{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:25:32Z","timestamp":1768281932787,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T00:00:00Z","timestamp":1586908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013232","name":"Stiftelsen Norsk Luftambulanse","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100013232","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Helicopter emergency medical services (HEMS) and search and rescue helicopters (SAR) aim to bring specialized personnel to major incidents and transport patients to definite care, but their operational pattern remains poorly described. We aim to describe the use of HEMS and SAR in major incidents in Norway and investigate the feasibility of retrospectively collecting uniform data from incident reports.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We searched HEMS medical databases from three HEMS and one SAR base in south\u2010east Norway for the written reports of incidents from 2000 to 2016. After incidents were included through consensus in the author group, we collected data as described in majorincidentreporting.org and a previous cross\u2010sectional study and rated availability of the variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From a total of 31\u00a0803 missions, we identified 50 (0.16%) major incidents with HEMS\/SAR involvement where road traffic accidents were the most common type of incident (n\u00a0=\u00a028, 56%), and rural area was the most prevalent location (n\u00a0=\u00a035, 70%). Inter\u2010agency cooperation was common and HEMS contributed most often with treatment and transport. The majority of information was found in the free\u2010text area in the medical records hereby increasing the risk for rater variability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Major incidents are rare in Norway. HEMS and SAR play an important role in incident logistics, cooperation with other agencies, treatment and transport of patients and should be included in major incident plans. Retrospective data collection is challenging as data variables are not systematically integrated into the database. Future research should focus on systematic data gathering and a system for sharing lessons learned.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.13583","type":"journal-article","created":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T04:15:21Z","timestamp":1585628121000},"page":"1014-1020","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Major incident management by helicopter emergency medical services in south\u2010east Norway from 2000 to 2016: Retrospective cohort study"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0788-6724","authenticated-orcid":false,"given":"Anne S.","family":"Johnsen","sequence":"first","affiliation":[{"name":"Department of Research and Development Norwegian Air Ambulance Foundation Oslo Norway"},{"name":"Department of Health Studies Faculty of Social Sciences University of Stavanger Stavanger Norway"},{"name":"Department of Anaesthesiology Division of Emergencies and Critical Care Oslo University Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0916-7267","authenticated-orcid":false,"given":"Martin","family":"Samdal","sequence":"additional","affiliation":[{"name":"Department of Research and Development Norwegian Air Ambulance Foundation Oslo Norway"},{"name":"Department of Anaesthesiology Division of Emergencies and Critical Care Oslo University Oslo Norway"},{"name":"Institute of Clinical Medicine Faculty of Medicine University of Oslo Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Sollid","sequence":"additional","affiliation":[{"name":"Department of Research and Development Norwegian Air Ambulance Foundation Oslo Norway"},{"name":"Department of Health Studies Faculty of Social Sciences University of Stavanger Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9519-241X","authenticated-orcid":false,"given":"Marius","family":"Rehn","sequence":"additional","affiliation":[{"name":"Department of Research and Development Norwegian Air Ambulance Foundation Oslo Norway"},{"name":"Department of Health Studies Faculty of Social Sciences University of Stavanger Stavanger Norway"},{"name":"Division of Prehospital Services Air Ambulance Department Oslo University Hospital Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-22-5"},{"key":"e_1_2_8_3_1","unstructured":"JersinE.SINTEF rapport. 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