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A Brief History of Aeromedical Helicopters
Please note: The following information is from a section of a paper "in progress". The early historical data is the result of extensive research - often with assistance from the archive staff of the National Air & Space Museum, Washington, DC. Listed events have been thoroughly referenced. This author retains all rights regarding the original research, assembly of information, and publication rights. EMH / 4-09-97

The first "Flights for Mankind"

On May 13, 1940, a tether was removed from Igor Sikorsky's VS-300 experimental rotorcraft and it made it's first free flight. He is quoted as saying this new vehicle is for the "benefit of mankind". In just four years, this wish or prophecy became a reality. Documented "first" uses of this new vehicle for medical and rescue purposes are as follows:

--- The First "MEDICAL SUPPORT" Flights ---
I. --- On January 3, 1944, a request was made of the United States Coast Guard Aviation Training and Development facility in Brooklyn to fly plasma from the Battery in New York City to a hospital in Sandy Hook. Snow squalls and sleet had grounded all fixed winged aircraft and the plasma was badly needed for sailors injured in an explosion aboard the USS Turner. This initial "flight for mankind" was made by Cdr. Frank Erickson, USCG in the first operational model of the Sikorsky R-4 helicopter.

II. --- A year later (January 15, 1945), a Bell Model 30 (the prototype of the Bell 47) was used by Floyd Carlson to fly a doctor to a farm house in Western New York. The doctor treated a Bell aviator (Chief Pilot Jack Woollams) suffering frostbite after bailing out of his crippled P-59 Airacomet jet.

--- The First "MEDEVAC" Flights ---
Topic Revised - 12/04/03
I. --- Lt. Carter Harman, AAF, made a medevac flight near Mawlu, Burma on April 23, 1944. Details of this flight involving the transport of several wounded airman will be add shortly.
( This WWII combat zone mission is believed to be the first time a helicopter was actually used to rescue AND transport a trauma patient.)

II. --- A Sikorsky YR-4 was dismantled at Wright Field (Dayton, Ohio) on January 17, 1945, loaded on a C-54 transport, and flown to the North Burma theater of operations. It was quickly reassembled and, on January 26, 1945, Capt. Frank Peterson, AAF flew it to evacuate a wounded weather observer (Pvt. Howard Ross) from a 4,700 foot mountain ridge in the Naga hills of Burma.

YR-4 with escort L-5 - Chindwin River, Burma
Peterson's YR-4, with escorting L-5, refueling enroute to mountain rescue - Chindwin River, Burma
Source data & 1/26/45 photo from de-classified AAF document, National Air & Space Museum archives

III. --- Three months later (April 4, 1945), an injured Army Air Force Jungle Rescue pilot (Capt. James Green) was airlifted from his crash site in the Burma jungle by this same helicopter.

--- The First "RESCUE" Flights ---
Topic Revised - 7/13/08
I. --- On March 14, 1945, Floyd Carlson flew a Bell Model 30 to rescue two fishermen (Art Johnson and Wally Gillson) who were stranded on an ice flow in Lake Erie. The fishermen were ferried, one at a time, to shore.

II. --- A month later (late April, 1945), the first large scale rescue occurred when the US Army and US Coast Guard teamed up to rescue nine downed Canadian airmen. Lt. August Kleisch, USCG flew a R-4 that had been airlifted to the area to extricate these men from snow drifts 180 miles south of Goose Bay, Labrador.

--- The First "HOIST" Rescue ---
Sikorsky Historical Arch. photo - Viner barge hoistOn November 29, 1945, Sikorsky test pilot Jimmy Viner and Capt. Jackson Beighle, AAF (acting as hoist operator) used a R-5 with a new hydraulic hoist to lift two men from a large barge breaking apart in a storm on Penfield Reef (off of Bridgeport, Conn). This effort, made in heavy rain and sixty mile per hour winds, marked the first use of a helicopter hoist to lift men from peril.

This photo, from the Igor I. Sikorsky Historical Archives, Inc. web site, shows one of the barge's crew being lowered to the beach - the barge can be seen in the distant background.

Its Effectiveness Demonstrated

Wars have traditionally taken a terrible toll in the lives of combatants. World War I's battlefield mortality (of troops delivered to treatment) was 8.8%. The next major conflict, World War II, saw this rate reduced to 5.8%. The improvement in WW II's mortality is generally attributed to better surgical care and a decrease in the elapsed time from injury to surgical care (note the below table).

Wounded Mortality by Conflict
Army Medevac:  US Army Korean medevac  Korean Conflict
US Army photo
Conflict Time to Care Mortality
World War I 12 to 18 hours 8.8 %
World War II 6 to 12 hours 5.8 %
Korea  (w/ Helo) 2 to 4 hours 2.4 %
Vietnam (w/ Helo) 1 to 1.4 hours 1.7 %

The Korean conflict was the arena for the first, large scale demonstration of using helicopters as a tool to save lives. The US Army's use of medevac helicopters during this conflict facilitated a dramatic reduction in the battlefield mortality of wounded admitted to treatment facilities. Specifically, the elapsed time from injury to care was reduced to a range of two to four hours with a resulting overall mortality rate of 2.4% (less than half of WW II's rate).

Vietnam's "Dustoff" medevacs, the Army's refinement and expansion of the Korean experience, resulted in soldiers injured in the field being delivered to definitive surgical care within one to one hour and twenty one minutes. Mortality during this conflict was further reduced to 1.7 %. A key consideration of the latter two combat situations was the ability of field commanders to quickly evacuate their wounded directly to advanced surgical care facilities.

Early Civilian Applications

The proving of the helicopter's potential in the Korean military environment was quickly translated to civilian applications during the early sixties. These first, early efforts were only partial applications but they served as forerunners for the dedicated services of today.
H.E.L.P.
HELP-Philadelphia area-1965
Source: unknown
Some examples of these early efforts were the use of military helicopters in Belgium in 1963 and the 1965 Philadelphia project called Helicopter Emergency Lifesaving Patrol - or H.E.L.P.. The H.E.L.P. effort was unique in that it coupled doctors and medical personnel from Lankenau Hospital with the Atlantic Refining Company's "Go Patrol" traffic copter to provide its services to the Delaware Valley area.
Many consider the "Grandfather" of all of the world's services to be the Swiss Air Rescue Association - or REGA. The Swiss started using a piston powered helicopter for limited medical use in 1952 and, in 1968, added turbine powered ships to better serve their mountainous terrain. In late 1967, Superior Ambulance Service in Westland, Michigan started a commercial helicopter ambulance service using a Bell Ranger 47-J to support local hospitals. Superior ambulance - 1967
Superior Ambulance-Ann Arbor,MI area-1967
Bell Helo photo
MAST - US Army photo - 1970
MAST - Texas - 1970
US Army photo
In 1969, the Maryland State Police, in conjunction with the University of Maryland, began a police / rescue / ambulance service covering their entire state. In Europe, a major, nation-wide service was begun in 1970 in the Federal Republic of Germany. This service, the German Air Rescue Service, is often referred to as ADAC. During the same year (1970), the United States Departments of Defence and Transportation began a pilot program called Military Assistance To Safety and Traffic - or MAST. The first implementation occurred at the US Army's Fort Sam Houston in Texas.

Two years later (October, 1972), St. Anthony hospital in Denver, Colorado began "Flight for Life", the first dedicated, hospital-based service. Flight for Life was the model for what ultimately became the largest "type of service" in the world today.

...and now, Sounding's Aeromedical Picture Gallery

The pictures and narratives contained in the Aeromedical Picture Gallery chronicle an early phase of this life saving technique's evolution in the United States. Aircraft and configurations used in the journey from 1968 to the present are illustrated. (Note following link)


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