REMOTE International Meeting HEMS 2018: Italy's new HEMS guidelines

REMOTE International Meeting HEMS 2018: Italy's new HEMS guidelines

Maurizio Menarini, SIAARTI's responsible for critical emergency medicine area and coordinator of the guidelines' working group, explains how the HEMS panorama will change in the future

A HEMS system with a nationwide uniform level of efficiency, with onboard medical equipment approved by the medical community. New HEMS medical crew training standards throughout the national territory.  Technical and quality standards to be respected and enforced everywhere, without exemptions. A smart helicopter alert system, a shared modality regarding the treatment of diseases on the emergency site.

Those just listed are the cardinal points of the standardization of any emergency system. These are the points that make the difference for those who are projected in that thin line – AKA the golden hour - in which the chances that a medical treatment can avoid irreversible consequences are higher. Italy’s HEMS is one of the most modern in the world: and it is about to make a new leap forward in terms of quality thanks to a group of professionals who have been working on the new HEMS Guidelines by the Italian Society of Anesthesia, Analgesia, Reanimation and Intensive Care (Siaarti).

The first batch of the new HEMS Guidelines will be presented at REMOTE International HEMS Meeting 2018 congress (scheduled for December 1-2 in Vergiate, Italy). We talked with dr. Maurizio Menarini, for many years medical referent of the Ospedale Maggiore di Bologna HEMS base, responsible of the Siaarti’s cultural section for critical medicine of the emergence, Siaarti’s responsible for ??critical emergency medicine area and coordinator of the guidelines’ working group.

Dr. Menarini, what’s the roadmap to the new HEMS guidelines?

The working group is now working on the basis of the GRADE method (Grading of Recommendations), the best and most up to date tool for the evaluation of the reliability of scientific evidence and for the formulation of clinical recommendations based on the evidence. In other words, it is precisely through the adoption of this method that we will make these guidelines a health and organizational benchmark for international HEMS. To return to your question, the preparation times of the guidelines are dictated by the need to gather clinical evidence on the basis of a method that today is the standard of reference.

There are no comparable models in foreign HEMS systems.

Siaarti is carrying out an ambitious project with solid scientific bases: HEMS today is performed all over the world with different ways, tools, health and technological approaches, but without a shared scientific basis. The standardization of the system we’re promoting is not just a mere detail. Just think about the treatment of time-dependent diseases, stroke, heart attack, hemorrhagic trauma, the treatment of neonatal diseases: where there is a standard, improvisation does not exist and there is only space for efficiency. The helicopter is an advantage under certain conditions, but for some specific cases it is indispensable. Through HEMS guidelines, it will be possible to delineate this aspect as well as possible.

REMOTE International HEMS Meeting 2018 will be the first international meeting uniquely created for the international HEMS community. The Congress will also be an opportunity for Siaarti to present the first batch of the HEMS guidelines. What are your expectations?

The most important experts will all be brought together for the first time to confront on the field: there will be anesthesiologists, pilots, technicians and, of course, OEMs. It will be a rare occasion, a strategic appointment for our scientific niche and for the helicopter industry in general.

REMOTE International HEMS Meeting 2018  will be a chance for Siaarti, too.

REMOTE International HEMS Meeting 2018 will be for Siaarti the first international stage to show the world the progress on the new HEMS guidelines. For professionals in the medical and aviation sector, it will be the one and only congress in the world able to reconcile the operational health aspects with the support of the aeronautical community and the best technologies currently in use. For this very specific reason, the headquarters of Leonardo and the helicopters will be made available for test flights, in addition to the mockups of HEMS cabins in which the experts will trade knowledge on basic and advanced resuscitation operations.