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Crew Resource Management in International Helicopter EMS Systems: A Look at the Differences in Air Medicine Outside the United States

Helicopter EMS (HEMS) is a critical tool in the safety net for medical emergencies around the world. It incorporates a team working in precise unison to both safely operate the aircraft and provide high quality and state of the art care to critically ill and injured patients. Crew Resource Management (CRM), the planning and implementation of allocating flight resources, has been recognized by the HEMS industry to be a critical factor in the safety of HEMS operations. There is no question that there is a risk associated with every flight and as studies have shown, the danger of an accident has not decreased but increased dramatically over the past ten years. The HEMS community is working diligently to surmount obstacles in the path of change to making HEMS operations safer while continuing the research and advancement of medical care.
Change is on the horizon for HEMS and there is no better time than now to find and fix the flaws in our system. The leaders in the HEMS community are researching and investigating how and where these changes must be made, but their reviews and evaluations are being done exclusively here in the United States. In attempts to approach this issue at a different angle, a project was initiated at the University of Pittsburgh through the Center for Emergency Medicine of Western Pennsylvania (CEM) and the University of Pittsburgh Honors College (UHC). This project attempts to examine the variance in CRM methods employed by HEMS programs outside the United States, the efficacy of implementing those methods, and some of the best practices applied by these programs. By looking at the techniques, methods, and cultures of these services selected, we may expand our understanding of CRM and our own safety culture in Helicopter EMS to advance the industry to a new standard.

Identiferoai:union.ndltd.org:PITT/oai:PITTETD:etd-04242009-160300
Date05 August 2009
CreatorsLambert, Patrick Donald
ContributorsS.Robert Seitz, Alastair Wilson, Walt A Stoy, Francis Xavier Guyette
PublisherUniversity of Pittsburgh
Source SetsUniversity of Pittsburgh
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.library.pitt.edu/ETD/available/etd-04242009-160300/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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