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fixed wing air ambulance

Marcy Phipps, Virginia Conley, William H Constantine
INTRODUCTION: Despite the prevalence of fixed wing medical flights for specialized care and repatriation, few acuity rating scales exist aimed at the prediction of adverse in-flight medical events. An acuity scoring system can provide information to flight crews, allowing for staffing enhancements, protocol modifications, and flight planning, with the aim of improving patient care, outcomes, and preventing losses to providers because of costly diversions. METHODS: Our medical crew developed an acuity scale, which was applied retrospectively to 296 patients transported between January 2016 and March 2017...
March 2018: Air Medical Journal
Ashleigh J Delorenzo, Jeremy W Abetz, Emily Andrew, Anthony de Wit, Brett Williams, Karen Smith
OBJECTIVE: Air medical transport is important for the transfer of patients in the prehospital and interhospital environment. Few studies have described the services provided by fixed wing ambulances or the broader clinical profiles of patients they transport. Such information may be useful for the planning and allocation of resources, assistance with training, and refining clinical protocols. We sought to describe the characteristics of patients transported by fixed wing aircraft at Air Ambulance Victoria (AAV) and the service AAV provides in Victoria, Australia...
July 2017: Air Medical Journal
Robert Gałązkowski, Agata Pawlak, Daniel Rabczenko, Grzegorz Michalak, Michał M Farkowski, Roman Danielewicz, Maciej Sterliński
BACKGROUND: The aim of this study was to analyze the use of fixed-wing air ambulance (FWAA) services in Poland during the period 2012-2013, with particular emphasis on air transport of organ recipients to transplantation centers. MATERIAL AND METHODS: This was a retrospective, cross-sectional analysis of data derived from standard FWAA medical documentation. RESULTS: In the years 2012-2013 there were 500 emergency (52.7%) and 447 elective (47...
2015: Annals of Transplantation: Quarterly of the Polish Transplantation Society
M D Weiss, A Tang, L Young, L Irwin, C Brophy, V Larsen, J Howard, C Miller, M Douglas-Escobar
OBJECTIVE: The objective of this report was to evaluate a servo-controlled active hypothermia device used during the transport of neonates with HIE. STUDY DESIGN: Retrospective review of all cases of therapeutic hypothermia, both passive and active, using a servo-controlled device in a single regional referral neonatal intensive care unit from 2009-2013 RESULTS: An ambulance (43%), fixed wing aircraft (25%), or helicopter (32%) transported 28 neonates with active hypothermia...
January 1, 2014: Journal of Neonatal-perinatal Medicine
Ulrike Amann, Alex Holmes, John Caldwell, Cassie Hilditch
BACKGROUND: Airplane emergency medical services (AEMS) operators use fixed-wing airplanes to undertake rapid response, round-the-clock medical transport missions. This paper explores the structure of long-range, multileg AEMS missions and the sleep and sleepiness of the pilots who work them. METHODS: During nine long-range AEMS missions, pilots kept a sleep and sleepiness logbook and wore a wrist activity monitor to evaluate the timing of sleep/wake. RESULTS: Missions had a mean duration of 20 h 00 min ± 2 h 39 min, involved two to four flight legs, and were crewed by three or four pilots who rotated between operating and sleeping in curtained-off bunks...
September 2014: Aviation, Space, and Environmental Medicine
Helge Brändström, Ola Winsö, Lars Lindholm, Michael Haney
BACKGROUND: There are three different types of ambulance systems, all of which can manage the same secondary intensive care patient transport mission: road ambulance, rotor-wing ambulance, and fixed-wing ambulance. We hypothesized that costs for specific transport distances would differ between systems. We aimed to analyze distances and observed times for ambulance intensive care secondary transport missions together with system costs to assess this. METHODS: We prospectively collected data for consecutive urgent intensive care transports into the regional tertiary care hospital in the northern region of Sweden...
2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Torben Wisborg, Bjørn Bjerkan
OBJECTIVE: Flight nurses in the Norwegian National Air Ambulance Service are specialist nurse anesthetists or intensive care nursing specialists. For air ambulance bases far from hospitals, these nurses present otherwise unavailable competencies. This study reports a 6-year experience with flight nurse participation in local emergencies beyond the transportation phase. METHODS: The fixed-wing air ambulance base in Alta, Northern Norway (20,000 inhabitants), with 2 aircraft and 2 on-call teams is 150 km by road from the nearest hospital...
January 2014: Air Medical Journal
Johannes Prottengeier, Michael Meyer, Tino Münster
The prevalence of obesity is rising worldwide. To investigate how fixed-wing air ambulances handle bariatric transfers, we conducted a survey addressing logistical and medical issues. A questionnaire was sent to 24 air ambulance companies in Europe. Seventy-nine percent of European companies returned the questionnaire, 95% of the companies consider the transfer of heavyweight patients challenging, and 21% have experienced critical incidents related to the patient's obesity. Forty-seven percent have standard operating procedures in place for bariatric transports...
October 2014: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Michael J Greene
In this second half of a 2-part series, chief/lead pilots were invited to complete a 40-question survey modeled on the AirMed 2000 Helicopter Avionics and Operations Survey via an online survey. The survey was available to rotor-wing (RW) and fixed-wing air medical transport services in the United States, although year 2000 comparative data are RW only. Topics surveyed include flight hours, aircraft models, avionics, interiors, staffing, weather minimums, and maintenance facilities.
November 2013: Air Medical Journal
Anders M Karlsen, Oyvind Thomassen, Bjarne H Vikenes, Guttorm Brattebø
INTRODUCTION: Hypothermia is associated with increased morbidity and mortality in trauma patients and poses a challenge in pre-hospital treatment. The aim of this study was to identify equipment to prevent, diagnose, and treat hypothermia in Norwegian pre-hospital services. METHOD: In the period of April-August 2011, we conducted a survey of 42 respondents representing a total of 543 pre-hospital units, which included all the national ground ambulance services, the fixed wing and helicopter air ambulance service, and the national search and rescue service...
August 12, 2013: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Marcus Tursch, Asgeir M Kvam, Michael Meyer, Alex Veldman, Michael Diefenbach
INTRODUCTION: A growing number of individuals with significant medical histories travel for business and holidays. Precise anticipation and stratification of transport-relevant illness severity in the planning stage of an air medical evacuation is crucial for mission success and patient safety. METHODS: We developed a staging system (ie, Stratification of Air Medical Transport by Expression of Symptoms in Patients [STEP]) and applied it to 356 patients transported by a fixed wing aircraft between January 2010 and June 2011...
May 2013: Air Medical Journal
Peter Brendt, Marc Schnekenburger, Karen Paxton, Anthony Brown, Kumara Mendis
Abstract Background. Increased endotracheal tube (ETT) cuff pressure is associated with compromised tracheal mucosal perfusion and injuries. No published data are available for Australia on pressures in the fixed-wing air medical retrieval setting. Objective. After introduction of a cuff pressure manometer (Mallinckrodt, Hennef, Germany) at the Royal Flying Doctor Service (RFDS) Base in Dubbo, New South Wales (NSW), Australia, we assessed the prevalence of increased cuff pressures before, during, and after air medical retrieval...
April 2013: Prehospital Emergency Care
Daniel W Carlson, Ryan D Pearson, Paul F Haggerty, Richard J Strilka, Benjamin S Abella, Paul E Gourley
BACKGROUND: Therapeutic hypothermia (TH) has been demonstrated to improve clinical outcomes after out-of-hospital ventricular fibrillation (VF) cardiac arrest. It remains unclear if TH can be safely and effectively used in the setting of traumatic arrest. Furthermore, the use of TH methods in the pre-hospital and transport environments remain poorly established and a domain of active investigation. OBJECTIVES: To describe a case of successful TH utilization after blunt trauma with commotio cordis and pulmonary contusion, and to describe the continuation of TH during international fixed-wing aeromedical transport...
March 2013: Journal of Emergency Medicine
Chun-Lan Lee, Yun-Chien Hsiao, Chao-Yen Chen
Evacuating the injured is an important part of disaster medicine. Aircraft provide timely access to distant and remote areas and, in an emergency, can evacuate sick or injured individuals in such areas quickly and safely for critical treatment elsewhere. Aeromedical evacuation (AE) comprises the two categories of fixed-wing ambulance service and helicopter emergency medical service (HEMS). Each aims to accomplish unique objectives. In Taiwan, the Second Taiwan Strait Crisis in 1958 established the unique role and functions of medical flight nursing...
June 2012: Hu Li za Zhi the Journal of Nursing
Julia A Myers, Alex Psirides, Karyn Hathaway, Peter D Larsen
AIM: To describe and characterise the interhospital transport workload of a New Zealand based flight service over a 5-year period. METHOD: Wellington Flight Service database records from 1 November 2005 to 31 October 2010 were reviewed. Details of mission purpose, timings, transport type, severity of illness, clinical service requesting the transfer, and medical crew in attendance, were examined. RESULTS: The Flight Service completed 4046 transport missions over 5 years...
March 9, 2012: New Zealand Medical Journal
Jan Norum, Trond M Elsbak
BACKGROUND: Air ambulance service in Norway has been upgraded during the last years. European regulations concerning pilots' working time and new treatment guidelines/strategies have called for more resources. AIMS: The objective was to describe and analyse the two supplementary air ambulance [fixed wing (FW) and rotor wing (RW)] alternatives' activity during the study period (2002-2008). Furthermore we aimed to compare our findings with reports from other north European regions...
2011: International Journal of Emergency Medicine
Neilson McLean, Ryan Copeland, Neil Casey, Gordon Samoukovic, Robert Quigley
The ventricular assist device (VAD) is a hemodynamic support device that augments cardiac output for patients with severe ventricular dysfunction. With improved reliability and technological advances, the use of VADs to support patients is increasing. Many VAD-dependent patients ultimately require heart transplants that are only available in specialized centers, necessitating an interhospital transfer. To date there are few reports of long-distance fixed wing aeromedical transport of patients dependent on a VAD...
August 2011: Aviation, Space, and Environmental Medicine
Daniel A Handel, Thomas R Yackel
INTRODUCTION: Previous studies within the aeromedical literature have looked at factors associated with fatal outcomes in helicopter medical transport, but no analysis has been conducted on fixed-wing aeromedical flights. The purpose of this study was to look at fatality rates in fixed-wing aeromedical transport and compare them with general aviation and helicopter aeromedical flights. METHODS: This study looked at factors associated with fatal outcomes in fixed-wing aeromedical flights, using the National Transportation Safety Board Aviation Accident Incident Database from 1984 to 2009...
May 2011: Air Medical Journal
Joseph D Cece, Rebecca Elizabeth Werth
No abstract text is available yet for this article.
March 2011: Air Medical Journal
Elizabeth Schierholz
Air transportation, by rotor wing and fixed wing, is a frequent method of neonatal transportation. There are many risks involved in air transportation. It is well documented that the safety of rotor wing flights has been questioned. Fixed wing transport is viewed as a safer mode of transportation. Air transportation has risks other than vehicle accidents, and increasing altitude encountered in both fixed and rotor wing transportation can cause significant distress to both the transport crew and the patient...
August 2010: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
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