• Karl-Christian Thies, Daan Sep, and Remon Derksen.
• Department of Anaesthesia - HEMS, Radboud University Medical Centre, Geert Grooteplein 10, 6500 HB Nijmegen, The Netherlands. k.thies@anes.umcn.nl
• Resuscitation. 2006 Mar 1;68(3):359-63.

IntroductionRecent accidents with helicopter emergency medical service (HEMS) aircraft raise the question how safe HEMS in Germany is and how accidents could be prevented.Materials And MethodsWe surveyed all German HEMS-programmes and reviewed the data of the German Aviation Authority regarding accidents with HEMS.ResultsAn average German HEMS-programme encounters one accident leading to at least severe damage or loss of the helicopter in 26 operating years, one accident resulting in casualties in 65 operating years and one fatal accident in 111 operating years. The major causes of accidents were obstacle strikes during landing at the scene. Flying in bad weather conditions and lack of discipline were other factors contributing to HEMS-accidents.ConclusionHEMS-safety could be improved by special training programmes for pilots and HEMS-crewmembers to address the factors listed above. Safety training for doctors is recommended but we did not find support for the notion of changing the doctor's legal position of a passenger to a HEMS-crewmember.

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