Hydroxyethyl starch for prehospital fluid resuscitation: results of two helicopter emergency medical service operators in Germany - Takeaways - MDSpire
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Hydroxyethyl Starch for Prehospital Fluid Resuscitation: Findings from Two German Helicopter Emergency Medical Services

  • By

  • Manuel F. Struck

  • Daniel Werner

  • Marcus Rudolph

  • Peter Hilbert-Carius

  • October 21, 2026

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  • 1

    The analysis examined hydroxyethyl starch (HES) use across more than 1 million patient-contact missions by two German helicopter emergency medical services.

  • 2

    At ADAC Luftrettung, HES use fell from 3,104 cases (13.4%) in 2004 to 81 (0.2%) in 2022.

  • 3

    At DRF Luftrettung, HES use declined from 1,564 cases (4.6%) in 2012 to 105 (0.3%) in 2022.

  • 4

    From 2012 through 2022, annual HES use showed a strong positive correlation between the two operators (r = 0.984; 95% CI, 0.937-0.996; P < .001).

  • 5

    The authors state that the safety of HES 130/04 for prehospital emergency use remains unestablished and that further research is needed.

Original Source(s)

Hydroxyethyl starch for prehospital fluid resuscitation: results of two helicopter emergency medical service operators in Germany

  • by Manuel F. Struck, Daniel Werner, Marcus Rudolph, Peter Hilbert-Carius

  • October 21, 2026

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