Abstract:Objective To understand the research progress of international helicopter emergency medical service (HEMS). Methods We searched the studies related to HEMS in PubMed published in recent 10 years. The bibliographic information of the study was downloaded and imported into the Bibliographic Items Co-occurrence Matrix Builder (BICOMB) for classification and statistics, the co-occurrence matrix of subject words of bibliographic data was imported into graph clustering tool (gCLUTO) for clustering analysis. Results The time distribution, country distribution and high-frequency keywords distribution of the research on international HEMS were finally obtained. Two-way clustering analysis of the keywords showed 11 clusters in total, and several research hotspots of HEMS were revealed. Conclusions At present, the hot words related to HEMS mainly include trauma, tissue management, standards, cardiac arrest, endotracheal intubation, myocardial infarction, cardiopulmonary resuscitation, etc. The research focuses mainly include application of HEMS in out-of-hospital cardiac arrest, training of rescue workers’ skills under special circumstances, application of endotracheal intubation in HEMS, the transport efficacy of HEMS in trauma, myocardial infarction and other diseases, the influencing factors of HEMS implementation, and guidelines for HEMS.