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"Critical Care Air Support Team"

Daniel J Ablett, L Navaratne, D Chua, C G Streets, N R M Tai
Insertion of an intercostal chest drain (ICD) is a common intervention in the management of either blunt or penetrating thoracic trauma. It is frequently performed by junior medical personnel as an emergency procedure during the initial resuscitation period and often within a stressful environment. Approximately one-fifth of all ICD insertions are associated with complications. In a retrospective review of over 1000 ICD insertions, 7% of the complications observed were due to inadequate fixation, resulting in dislodgement...
October 2017: Journal of the Royal Army Medical Corps
Andrew McD Johnston, D Easby, I Ewington
Sepsis, a syndrome caused by severe infection, affects a small proportion of military casualties but has a significant effect in increasing morbidity and mortality, including causing some preventable deaths. Casualties with abdominal trauma and those with significant tissue loss appear to be at a greater risk of sepsis. In this article, the diagnosis and management of sepsis in military casualties with reference to the Surviving Sepsis Campaign guidelines are examined. We discuss the management considerations specific to military casualties in the deployed setting and also discuss factors affecting evacuation by the UK Royal Air Force Critical Care Air Support Team...
September 2013: Journal of the Royal Army Medical Corps
S J Mercer, C Whittle, B Siggers, R S Frazer
Simulation in healthcare has come a long way since it's beginnings in the 1960s. Not only has the sophistication of simulator design increased, but the educational concepts of simulation have become much clearer. One particularly important area is that of non-technical skills (NTS) which has been developed from similar concepts in the aviation and nuclear industries. NTS models have been developed for anaesthetists and more recently for surgeons too. This has clear value for surgical team working and the recently developed Military Operational Surgical Training (MOST) course uses simulation and NTS to improve such team working...
December 2010: Journal of the Royal Army Medical Corps
Di Lamb
The Royal Air Force (RAF) Critical Care Air Support Teams (CCASTs) aeromedically evacuate seriously injured service personnel. Long casualty evacuation chains create logistical constraints that must be considered when aeromedically evacuating patients. One constraint is the length of a CCAST mission and its potential effect on team member performance. Despite no evidence of patient care compromise, the RAF has commissioned a study to investigate whether CCAST mission length influences performance. Describing and understanding the role of a CCAST enabled fatigue to be defined...
July 2010: AACN Advanced Critical Care
S Turner, M Ruth, R Tipping
The evacuation of injured patients by air has been going on in one form or another for nearly 100 years. This paper presents some of the history behind Aeromedical Evacuation (AE), the current situation and looks to the future of this vital component in the chain of care from point of wounding to rehabilitation.
June 2009: Journal of the Royal Army Medical Corps
N L Ebbs, S Timmons
OBJECTIVE: To understand working relationships between doctors and nurses in the (UK) Royal Air Force (RAF). METHODS: Qualitative, semi-structured interviews. SAMPLE: Six nurses and five anaesthetists from the RAF Critical Care Air Support Team were interviewed. FINDINGS: A variety of factors had an effect on inter-professional dynamics between anaesthetists and nurses within CCAST. DISCUSSION: The military setting makes this relationship different from that which has been observed in the National Health Service (NHS) and reported in the literature...
February 2008: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Di Lamb
OBJECTIVE: The Royal Air Force Critical Care Air Support Teams (CCASTs) have a philosophy to undertake transfers of critically ill patients from anywhere in the world back to a UK medical facility in a stable or improved clinical condition. The training they receive is primarily taught by traditional didactic methods, with no standardisation of education between teams that are expected to deliver care to the same standard. Notwithstanding there being no current compromise to patient care during air transfer, it was important to consider the benefits of an alternative experiential teaching modality...
February 2007: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Di Lamb
Aeromedical evacuation of critically ill patients by the Royal Air Force is undertaken in a complex healthcare environment--one which demands effective teamwork to achieve the best possible outcome for the patient. A military team cannot rely purely on rank structure to guarantee a disciplined and efficient working unit. Furthermore, personnel must acknowledge the many potential hindrances of a Critical Care Air Support Team (CCAST) working environment that can affect optimal performance. These include: fatigue as a result of extended hours of duty; effects of altitude; isolation; and entering war zones, all of which may negatively affect motivation, stress and communication...
May 25, 2006: British Journal of Nursing: BJN
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