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Journal of Long-Term Effects of Medical Implants

Published 4 issues per year

ISSN Print: 1050-6934

ISSN Online: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Better Trauma Care. How Maryland Does It

Volume 15, Issue 1, 2005, pp. 79-90
DOI: 10.1615/JLongTermEffMedImplants.v15.i1.90
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ABSTRACT

In March, 1970, the Maryland State Police, in cooperation with the University of Maryland, started the first statewide airborne transportation system. It was modeled after the army's success in Korea and Vietnam, where battlefield injuries were flown to front-line MASH units. The world's premier statewide medical aviation division was made possible through a cooperative effort between the Maryland State Police Aviation Division and Dr. R Adams Cowley at the University of Maryland Hospital as a public service to the citizens of the state. The Maryland Institute for Emergency Medical Services Systems (MIEMSS) has five components: (1) aircraft, (2) state troopers, (3) system communications (SYSCOM) center, (4) ambulance and fire emergency rescue, and (5) Level I adult and pediatric trauma centers and a regional burn center. The Maryland State Police Aviation Division now has 12 Aerospace Dauphin AS365N helicopters that operate out of eight fixed points throughout the state. Each helicopter has a two-person crew that consists of a pilot and a paramedic. Since 1993, the overall coordination of emergency medical services (EMS) has been under the purview of MIEMSS, an independent executive-level state agency that is governed by an appointed board and advisory council. To ensure stable funding for Maryland's world renowned emergency medical services (EMS) system, including med-evac helicopters, ambulances, fire equipment, rescue squads, and trauma units, a "surcharge" of $13.50 per year is collected with the automobile registration fee where applicable.
The SYSCOM center in Baltimore coordinates the helicopter transport to the scene of the accident as well as referral to the specialty care facility: Adult Level I Trauma Center, Pediatric Level I Trauma Center, and Regional Burn Center. An on-the-scene evaluation of this exemplary emergency medical system in Maryland provides further convincing evidence of the performance of the Maryland State Police Aviation Division as they transported an injured child to the Johns Hopkins Pediatric Level I Trauma Center. It is our belief that the model emergency medical system in Maryland, if replicated throughout our nation, would save the lives of the critically injured.

CITED BY
  1. Lee Christopher C., Im Mark, Suh Gil-Joon, Time for Change: The State of Emergency Medical Services in South Korea, Yonsei Medical Journal, 47, 4, 2006. Crossref

  2. Galvagno Samuel, Thomas Stephen, Baker Susan, Swedler David, Stephens Christopher, Floccare Douglas, Pronovost Peter, Haut Elliott, Galvagno Samuel, Helicopter emergency medical services for adults with major trauma, in Cochrane Database of Systematic Reviews, 2011. Crossref

  3. Galvagno Jr Samuel M, Thomas Stephen, Stephens Christopher, Haut Elliott R, Hirshon Jon M, Floccare Douglas, Pronovost Peter, Galvagno Jr Samuel M, Helicopter emergency medical services for adults with major trauma, in Cochrane Database of Systematic Reviews, 2013. Crossref

  4. Galvagno Jr Samuel M, Sikorski Robert, Hirshon Jon M, Floccare Douglas, Stephens Christopher, Beecher Deirdre, Thomas Stephen, Helicopter emergency medical services for adults with major trauma, Cochrane Database of Systematic Reviews, 2015, 12, 2015. Crossref

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