschberg, M.: X2, X3, S-97 and X-49: The battle of the compounds is joined. Vertiflite 56(4), 16–22 (2010)

    Google Scholar 

  8. DeRosa, S., Eadie, W., Eller, E.: S-97™ Adaptive Survivability. In: 69th Annual Forum of the AHS, Phoenix, AZ, May 21–24 (2013)

  9. Warwick, G.: Rotary redefined. Aviation Week pp. 52–53, October 6 (2014)

  10. Lam, D.M.: Medical Evacuation, History and Development—The Future in the Multinational Environment. RTO HFM Specialists’ Meeting on “The Impact of NATO/Multinational Military Missions on Health Care Management” Kiev, Ukraine, September 4–6 (2000)

  11. NN: Alaska Air Medical Escort Training Manual, 4th edn. Dept. of Health and Social Services, Division of Public Health, Section of Injury Prevention and EMS (2006)

  12. Austin, T.K.: Aeromedical evacuation—the first 100 years. ADF Health J 3(1), 43–46 (2002)

    Google Scholar 

  13. T. Martin: Aeromedical transportation: a clinical guide, 2nd edn. Ashgate Publishing Company, ISBN-10: 0-7546-4147-3, ISBN-13: 978-0-7546-4147-6 (2006)

  14. Vanderburg, K.: Aeromedical Ecacuation: a historical perspective. In: Hurd, W.W., Jernigan, J.G. (eds) Aeromedical Evacuation, Management of Acute and Stabilized Patients. Springer Verlag, Berline ISBN 10: 0-387-98604-9, ISBN 13: 978-0-3872-2699-6 (2003)

  15. Roedig, E.: Aeromedical Evacuation. In RTO-MP-HFM-157—Medical Challenges in the Evacuation Chain, ISBN 13: 978-9-2837-0079-1, pp. 6.1–6.14, December (2008)

  16. McGowen S.S.: Helicopters: an lllustrated history of their impact. In Weapons and Warfare Series, ABC-Clio Inc. ISBN-10: 1-8510-9468-7, ISBN-13: 978-1-8510-9468-4 (2005)

  17. Butz, R.: The Evolution and Influence of the Helicopter in the United States Air Force. American Military University, Research Paper, RC500, March (2004)

  18. McElroy, K.: The “Eggbeater with Good Sense”. In: The DUSTOFFer, DUSTOFF Association Newsletter, pp. 12–14, Fall/Winter (2009)

  19. Web-Site of the official Igor I. Sikorsky Historical Archives, Connecticut, USA. http://www.sikorskyarchives.com/

  20. Glines, C.V.: The Skyhook. Air Force Mag. 71(7), 104–110 (1988)

    Google Scholar 

  21. Coates, S.: Helicopters of the Third Reich. Classic Publications ISBN-10: 1-9032-2324-5, ISBN-13: 978-1-9032-2324-6 (2003)

  22. von Gersdorff, K.: Hubschrauber und Tragschrauber. Bernard & Graefe Verlag, München, ISBN 10: 3-7637-5273-0 (1982)

  23. Web site of Life Support International, Inc. http://www.lifesupportintl.com

  24. Bussiek, H.: Fockes “Drache”. Rotorblatt, pp. 50–52, March (2014)

  25. Davies, G.: Civilian helicopter air ambulance: history and future from today’s perspective. Air Rescue Mag. 3(2), 60–61 (2013)

    Google Scholar 

  26. Lay, A.: Auswertung der Notarzteinsätze in Bayern auf dem DIVI—Protokolle als Basis für ein präklinisches Qualitätsmanagement. PHD-Thesis at the Bavarian Julius-Maximilian‘s-University, Würzburg, December (2002)

  27. Steininger, Th: Die Entwicklung eines Notarztwesens in der Stadt und Region München. Phd-Thesis at the Ludwig-Maximilians-University, Munich (2009)

    Google Scholar 

  28. Schroeter, P.: Farbatlas der deutschen Luftrettung. Wulff GmbH, ISBN-10: 3-8809-0105-8, ISBN-13: 978-3-8809-0105-6 (2005)

  29. Winkle, S.: Als „Christoph“noch ein „Kolibri“war. Rettungsmagazin, Themenspezial Luftrettung, eDossier, pp. 3–9 (2012). Magazin available at: http://www.rettungsdienst.de/magazin/deutsche-luftrettung-rettungshubschrauber-deutschland-40873

  30. Kugler, G.: ADACOPTER-2. Werner Wolfsfellner Medizin Verlag, München, ISBN-10: 3-9332-6662-9, ISBN-13: 978-3-933-266-62-0 (2010)

  31. Oster, R.: Luftrettung. Motorbuch Verlag, ISBN-10: 3-6130-2846-8, ISBN-13: 978-3-6130-2846-3 (2008)

  32. Web-Site of the REGA air rescue: http://www.rega.ch

  33. Private run Web-Site on Swiss civil helicopters: http://www.heli-archive.ch/en/

  34. Web-Site of the Air Zermatt air rescue: http://www.airzermatt.ch

  35. Web-Site of the Air Glaciers air rescue: http://www.air-glaciers.ch

  36. NN: Aus dem Inneren FLUGRETTUNG Geschichte der Flugrettung, Probleme Aktuelles, Federal Department of the Interior, Austria, March 18 (2010)

  37. Web-Site of the ÖAMTC air rescue: http://www.oeamtc.at/portal/flugrettung

  38. Schüller, R.: ÖAMTC Celebrates 30 Years: “Yellow Angles” providing EMS from the Sky. Air Rescue Mag. 3(3), 16 (2013)

    Google Scholar 

  39. Web-Site of the ADAC Luftrettung: http://www.adac.de/infotestrat/adac-im-einsatz/luftrettung/.

  40. Web-Site of the DRF Luftrettung: http://www.drf-luftrettung.de/

  41. Web-Site on the Austrian HEMS system. http://www.helirescue.at

  42. NN: Air Medical Services: Critical Component of Modern Healthcare Systems. MedEvac Foundation International (2011). http://aams.org/publications/

  43. Web-Site of the MercyFlight air rescue: http://www.mercyflight.org

  44. NN: Military Assistance to Safety and Traffic (MAST), Report of Test Program by the Interagency Study Group. Department of Defense, Department of Transportation, and Department of Health, Education, and Welfare, U.S. Government Printing Office, Stock Number 1727-0030 (1972)

  45. Web-Site of the Flight For Live Colorado air rescue: http://www.flightforlifecolorado.org

  46. Adams, Ch.: Top 10 HEMS Providers. Rotor & Wing Magazine, pp. 26–31, October (2010)

  47. Nishikawa, W.: How Kugler-san contributed to the birth of Japan’s Doctor-Heli system. Air Rescue Mag. 1(3), 38–41 (2011)

    MathSciNet  Google Scholar 

  48. Mashiko, K., Matsumoto, H., Hara, Y., Yagi, T.: Realising the Potential: Challenges and Opportunities for HEMS in Japan. Air Rescue Mag. 3(2), 124–126 (2013)

    Google Scholar 

  49. Nishikawa, W., Yanamo, Y.: HEMS Flight Safety. AIRMED World Congress, Rome, Italy June 3–5 (2014)

  50. Ogino, R., Suzuki, K., Kohama, A., Tabata, M., Nakatani, N.: HEMS operation in Japan—the mechanic as a crucial safety feature. Air Rescue Mag. 2(1), 26–28 (2012)

    Google Scholar 

  51. Web Site of HEM-Net: http://www.hemnet.jp/english

  52. Nishikawa, W., Yamano, Y.: HEMS in Japan: Expanding the Doctor-Heli Program. Air Rescue Mag 3(4), 176–177 (2013)

    Google Scholar 

  53. Hesselfeld, R.: Intruducing HEMS into an “Urban Trauma System”: Will it Affect the Outcome? Air Rescue Mag. 4(2), 50–52 (2014)

    Google Scholar 

  54. Andruszkow, H., Lefering, R., Frink, M., Mommsen, Ph, Zeckey, Ch., Rahe, K., Krettek, Ch., Hildebrand, F.: Survival benefit of helicopter emergency medical services compared to ground emergency medical services in traumatized patients. Crit. Care 17(3), R124 (2013). doi:10.1186/cc12796

    Article  Google Scholar 

  55. Andruszkow, H.: Bedeutsamer Einfluss für das Überleben: Einfluss der Luftrettung auf traumatisierte Patienten. Special Edition on DKOU-Jahrestagung, Berlin, 28–31, 2014, p. 18 (2014)

  56. Di Bartolomeo, S., Gava, P., Truhlář, A., Sandberg, M.: The Euphorea Group.: cross-sectional investigation of HEMS activities in Europe: a feasibility study. Sci. World J. (2014). doi:10.1155/2014/201570

    Google Scholar 

  57. Abe, T., Takahashi, O., Saitoh, D., Tokuda, Y.: Association between helicopter with physician versus ground emergency medical services and survival of adults with major trauma in Japan. Crit. Care 18(4), R146 (2014). doi:10.1186/cc13981

    Article  Google Scholar 

  58. Web-site of Christoph Europe 3: http://www.europa3.net

  59. Web-site of EHAC: http://www.ehac.eu

  60. Becker, S.: HEMS base locations: the EHAC perspective. Air Rescue Mag. 3(4), 23 (2013)

    Google Scholar 

  61. NN: Rettungsdienstplan Baden-Württemberg 2014. Ministry of the Interior Baden-Wuerttemberg—Az.: 4-5461.2-5, February 18 (2014)

  62. Web-site of the FORPLAN Dr. Schmiedel GmbH: http://www.forplan.de/hilfsfristen.html

  63. Web-site of rth.info: http://www.rth.info

  64. Web-Site of the JUH Luftrettung: http://www.johanniter.de/die-johanniter/johanniter-unfall-hilfe/juh-vor-ort/lv-hessen-rheinland-pfalz-saarland/luftrettung/

  65. Web-Site for the Civil Protection Helicopters of the BMI: http://www.bbk.bund.de/DE/AufgabenundAusstattung/GesundhBevschutz/KatastrophenmedizinundmedizinischeSelbsthilfe/Zivilschutzhubschrauber/zivilschutzhubschrauber_node.html

  66. NN: The Official Helicopter Blue Book. HeliValue$, Inc. (2008)

  67. NN: HELLAS-Warning Product Description. Cassidian, December (2010)

  68. Doehler, H.-U., Lueken, T., Lantzsch, R.: ALLFlight—a full scale enhanced and synthetic vision sensor suite for helicopter applications. SPIE Defense, Security + Sensing Conference, Orlando, FL, April 13–17 (2009)

  69. NN: Verkehr Verkehrsunfälle 2013. Article Number 2080700137004, Statistisches Bundesamt, Wiesbaden July 2 (2014)

  70. Web-Page of the BMI on air rescue: http://www.bmi.bund.de/SharedDocs/Kurzmeldungen/DE/2010/06/luftrettung.html

  71. Reinhardt, K.: Documentation of air rescue missions in Germany: annual analysis of air rescue data set. Air Rescue Mag. 2(4), 54–55 (2012)

    Google Scholar 

  72. Reinhardt, K.: Auswertung des bundeseinheitlichen Datensatzes Luftrettung für das Jahr 2013. RUN—Rettungswesen und Notfallmedizin GmbH, Marburg, August 2014. http://isim.rlp.de/fileadmin/ism/downloads/sicherheit/rettungsdienst/RUN_Auswertung_Datensatz_Luftrettung_2013.pdf

  73. Web-site of the Federal Department of Statistics in Germany: http://www.destatis.de

  74. Winkle, S.: Polizei in Orange. Rettungsmagazin, Themenspezial Luftrettung, eDossier, p. 18 (2012)

  75. Winkle, S.: Christoph München: Der Nachtfalke von der Isar. Rettungsmagazin, Themenspezial Luftrettung, eDossier, pp. 10–13 (2012)

  76. NN: DRF Luftrettung Jahresbericht (2013)

  77. Stern, C.: Night Vision Goggles: advantages–disadvantages. Rotors Mag. 4(2), 34–35 (2010)

    Google Scholar 

  78. NN: Introducing NVG = Introducing a new Kind of Accidents? 4Rotors Mag. (4), 38–39 (2010)

  79. NN: Rettungsheli spart Geld. skyheli.ch (1), 23 (2011)

  80. Pfnier, M.: Christophorus Magazin, pp. 12–14, December (2008)

  81. NN: Notfallrettung im ländlichen Raum—Luftrettung als Lösung?! Conference Proceeding of the Symposium of the Research Project PrimAIR, February 17–18, 2014, University of Applied Sciences Cologne, ISBN 978-3-86386-743-0 (2014)

  82. von Plato, A.: Logistische Erfahrungen und Herausforderungen aus Errichtung und Betrieb von Offshore-Windparks. 1st Berlin Conference on Maritime Lösungen für die Offshore-Windparkversorgung. Berlin, Germany, June 14 (2013)

  83. N.N.:A Case for the Helicopter. 4Rotors Mag, (1), 38 (2010)

  84. Graf, K.: Through rough winds: HEMS missions at offshore wind parks from German perspective. Air Rescue Mag. 2(4), 24–29 (2012)

    Google Scholar 

  85. Web-site of Northern Helicopter: http://www.northernhelicopter.de

  86. N.N.: HEMS in offshore wind turbines: promising highline rescue procedure. Air Rescue Mag. 2(4):30–32 (2012)

  87. Ten Berg, P.: Dutch lifeliner HEMS flights increasingly accepted. Two-figure growth in 2013. Air Recue Mag. 4(1), 60–63 (2014)

    Google Scholar 

  88. Temesvári, P.: Hungarian air ambulance and NAS: cooperation for a countrywide HEMS. Air Recue Mag. 2(4), 60–63 (2012)

    Google Scholar 

  89. Bader, T.: FinnHEMS: state-funded and efficient air rescue for Finland. Air Recue Mag. 3(4), 54–57 (2013)

    Google Scholar 

  90. Kämäräinen, A.: The Future of HEMS in Finland. Air Recue Mag. 4(3), 62–64 (2014)

    Google Scholar 

  91. NN: Community-funded HEMS in Ireland. Air Rescue Mag. 2(1), 6 (2012)

  92. Press Release of AeroMedevac Ireland. http://www.aeromedevac.ie/announcements/ireland-s-first-commercial-air-ambulance-service-launched

  93. NN: Feasibility Study on a Helicopter Emergency Medical Service (HEMS) for the Island of Ireland. Final report of Booz, Allen, and Hamilton, December (2003)

  94. McHugh, C.: Integration of Irish Search & Rescue with HEMS. Search and Rescue Conference, Brigton, UK, June, 4–5 (2013)

  95. Pietsch, U.: HEMS in Switzerland: Cantonal Organization and Nationwide Coverage. Air Rescue Mag. 3(1), 62–63 (2013)

    MathSciNet  Google Scholar 

  96. Web-Site of the Touring Club Switzerland, http://www.tcs.ch

  97. NN: Interview mit Bernard Vogel, CEO von Air Zermatt. Regulierung macht Sorgen. Skynews.ch, No. 2, pp. 35–36, February (2009)

  98. NN: Modernster Helikopter Europas neu in der Flotte der Air Zermatt. Walliser Bote, August 25 (2012)

  99. NN: Bell 429 Product Specifications, Bell Helicopter, Rev 5b, February (2011)

  100. NN: AS350B3 Technical Data, Airbus Helicopters, 350 B3 09.101.01 E (2009)

  101. D. Marccellino: Taking the Long Line to Safety. 4Rotors Mag. (1), 12–15 (2013)

  102. NN: Rega 2014 mit Jahresbericht. http://www.rega.ch (2013)

  103. Wittmer, A., Gasser, F.: Die nationale Bedeutung der Gebirgslandeplätze für die ganzjährige Aufrechterhaltung einer hochstehenden Helikopterinfrastruktur zur Versorgung der Berggebiete, Schlussbericht University of St. Gallen, December 19 (2013)

  104. NN: REGA. CEO Das Magazin für Entscheidungsträger, pp. 16–21, December (2010)

  105. NN: Ka-226T Employed as Emergency Helicopter. Russ. Helicopters Mag. (3), 3 (2011)

  106. Shcherbakova, M.: Present and future of Russian HEMS: Conference on Russian air ambulance and medical evacuation. Air Rescue Mag. 3(1), 18–19 (2013)

    MathSciNet  Google Scholar 

  107. Airbus Helicopters Press Release. http://www.airbushelicopters.com/site/en/press/Airbus-Helicopters-wins-tender-for-two-medical-helicopters-in-Russia_1184.html?iframe=true

  108. Honold, L., Le Déroff, E., Magnac, R.: Airbus Helicopters. Presentation to Bank of America, Marignane, France June 16 (2014)

  109. Rigsby, M.: Rotorcraft Operations and Statistics. 2nd Annual Aviation Human Factors and SMS Conference, Dallas, Texas, March 30–31 (2010)

  110. NN: 2012 Motor Vehicle Crashes: Overview. NHTSA Traffic Safety Facts Research Note DOT HS 811 856, US Department of Transportation, National Highway Traffic Safety Administration, November (2013)

  111. Flanigan, M.C., Blatt, A.J., Lombardo, L.V., Mancuso, D., Miller, M.A., Wiles, D., Pirson, H.B., Hwang, J., Thill, J.-C., Majka, K.: Assessment of air medical coverage using the Atlas & Database of Air Medical Services (ADAMS); correlations with reduced highway fatality rates. Air Med. J. 24(4), 151–163 (2005)

    Article  Google Scholar 

  112. Blincoe, L., Seay, A., Zaloshnja, E., Miller, T.R., Romano, E., Luchter, S., Spicer, R.: The Economic Impact of Motor Vehicle Crashes, 2000, NHTSA Technical Report DOT HS 809 446, US Department of Transportation, National Highway Traffic Safety Administration, May (2002)

  113. Web-Site of Atlas and Database of Air Medical Services (ADAMS), http://www.ADAMSairmed.org

  114. Flanigan, M.C., Blatt, A.J., Miller, M.A., Pirson, H.B., Lombardo, L.V., Mancuso, D.: The Atlas and Database of Air Medical Services (ADAMS); a timely safety and security link. In: Intelligent Transportation System Safety & Security Conference, Miami Beach, FL, March 24–25 (2004)

  115. Branas, C.C., MacKenzie, E.J., Williams, J.C., Schwab, C.W., Teter, H.M., Flanigan, M.C., Blatt, A.J., ReVelle, C.S.: Access to trauma centers in the United States. J. Am. Med. Assoc. 293(21), 2626–2632 (2005)

    Article  Google Scholar 

  116. Peek-Asa, C., Zwerling, C., Stallones, L.: Acute traumatic injuries in rural populations. Am. J. Public Health 94(10), 1689–1693 (2004)

    Article  Google Scholar 

  117. Web-site of the National Trauma Institute in the USA: http://www.nationaltraumainstitute.org

  118. Fadali, E., Griswold, T., Packham, J., Harris, T.R.: Feasibility of Helicopter Emergency Medical Services in Humboldt County, Technical Report UCED 2010/11-XX, University Center for Economic Development. University of Nevada, Reno (2011)

    Google Scholar 

  119. Svenson, J.E.: Patterns of use of emergency medical transport: a population-based study. Am. J. Emerg. Med. 18(2), 130–134 (2000). doi:10.1016/S0735-6757(00)90002-0

    Article  Google Scholar 

  120. Judge, Th., St. Thomas, Wedel, S., Blumen, I., Nesdoly, D.: Contemporary Air & Transport Medicine: NAEMSP National EMS Medical Directors Course 2013. Bonita Springs, FL, January 7–9. http://www.naemsp.org (2013)

  121. Blumen, I.: An Analysis of HEMS Accidents and Accidents Rate. “NTSB Public Hearing Helicopter Emergency Medical Services”, Washington DC, February 3–6 (2009)

  122. Lemonick, D.M.: Controversies in Prehospital Care. Am. J. Clin. Med. 6(1), 5–17 (2009)

    Google Scholar 

  123. McGinnis, K.K., Judge, Th, Nemitz, B., et al.: Air Medical Services: future development as an integrated component of the Emergency Medical Services (EMS) System. Prehos. Emerg. Care 11(4), 353–368 (2007). doi:10.1080/10903120701536578

    Article  Google Scholar 

  124. Bjoernsen, L.: “Doctors in the Air”: Do we need them, and if so, how should we train them?. Internet J. Aeromed. Transp. 2(1), (2009)

  125. Rhee, K.J., Strozeski, M., Burney, R.E., Mackenzie, J.R., LaGreca-Reibling, K.: Is the flight physician needed for helicopter emergency medical services? Ann. Emerg. Med. 15(2), 174–177 (1986). doi:10.1016/S0196-0644(86)80015-4

    Article  Google Scholar 

  126. Adams, Ch.: Hearing Spotlights Safety Issues. Rotor & Wing Magazine, pp. 42–44, March, 2009

  127. McLain, J.P., von Thaden, T.L.: A Comparison of Risk Evaluation in Emergency Medical Services Helicopter Operation Regulations. 14th International Symposium on Aviation Psychology Dayton, OH, April 23–26 (2007)

  128. NN: Hearing Summary. “NTSB Public Hearing Helicopter Emergency Medical Services”, Washington, D.C., February 3–6 (2009)

  129. Blincoe, L., Miller, T.R., Zaloshnja, E., Lawrence, B.A.: The Economic and Societal Impact of Motor Vehicle Crashes, 2010. NHTSA Technical Report DOT HS 812 013, US Department of Transportation, National Highway Traffic Safety Administration, May (2014)

  130. Web-page of Nakanihon Aviation Service: http://www.nnk.co.jp/en/

  131. Press release AgustaWestland. http://www.agustawestland.com/news/kagoshima-international-aviation-orders-grandnew-ems-helicopter-new-southern-hokkaido-doctor-he

  132. Poguntke, P.: China’s first rescue helicopter: a step forward for Air Rescue Service. Air Rescue Mag. 4(4), 46–47 (2014)

    Google Scholar 

  133. NN: Aviators India: Seven EC135 ordered for HEMS. Air Rescue Mag. 3(1), 11 (2013)

  134. Lier, M.: Statistical Methods for Helicopter Preliminary Design and Sizing. In: 37th European Rotorcraft Forum, Gallarate, Italy, September 13–15 (2011)

  135. M. Lier, D. Kohlgrüber, A. Krenik, Ph. Kunze, M. Lützenburger, D. Schwinn: Rotorcraft Pre-design Capability at DLR—Results, Status and Outlook. In: 40th European Rotorcraft Forum, Southampton, UK, September 2–5 (2014)

  136. Oliver, D. (ed.): Jane’s Helicopter Markets and Systems, Issue 30. IHS Jane’s, Coulsdon, ISSN: 1748-2542 (2010)

  137. Leishman, J.G.: Principles of Helicopter Aerodynamics. Cambridge Aerospace Series, 2nd edn., ISBN-10 ISBN-10: 0-5218-5860-7, ISBN-13: 978-0-5218-5860-1 (2006)

  138. Harris, F.D., Scully, M.-P.: Rotorcraft cost too much. J. AHS 43(1), 3–13 (1998)

    Google Scholar 

  139. Hirschberg, M.: Investing in tomorrow`s civil rotorcraft. Vertiflite 60(4), 4–5 (2014)

    Google Scholar 

  140. Kessler, Ch.:Active rotor control for helicopters: motivation and survey on higher harmonic control. CEAS Aeronaut. J. 1(1–4), 3–22 (2011). doi:10.1007/s13272-011-0005-9

    Article  Google Scholar 

  141. NN: Environmental Protection, Volume I Aircraft Noise. Annex 16 to the Convention on International Civil Aviation, 6th edn., ISBN-13: 978-92-9231-837-6, July (2011)

  142. Web-Site of EASA on Noise Type Certificate-Approved Noise Levels: http://www.easa.europa.eu/document-library/noise-type-certificates-approved-noise-levels

  143. Leverton, J.W., Pike, A.C.: Helicopter Noise—what is important from a community prospective, In: 63rd Annual Forum of the AHS, Virginia Beach, VA, May 1–3 (2007)

  144. Prieur, J., Splettstoesser, W.R.: ERATO: an ONERA DLR Cooperative Programme on Aeroacoustic Rotor Optimisation. In: 25th European Rotorcraft Forum, Rome, Italy, September 14–16 (1999)

  145. Spiegel, P., Guntzer F., Le Duc, A., Buchholz, H.: Aeroacoustic Flight Test Data Analysis and Guidelines for Noise-Abatement-Procedure Design and Piloting. In: 34th European Rotorcraft Forum, Liverpool, UK, September 16–19 (2008)

  146. Kessler, Ch.: Active rotor control for helicopters: individual blade control and swashplateless rotor designs. CEAS Aeronaut. J. 1(1–4), 23–54 (2011). doi:10.1007/s13272-011-0001-0

    Article  Google Scholar 

  147. NN: The Compendium Report: The US JHSAT Baseline of Helicopter Accident Analysis, Volume I, (CY2000, CY2001, CY2006). US Joint Helicopter Safety Analysis Team, August (2011)

  148. Sheffield, B.: IHST A Worldwide View. 6th Annual EASA Rotorcraft Symposium, Cologne, Germany, December 5–7 (2012)

  149. McKenna, J.T.: A _target beyond reach? Vertiflite 60(3), 16–17 (2014)

    Google Scholar 

  150. Rieger, R.: Complacency: The Grim Reaper of Aviation. FAA Safety Briefing, p. 30, September/October (2014)

  151. NN: The Compendium Report: The US JHSAT Baseline of Helicopter Accident Analysis, Volume II, (CY2000, CY2001, CY2006). US Joint Helicopter Safety Analysis Team, July (2011)

  152. Mason, M.: Training Module on SMS, Part 1—overview. Helitech 2013 IHST & EHEST Workshop, London, UK, September 24 (2013)

  153. NN: EASA Annual Safety Review 2012. European Aviation Safety Agency, ISBN-13: 978-9-2921-0182-4, 2013

  154. Roskop, L.: A plea to personal/private helicopter operator. Heliprops Helicopter Professional Pilots Safety Program 23(1), 8–11 (2012)

  155. Blumen, I.: An Analysis of HEMS Accidents and Accident Rates. NTSB Public Hearing, February 3–6 (2009)

  156. Harris, F.D.: o accidents—that’s the objective. The 26th Alexander A. Nikolsky Lecture. J. AHS 52(1), 3–14 (2007)

    Google Scholar 

  157. Blumen, I., The UCAN Safety Committee.: A safety review and risk assessment in air medical transport. Supplement to the Air Medical Physician Handbook (AMPA), November (2002)

  158. Mason, M., van Hijum, M., Bernandersson, M., Evans, A.: The European Helicopter Safety Team (EHEST) 2008/2009 Achievements. In: 35th European Rotorcraft Forum, September 22–25 (2009)

  159. NN: EHEST Analysis of 2000–2005 European Helicopter Accidents, Final Report 2010. ISBN-13: 978-9-2921-0095-7 (2010)

  160. NN: Special Investigation Report on Emergency Medical Service Operations. National Transportation Safety Board, NTSB/SIR-06/01, January 25 (2006)

  161. NN: Helicopter Air Ambulance, Commercial Helicopter, and Part 91 Helicopter Operations; Final Rule. Federal Aviation Administration, Federal Register Vol. 79, No.35, February 21, 2014. Available at: http://www.faa.gov

  162. Stevens, J.M.G.F., Vreeken, J.: The Potential of Technologies to Mitigate Helicopter Accident Factors—An EHEST Study. National Aerospace Laboratory NLR, NLR-TP-2014-311 (2014)

  163. NN: Igor Sikorsky’s “Angels of Mercy” Continue Saving Lives. Sikorsky Archives News, January (2014)

  164. Wonneberg, I.: Von Innovationen und Quantensprüngen. Luftrettung, Fördermagazin der DRF Luftrettung 4, 6–11 (2013)

    Google Scholar 

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Acknowledgments

The author likes to thank Wolfgang Gastorf of the Helicopter Museum Bückeburg, Germany, Vincent Devine of the Igor I. Sikorsky Historical Archives, Connecticut, USA, as well as Teri Thorning of the Olympic Flight Museum, Washington, USA, for supporting the historic review of helicopter rescue missions with information and photos on the Fl282 Fa223, YR-4, R-5, and HH-43 Huskie. The author also likes to thank Prof. Ira Blumen, University of Chicago Medicine, Illinois, USA, ADAC Luftrettung, Air Zermatt, CUBRC, DRF Luftrettung, Bundespolizei-Fliegergruppe (engl. Federal Police Air Support Group), REGA, and RUN Rettungswesen und Notfallmedizin GmbH for supporting this paper with very valuable information.

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    Christoph Kessler

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Where possible, English literature has been quoted. However, much of the literature on German and Swiss HEMS have not been published in English and it was not always possible to refer to international publications. The author is aware, that the quotation of web pages bears some problems. Web pages may be withdrawn ore may contain unproven content. Regardless this issue, some web pages have been included in the literature list. The contents of each web pages has been cross-checked with other web pages to prove the quality of the quoted web page. The author felt that the reader might be interested to study also the quoted web pages and some material has simply not been published elsewhere except in the web.

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Kessler, C. Helicopter emergency medical service: motivation for focused research. CEAS Aeronaut J 6, 337–394 (2015). https://doi.org/10.1007/s13272-015-0157-0

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