title: Critical role of the "Doctor-Heli" system on cerebral infarction in the superacute stage--report of a outstanding pilot case.
abstract: In Japan, the physician staffed helicopter ambulance system, "Doctor-Heli" System, was first founded in our University Hospital in 1999. In this system, a helicopter is based at an Emergency Medical Center at all times and dispatch with both emergency physicians and a nurse upon a request by paramedics. This system has made possible a critically earlier development of the initial management at the point of care and rapid transport to the hospital. We presented the case suffering from acute cerebral infarction was transported by the "Doctor-Heli" and received the intervention for thrombolysis successfully. It was less than three hours from the onset to the completion of the intervention. The "DoctorHeli" system has a potential benefit for patients with acute cerebral infarction because of it enables quite early clinical diagnosis and rapid transport.
authors.affiliation: Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Kanagawa, Japan. yoshihide@is.icc.u-tokai.ac.jp
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Seiji
authors.initials: S
authors.lastname: Morita
authors.forename: Kazuki
authors.initials: K
authors.lastname: Akieda
authors.forename: Masao
authors.initials: M
authors.lastname: Nagayama
authors.forename: Isotoshi
authors.initials: I
authors.lastname: Yamamoto
authors.forename: Sadaki
authors.initials: S
authors.lastname: Inokuchi
authors.forename: Shinri
authors.initials: S
authors.lastname: Oda
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Matsumae
mesh_terms: D000208:Acute Disease; D000368:Aged; D017732:Air Ambulances; D002533:Cerebral Angiography; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000188:drug therapy*; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging; D015912:Thrombolytic Therapy; D013997:Time Factors; D016896:Treatment Outcome; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
chemical_list: D014568:Urokinase-Type Plasminogen Activator