The stats were provided by Departments of Trauma Surgery, VU University Medical Center, Amsterdam, The Netherlands. But I guess they have an agenda, right?Love the stats provided --- but no source. Anyone - any group (including HEMS) can create stats in their favor. The ONLY advantage of HEMS would be a time factor -- unless you want to 'try' to tell me that the local ambulances don't have qualified people.
For STATS, I would like to see the 'LOCAL' length of time it takes for a driven vehicle (already on scene since they are normally dispatched when 911 is notified)to get to the closest hospital vs. the wait time for the HEMS to be dispatched, patient loaded and then arrival to the closest hospital. If the doctors at the closest hospital warrants an HEMS transport to a regional/larger hospital, then go with it!
When a local ambulance is on scene and then the give the "patient" to the HEMS 'just' because they "had arrived" is crazy. Not all, but too many situations occur when the HEMS delivers and charges the "patient" unnecessary fees for the unnecessary ride when the driven ambulance would have sufficed.
When you have to dish out the cash -- as too many have -- for unnecessary HEMS, then your opinions are valued.
Do ground ambulances have qualified people? Yes. But air ambulances have people with MORE experience and training. Not to mention equipment, protocols and medications that ground ambulances will never have.