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Air Medical Journal

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https://www.readbyqxmd.com/read/29935707/july-august-2018-concern-network
#1
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935706/an-analysis-of-patients-with-anaphylaxis-treated-by-a-physician-staffed-helicopter
#2
Akihiko Kondo, Kouhei Ishikawa, Hiroki Nagasawa, Ikuto Takeuchi, Kei Jitsuiki, Hiromichi Ohsaka, Kazuhio Omori, Youichi Yanagawa
OBJECTIVE: To determine whether anaphylactic patients treated by the doctor helicopter (DH) staff and transported from the scene obtained a favorable outcome by analyzing changes in vital signs and clinical manifestation before and after treatment during flight. METHODS: We retrospectively investigated all of the patients with anaphylaxis who were transported by the DH between March 2004 and February 2017. RESULTS: A total of 68 cases were enrolled in the present study...
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935705/patient-safety-events-during-critical-care-transport
#3
Scott Swickard, Chris Winkelman, Fredric M Hustey, Mary Kerr, Andrew P Reimer
OBJECTIVE: Patient safety events (PSEs) occurring during interfacility transport have not been studied comprehensively in critical care transport (CCT) teams in the United States. The purpose of this research was to investigate the type and frequency of PSEs during CCT between hospitals; to explore the impact of patient stability, vulnerability, complexity, predictability, and resiliency; and to examine if the nurse factors of licensure or experience and transport factors of duration or mode of transport influence the frequency of PSEs...
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935704/helicopter-transportation-increases-intracranial-pressure-a-proof-of-principle-study
#4
Iscander M Maissan, Leonie A Verbaan, Marco van den Berg, Robert Jan Houmes, Robert Jan Stolker, Dennis den Hartog
OBJECTIVE: After severe (primary) brain injury, Dutch physician-based helicopter emergency medical services start therapy to lower the intracranial pressure (ICP) on scene to stop or delay secondary brain injury. In some cases, helicopter transportation to the nearest level 1 trauma center is indicated. During transportation, the head-down position may counteract the ICP-lowering strategies because of venous blood pooling in the head. To examine this theory, we measured the optic nerve sheath diameter (ONSD) during helicopter transport in healthy volunteers...
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935703/setting-the-benchmark-for-the-ground-and-air-medical-quality-in-transport-international-quality-improvement-collaborative
#5
Christine R Aspiotes, Matthew Q Gothard, M David Gothard, Rollie Parrish, Hamilton P Schwartz, Michael T Bigham
OBJECTIVE: Critical care transport (CCT) supports regionalization of medical care. Focus on the quality of CCT care prompted the development of the Ground and Air Medical qUality in Transport (GAMUT) Quality Improvement collaborative database which tracks consensus quality metrics. The Institute of Medicine recommends benchmarking of comparative data to accelerate improvement. Herein, we report the strategies and rationale for GAMUT QI Collaborative benchmarking. METHODS: The GAMUT database includes >350 programs internationally with >200,000 annual patient contacts...
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935702/preliminary-report-comparing-aspiration-rates-between-prehospital-patients-managed-with-extraglottic-airway-devices-and-endotracheal-intubation
#6
Michael T Steuerwald, Darren A Braude, Timothy R Petersen, Kari Peterson, Michael A Torres
INTRODUCTION: There has been a shift from endotracheal intubation (ETI) toward extraglottic devices (EGDs) for prehospital airway management. A concern exists that this may lead to more frequent cases of aspiration. METHODS: This was a retrospective study using a prehospital quality assurance database. Patients were assigned to groups based on the method that ultimately managed their airways (EGD or ETI). Cases with documented blood/emesis obscuring the airway were considered inevitable aspiration cases and excluded...
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935701/july-august-2018-forum
#7
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935700/articles-that-may-change-your-practice-patient-temperature
#8
REVIEW
Russell D MacDonald
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935699/a-duty-to-warn
#9
John R Clark
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935698/delirium
#10
REVIEW
David J Dries
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935697/extracorporeal-membrane-oxygenation-in-a-39-year-old-man-with-traumatic-pulmonary-contusions-and-acute-respiratory-distress-syndrome
#11
REVIEW
Maika Dang, Suzanne Bennett, Elizabeth K Powell, Peter V R Tilney
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935696/why-choose-camts-accreditation
#12
Eileen Frazer
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935695/using-a-doctor-helicopter-to-transport-medical-staff-only-without-air-evacuation-for-an-intoxicated-patient-to-ensure-aviation-safety
#13
LETTER
Youichi Yanagawa, Kazuhiko Omori, Hiroki Nagasawa, Ikuto Takeuchi, Kei Jitsuiki, Akihiko Kondo, Hiromichi Ohsaka, Kouhei Ishikawa
No abstract text is available yet for this article.
July 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29935694/position-statement-from-the-japanese-society-for-aeromedical-services-concerning-chemical-biological-radiologic-nuclear-and-explosive-incidents
#14
LETTER
https://www.readbyqxmd.com/read/29735236/concern-network
#15
(no author information available yet)
No abstract text is available yet for this article.
May 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29735235/transport-of-a-prone-position-acute-respiratory-distress-syndrome-patient
#16
David Hersey, Tobias Witter, George Kovacs
We report the case of a non-physician based critical care transport team (registered nurse and paramedic) that successfully initiated prone positioning of a severe acute respiratory distress patient prior to transport to an extracorporeal membrane oxygenation capable teaching hospital. With the increasing use of advanced treatments such as extracorporeal membrane oxygenation, prone positioning, and continuous renal replacement therapy for severe acute respiratory distress syndrome (ARDS), the necessity to transport these patients to specialized hospitals will correspondingly increase...
May 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29735234/intracerebral-hemorrhage-with-herniation-in-a-second-trimester-pregnant-female
#17
Donald S MacMillan
A 30-year-old woman, gravida 1, para 2, in her second trimester presented to the local emergency department complaining of an atraumatic headache described as the worst headache of her life. While undergoing evaluation, she became unresponsive with signs of herniation, including a blown pupil and bradycardia. Emergent imaging identified an intracerebral hemorrhage requiring immediate surgical decompression. The patient was transferred by helicopter to tertiary care. Upon arrival, the patient was taken directly to the operating room and underwent a decompressive craniotomy...
May 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29735233/an-evaluation-of-education-methods-used-to-train-united-states-air-force-air-medical-evacuation-crewmembers-on-aircraft-systems
#18
Mathew E Beeman, Aubray Orduna
OBJECTIVE: United States Air Force air medical evacuation crewmembers (AECMs) are responsible for the safe air medical evacuation of casualties in dynamic environments and must be highly proficient in the C-17, C-130H/J, and KC-135R/T aircraft. Current methods to train AECMs on their aircraft proficiency include computer-based simulation training (CBT) or instructor-based training (IBT) on an actual aircraft. This study compares the aircraft proficiency scores between AECMs who were trained via CBT and IBT methods...
May 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29735232/the-effect-of-team-configuration-on-the-incidence-of-adverse-events-in-pediatric-critical-care-transport
#19
Emily Colyer, Megan Sorensen, Shirley Wiggins, Leeza Struwe
OBJECTIVE: Specialty pediatric transport teams are widely used for pediatric interfacility transport in the United States, with little industry consensus on optimal team configuration. The aim of this study is to assess the quality of the nurse/paramedic specialty team configuration as indirectly measured by the rate of adverse events in these transports. METHODS: Retrospective analysis of pediatric transport data from a hospital-based dedicated pediatric/neonatal transport team was conducted for patients transported in 2016...
May 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29735231/comparing-the-efficacy-of-methods-for-immobilizing-the-thoracic-lumbar-spine
#20
Salam Rahmatalla, Jonathan DeShaw, Joshua Stilley, Gerene Denning, Charles Jennissen
OBJECTIVE: The purpose of this study was to compare the relative efficacy of immobilization systems in limiting thoracic-lumbar movements. METHODS: A dynamic simulation system was used to reproduce transport-related shocks and vibration, and involuntary movements of the thoracic-lumbar region were measured using 3 immobilization configurations. RESULTS: The vacuum mattress and the long spine board were generally more effective than the cot alone in reducing thoracic-lumbar rotation and flexion/extension...
May 2018: Air Medical Journal
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