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J R Soc Med. 1991 March; 84(3): 144–146.
PMCID: PMC1293133

Are accident flying squads also worthwhile for medical emergencies?


A retrospective analysis of 208 flying squad attendances was performed to assess the effect of pre-hospital care by the team on outcome in emergency medical conditions, and in the trauma victim. Sixty-two (26%) of these cases were medical, but only 24 (11.5%) required immediate cardiopulmonary resuscitation. Only one out of the four successful resuscitations finally left hospital alive. In trauma, there was no significant enhancement of survival due to the presence of the team by comparing the expected against observed mortality and the injury severity score for age-matched groups. The value of flying squads as a training aid, perception of the local community and relationships with other emergency services are discussed. Alternative solutions to improving pre-hospital care include advanced trained ambulance and bystander resuscitation schemes. Although difficult to quantify the authors feel that flying squads are of benefit.

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Selected References

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  • Anderson ID, Woodford M, de Dombal FT, Irving M. Retrospective study of 1000 deaths from injury in England and Wales. Br Med J (Clin Res Ed) 1988 May 7;296(6632):1305–1308. [PMC free article] [PubMed]
  • Rowley DI, Collins Role of an accident flying squad in medical emergencies. Resuscitation. 1978;6(4):243–248. [PubMed]
  • Collins J. Organization and function of an accident flying squad. Br Med J. 1966 Sep 3;2(5513):578–580. [PMC free article] [PubMed]
  • McLauchlan CA, Driscoll PA, Whimster F, Dymond DS, Skinner DV. Effectiveness of the call-out system for a London Coronary Ambulance service. Arch Emerg Med. 1989 Sep;6(3):193–198. [PMC free article] [PubMed]
  • Baker SP, O'Neill B, Haddon W, Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974 Mar;14(3):187–196. [PubMed]
  • Baker SP, O'Neill B. The injury severity score: an update. J Trauma. 1976 Nov;16(11):882–885. [PubMed]
  • Bull JP. Measures of severity of injury. Injury. 1978 Feb;9(3):184–187. [PubMed]
  • Cope AR, Quinton DN, Dove AF, Sloan JP, Dave SH. Survival from cardiac arrest in the Accident and Emergency Department. J R Soc Med. 1987 Dec;80(12):746–749. [PMC free article] [PubMed]
  • Robertson C, Steedman DJ. Are accident flying squads really cleared for "take-off"? Lancet. 1985 Aug 24;2(8452):434–436. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press