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"Simulation" "Critical Care Transport"

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https://www.readbyqxmd.com/read/27393756/challenges-and-resources-for-new-critical-care-transport-crewmembers-a-descriptive-exploratory-study
#1
Celeste M Alfes, Stephanie Steiner, Tonya Rutherford-Hemming
OBJECTIVE: The purpose of this study was to identify the challenges new crewmembers experience in the critical care transport (CCT) environment and to determine the most valuable resources when acclimating to the transport environment. To date, no study has focused on the unique challenges nor the resources most effective in CCT training. METHODS: This descriptive exploratory study was conducted with a convenience survey sent to the 3 largest professional CCT organizations: the Association of Air Medical Services, the Air and Surface Transport Nurses Association, and the Association of Critical Care Transport...
July 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27255875/airway-management-a-structured-curriculum-for-critical-care-transport-providers
#2
Michele L Kuszajewski, John M O'Donnell, Paul E Phrampus, Walter C Robey, Patricia K Tuite
OBJECTIVE: Airway assessment and management are vital skills for the critical care transport provider. Nurses and paramedics often enter a transport program with limited or no exposure to airway management. Many programs lack a structured curriculum to show skill competence. Optimal methods in the development of airway management competence and the frequency of training needed to maintain skills have not been clearly defined. Because of this lack of standardization, the actual level of competence in both new and experienced critical care transport providers is unknown...
May 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27021671/interprofessional-flight-camp
#3
Celeste M Alfes, Amanda S Rowe
The Dorothy Ebersbach Academic Center for Flight Nursing in Cleveland, OH, holds an annual flight camp designed for master's degree nursing students in the acute care nurse practitioner program, subspecializing in flight nursing at the Frances Payne Bolton School of Nursing at Case Western Reserve University. The weeklong interprofessional training is also open to any health care provider working in an acute care setting and focuses on critical care updates, trauma, and emergency care within the critical care transport environment...
March 2016: Air Medical Journal
https://www.readbyqxmd.com/read/26206542/critical-care-transport-training-new-strides-in-simulating-the-austere-environment
#4
Celeste M Alfes, Stephanie L Steiner, Christopher F Manacci
The air medical transport arena requires the practitioner to develop clinical and diagnostic reasoning abilities to manage the dynamic needs of the patient in unstructured, uncertain, and often unforgiving environments. High-fidelity simulation can be instrumental in training interprofessional flight teams to improve competency through quality and safe patient care during medical transport that may otherwise take years to learn because of the inconsistency in real-world experiences. Because of the suboptimal circumstantial conditions inherent to critical care transport, a helicopter simulator designed to discretely replicate the phases of flight and train teams in air medical transport scenarios has been developed at the Dorothy Ebersbach Academic Center for Flight Nursing at the Frances Payne Bolton School of Nursing in Cleveland, OH...
July 2015: Air Medical Journal
https://www.readbyqxmd.com/read/23992200/using-operations-research-to-plan-improvement-of-the-transport-of-critically-ill-patients
#5
Jing Chen, Anjali Awasthi, Steven Shechter, Derek Atkins, Linda Lemke, Les Fisher, Peter Dodek
OBJECTIVE: Operations research is the application of mathematical modeling, statistical analysis, and mathematical optimization to understand and improve processes in organizations. The objective of this study was to illustrate how the methods of operations research can be used to identify opportunities to reduce the absolute value and variability of interfacility transport intervals for critically ill patients. METHODS: After linking data from two patient transport organizations in British Columbia, Canada, for all critical care transports during the calendar year 2006, the steps for transfer of critically ill patients were tabulated into a series of time intervals...
October 2013: Prehospital Emergency Care
https://www.readbyqxmd.com/read/22700023/regional-variation-in-critical-care-evacuation-needs-for-children-after-a-mass-casualty-incident
#6
Robert K Kanter
OBJECTIVES: To determine the ability of five New York statewide regions to accommodate 30 children needing critical care after a hypothetical mass casualty incident (MCI) and the duration to complete an evacuation to facilities in other regions if the surge exceeded local capacity. METHODS: A quantitative model evaluated pediatric intensive care unit (PICU) vacancies for MCI patients, based on data on existing resources, historical average occupancy, and evidence on early discharges and transfers in a public health emergency...
June 2012: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/21236548/performance-of-an-automated-external-defibrillator-during-simulated-rotor-wing-critical-care-transports
#7
RANDOMIZED CONTROLLED TRIAL
Sang Mo Je, Je Sung You, Tae Nyoung Chung, Yoo Seok Park, Sung Phil Chung, In Cheol Park
OBJECTIVE: This study aimed to evaluate whether an automated external defibrillator (AED) was accurate enough to analyze the heart rhythm during a simulated rotor wing critical care transport. We hypothesized that AED analysis of the simulated rhythms during a helicopter flight would result in significant errors (i.e., inappropriate shocks, analysis delay). METHODS: Three commercial AEDs were tested for analyzing the heart rhythm in a helicopter using a manikin and a human volunteer...
April 2011: Resuscitation
https://www.readbyqxmd.com/read/18714624/the-performance-of-dr%C3%A3-ger-oxylog-ventilators-at-simulated-altitude
#8
J G Flynn, B Singh
Ventilated patients frequently require transport by air in a hypobaric environment. Previous studies have demonstrated significant changes in the performance of ventilators with changes in cabin pressure (altitude) but no studies have been published on the function of modem ventilators at altitude. This experiment set out to evaluate ventilatory parameters (tidal volume and respiratory rate) of three commonly used transport ventilators (the Dräger Oxylog 1000, 2000 and 3000) in a simulated hypobaric environment...
July 2008: Anaesthesia and Intensive Care
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