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Table 1 Procedures expected to be performed by a prehospital physician at least once a year. The average number of procedures is based on 61 24-h shifts (All, OUH HEMS and SUH HEMS) or 42 24 h shifts (Rygge SAR) per year. Numbers apply for all age groups if nothing else is noted

From: A prospective survey of critical care procedures performed by physicians in helicopter emergency medical service: is clinical exposure enough to stay proficient?

  OUH HEMS SUH HEMS Rygge SAR
BMV in patient 1–12 yoa 0.4 1.5 0.2
>12 yoa 7.5 26.6 1.8
ETI in patient <1 yoa, all categories 1.1 0.0 0.2
1–12 yoa, all categories 1.3 1.0 0.2
>12 yoa, other 5.2 6.3 0.0
>12 yoa, respiratory distress 1.3 1.2 0.0
>12 yoa, cardiac arrest 7.8 16.3 2.5
>12 yoa, trauma 5.0 3.9 0.8
Inhalation therapy 1.4 1.0 0.3
Invasive ventilator in patient <1 yoa 2.0 0.0 0.0
1–12 yoa 2.3 0.0 0.0
>12 yoa 36.1 9.3 1.3
Non-invasive ventilator in patient >12 yoa 2.7 1.0 0.3
ACLS in patient >12 yoa 13.8 23.4 3.2
Anti arrhythmic therapy 2.4 1.0 0.3
Vasopressor initiated 5.6 1.7 0.5
Vasopressor continued 12.0 3.2 0.0
Peripheral venous access in patient <1 yoa 1.4 0.2 0.3
1–12 yoa 3.9 2.7 0.3
>12 yoa 30.4 44.1 5.1
Intra-osseous access in patient >12 yoa 1.6 3.9 0.3
Central venous catheter insertion 3.6 0.2 0.0
Arterial line insertion 8.8 1.2 0.5
Incubator transport without ventilator 1.7 0.2 0.0
with CPAP 2.2 0.0 0.0
with ventilator support 2.9 0.0 0.0
Anaesthesia induction 25.3 11.0 1.5
Fracture repositioned 2.0 3.7 0.3
Dislocated joint repositioned 0.1 1.2 0.0
Pain management 8.8 9.3 1.7
Chest drainage 1.7 1.2 0.0
Gastric tube insertion 4.3 4.1 0.3
  1. ACLS Advanced Cardiac Life Support, BMV Bag Mask Ventilation, CPAP Continuous Positive Airway Pressure, ETI Endotracheal Intubation, OUH HEMS Oslo University Hospital Helicopter Emergency Service, Rygge SAR Search and Rescue helicopter at Rygge, SUH HEMS Stavanger University Hospital Helicopter Emergency Service, yoa years of age