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https://www.readbyqxmd.com/read/27852453/current-use-and-outcomes-of-helicopter-transport-in-pediatric-trauma-a-review-of-18-291-transports
#1
Brian R Englum, Kristy L Rialon, Jina Kim, Mark L Shapiro, John E Scarborough, Henry E Rice, Obinna O Adibe, Elisabeth T Tracy
PURPOSE: The role of helicopter emergency medical services (HEMS) in pediatric trauma remains controversial. We examined its use in pediatric trauma and its effectiveness in children with moderate/severe injuries. METHODS: All blunt/penetrating trauma patients ≤18years old in the National Trauma Data Bank were evaluated for use of HEMS and in-hospital mortality. In a comparative effectiveness study, only patients treated at level I/II pediatric centers with injury severity score (ISS)≥9 were included...
October 27, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27634608/army-air-ambulance-blood-product-program-in-the-combat-zone-and-challenges-to-best-practices
#2
Nicole Powell-Dunford, Jose F Quesada, Kirby R Gross, Stacy A Shackelford
BACKGROUND: Identify challenges and best practices in the development of an austere air ambulance transfusion program. METHODS: A search of PubMed using combinations of the key terms 'prehospital,' 'blood product,' 'red blood cells,' 'damage control resuscitation,' 'transfusion,' 'air ambulance,' 'medical evacuation,' and 'medevac' yielded 196 articles for further analysis, with 14 articles suitable for addressing the background of prehospital transfusion within a helicopter...
August 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27620190/ambulance-helicopter-contribution-to-search-and-rescue-in-north-norway
#3
Ragnar Glomseth, Fritz I Gulbrandsen, Knut Fredriksen
BACKGROUND: Search and rescue (SAR) operations constitute a significant proportion of Norwegian ambulance helicopter missions, and they may limit the service's capacity for medical operations. We compared the relative contribution of the different helicopter resources using a common definition of SAR-operation in order to investigate how the SAR workload had changed over the last years. METHODS: We searched the mission databases at the relevant SAR and helicopter emergency medical service (HEMS) bases and the Joint Rescue Coordination Centre (North) for helicopter-supported SAR operations within the potential operation area of the Tromsø HEMS base in 2000-2010...
September 13, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27436374/five-year-retrospective-review-of-physician-and-non-physician-performed-ultrasound-in-a-canadian-critical-care-helicopter-emergency-medical-service
#4
Domhnall O'Dochartaigh, Matthew Douma, Mark MacKenzie
OBJECTIVE: To describe the use of prehospital ultrasonography (PHUS) to support interventions, when used by physician and non-physician air medical crew (AMC), in a Canadian helicopter emergency medical service (HEMS). METHODS: A retrospective review was conducted of consecutive patients who underwent ultrasound examination during HEMS care from January 1, 2009 through March 10, 2014. An a priori created data form was used to record patient demographics, type of ultrasound scan performed, ultrasound findings, location of scan, type of interventions supported by PHUS, factors that affected PHUS completion, and quality indicator(s)...
July 19, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27325670/exploring-optimal-air-ambulance-base-locations-in-norway-using-advanced-mathematical-modelling
#5
Jo Røislien, Pieter L van den Berg, Thomas Lindner, Erik Zakariassen, Karen Aardal, J Theresia van Essen
BACKGROUND: Helicopter emergency medical services are an important part of many healthcare systems. Norway has a nationwide physician staffed air ambulance service with 12 bases servicing a country with large geographical variations in population density. The aim of the study was to estimate optimal air ambulance base locations. METHODS: We used high resolution population data for Norway from 2015, dividing Norway into >300 000 1 km×1 km cells. Inhabited cells had a median (5-95 percentile) of 13 (1-391) inhabitants...
June 20, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27270585/a-retrospective-comparison-of-helicopter-transport-versus-ground-transport-in-patients-with-severe-sepsis-and-septic-shock
#6
Rahul Kashyap, Peter W Anderson, Abhay Vakil, Christopher S Russi, Rodrigo Cartin-Ceba
BACKGROUND: Helicopter emergency medical services (HEMS) extend the reach of a tertiary care center significantly. However, its role in septic patients is unclear. Our study was performed to clarify the role of HEMS in severe sepsis and septic shock. METHODS: This is a single-center retrospective cohort study. This study was performed at Mayo Clinic, Rochester, MN, in years 2007-2009. This study included a total of 181 consecutive adult patients admitted to the medical intensive care unit meeting criteria for severe sepsis or septic shock within 24 h of admission and transported from an acute care facility by a helicopter or ground ambulance...
December 2016: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27255883/management-of-a-mass-casualty-event-caused-by-electrocution-using-doctor-helicopters
#7
Kouhei Ishikawa, Kei Jitsuiki, Hiromichi Ohsaka, Toshihiko Yoshizawa, Mariko Obinata, Kazuhiko Omori, Yasumasa Oode, Motoki Takahashi, Youichi Yanagawa
OBJECTIVE: This is the first report to show the use of doctor helicopters in a mass casualty event induced by electrocution. METHODS: We performed a narrative review. RESULTS: Two children obtained electrocution burns by breaking an electric fence. Five adults also received electrocution burns. Emergency medical technicians at the scene requested additional dispatch of an ambulance and the doctor helicopter. Two adult men with cardiopulmonary arrest were transported by 2 ambulances to a nearby hospital...
May 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27255878/cerebral-oxygenation-and-acceleration-in-pediatric-and-neonatal-interfacility-transport
#8
Michael E Valente, Judy A Sherif, Colleen G Azen, Phung K Pham, Calvin G Lowe
OBJECTIVE: The purpose of this study is to measure peak acceleration forces during interfacility transport; examine whether drops in cerebral oxygenation occurred; and test the associations between cerebral oxygenation, acceleration, and patient positioning. METHODS: A cerebral oximeter (INVOS-5100C; Somanetics, Minneapolis, MN) monitored regional saturation of oxygen (rSO2 [cerebral oxygenation]) in pediatric and neonatal patients (N = 24) transported between facilities by ground ambulance, helicopter, or fixed wing aircraft...
May 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27255018/-risk-assessment-of-rescue-helicopter-or-ambulance-transport-of-patients-ingesting-hazardous-volatile-materials
#9
Ryosuke Takegawa, Mitsuo Ohnishi, Tomoya Hirose, Yayoi Hatano, Yuko Imada, Yoko Endo, Takeshi Shimazu
INTRODUCTION: In cases of transport by rescue helicopter or ambulance of patients having ingested hazardous substances, medical personnel may be at a certain risk of inhaling the substances. However, few reports have addressed such risk of causing secondary casualties. PURPOSE: This simulation study aimed to assess the risk of inhalation of hydrogen sulfide and chlo-opicrin in the cabin of a helicopter or an ambulance transporting a patient who has ingested calcium polysulfide or chloropicrin, which were previously reported to cause secondary casualties...
March 2016: Chūdoku Kenkyū: Chūdoku Kenkyūkai Jun Kikanshi, the Japanese Journal of Toxicology
https://www.readbyqxmd.com/read/27214588/responses-of-the-acutely-injured-spinal-cord-to-vibration-that-simulates-transport-in-helicopters-or-mine-resistant-ambush-protected-vehicles
#10
Femke Streijger, Jae H T Lee, Neda Manouchehri, Angela D Melnyk, Jason Chak, Seth Tigchelaar, Kitty So, Elena B Okon, Shudong Jiang, Rachel Kinsler, Khalid Barazanji, Peter A Cripton, Brian K Kwon
In the military environment, injured soldiers undergoing medical evacuation via helicopter or mine-resistant ambush-protected vehicle (MRAP) are subjected to vibration and shock inherent to the transport vehicle. We conducted the present study to assess the consequences of such vibration on the acutely injured spinal cord. We used a porcine model of spinal cord injury (SCI). After a T10 contusion-compression injury, animals were subjected to 1) no vibration (n = 7-8), 2) whole body vibration at frequencies and amplitudes simulating helicopter transport (n = 8), or 3) whole body vibration simulating ground transportation in an MRAP ambulance (n = 7)...
December 15, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27075163/transport-of-mechanically-ventilated-patients-in-the-prone-position
#11
J D DellaVolpe, J Lovett, C Martin-Gill, F X Guyette
OBJECTIVE: We present seven cases of patients with severe respiratory failure refractory to conventional ventilation who were safely transported in the prone position. METHODS: We describe all cases of patients transported by a regional critical care network in the prone position from January 2010-June 2015. All patients were mechanically ventilated for respiratory failure and transported by specialized nonphysician critical care teams. Utilizing direct medical oversight and real-time technical support from the clinical department, each patient underwent a thorough bedside evaluation, transport ventilator trial, and transfer to a transport stretcher either with the endotracheal tube secured by an anesthesia pillow or overhanging the stretcher...
September 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27050887/a-case-of-blunt-traumatic-cardiac-tamponade-successfully-treated-by-out-of-hospital-pericardial-drainage-in-a-doctor-helicopter-ambulance-staffed-by-skilled-emergency-physicians
#12
Hiroyuki Otsuka, Toshiki Sato, Seiji Morita, Yoshihide Nakagawa, Sadaki Inokuchi
We report a 55-year-old man who relapsed into a state of shock in an ambulance before arriving at our critical care center after a fall injury. The diagnosis of cardiac tamponade was made by portable ultrasound, and immediate pericardiocentesis and drainage were performed at the heliport. He was then transported immediately to our hospital with continuous drainage and surgery was performed. After surgery, the patient was transferred to the intensive care unit in stable condition. After undergoing rehabilitation, he made a full recovery and was discharged...
April 2016: Tokai Journal of Experimental and Clinical Medicine
https://www.readbyqxmd.com/read/27043801/survival-of-trauma-victims-transported-by-helicopter-who-required-cardiopulmonary-resuscitation-within-the-first-hour-of-hospital-arrival
#13
COMPARATIVE STUDY
Nasim Ahmed
OBJECTIVES: The purpose of the study was to review the impact on survival of trauma victims who were transported via helicopter ambulance versus ground transportation and who received cardiopulmonary resuscitation (CPR) within 1 hour of hospital arrival. METHODS: A retrospective analysis of the trauma patients who underwent CPR within 1 hour of arrival to the trauma centers and transported either via air or ground ambulances was performed. Data were extracted from the Research Data Set 2007-2010 from the American College of Surgeons National Trauma Data Bank...
April 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27029926/telemedical-maritime-assistance-service-tmas-to-swedish-merchant-and-passengers-ships-1997-2012
#14
Karin Westlund, Stig Attvall, Ralph Nilsson, Olaf C Jensen
BACKGROUND: Telemedical Maritime Assistance Service (TMAS) for seafarers and traveling passengers is important and can be crucial for the optimal medical treatment on board ships. The aim of this study was to analyse and to compare the data from consultations and evacuations from merchant ships and passenger ferries for possible improvements. MATERIALS AND METHODS: Data for seafarers from 1997, 2002 and 2007 and for passengers on Swedish ferries for the years 2007, 2009, 2011 and 2012 from the Swedish Radio Medical were studied...
2016: International Maritime Health
https://www.readbyqxmd.com/read/27003522/-not-available
#15
Mikael Gellerfors, Dan Gryth, Hans Morten Lossius, Joacim Linde
For the most severely injured and unstable patients physician staffed second tier emergency medical service (EMS) units are used in many European areas. Physician staffed prehospital care is associated with a high rate of survival, advanced trauma care and beneficial cost-effectiveness. In the Nordic countries anaesthesiologists staff the rapid response cars and ambulance helicopters. This article reviews the current status of physician EMS in Sweden and the rapid development of new prehospital intensive care methods...
2016: Läkartidningen
https://www.readbyqxmd.com/read/26948209/second-air-ambulance-up-and-running
#16
(no author information available yet)
No abstract text is available yet for this article.
March 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/26944389/ease-and-difficulty-of-pre-hospital-airway-management-in-425-paediatric-patients-treated-by-a-helicopter-emergency-medical-service-a-retrospective-analysis
#17
Alexander R Schmidt, Lea Ulrich, Burkhardt Seifert, Roland Albrecht, Donat R Spahn, Philipp Stein
BACKGROUND: Pre-hospital paediatric airway management is complex. A variety of pitfalls need prompt response to establish and maintain adequate ventilation and oxygenation. Anatomical disparity render laryngoscopy different compared to the adult. The correct choice of endotracheal tube size and depth of insertion is not trivial and often challenged due to the initially unknown age of child. METHODS: Data from 425 paediatric patients (<17 years of age) with any airway manipulation treated by a Swiss Air-Ambulance crew between June 2010 and December 2013 were retrospectively analysed...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/26932921/no-decrease-in-early-ventilator-associated-pneumonia-after-early-use-of-chlorhexidine
#18
Terrence Wong, Adam B Schlichting, Andrew J Stoltze, Brian M Fuller, Amanda Peacock, Kari K Harland, Azeemuddin Ahmed, Nicholas Mohr
BACKGROUND: Oral chlorhexidine prophylaxis can decrease occurrence of ventilator-associated pneumonia. However, the importance of timing has never been fully explored. OBJECTIVE: To see if early administration of oral chlorhexidine is associated with lower incidence of early ventilator-associated pneumonia (within 5 days of admission to intensive care unit) in intubated air ambulance patients. METHODS: A single-center, retrospective cohort study of intubated adults transported by a university-based air ambulance service and admitted to a surgical intensive care unit from July 2011 through April 2013...
March 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/26810562/helicopter-based-emergency-medical-services-for-a-sparsely-populated-region-a-study-of-42-500-dispatches
#19
Ø Østerås, G Brattebø, J-K Heltne
BACKGROUND: The Helicopter Emergency Medical Service (HEMS) in Norway is operated day and night, despite challenging geography and weather. In Western Norway, three ambulance helicopters, with a rapid response car as an alternative, cover close to 1 million inhabitants in an area of 45,000 km(2) . Our objective was to assess patterns of emergency medical problems and treatments in HEMS in a geographically large, but sparsely populated region. METHODS: Data from all HEMS dispatches during 2004-2013 were assessed retrospectively...
May 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/26739767/operational-implementation-and-lessons-learned-from-haiti-s-first-helicopter-air-ambulance
#20
Vincent DeGennaro, Jordan Owen, Jerry Chandler, Ralph McDaniel
Critical-care helicopter transport has demonstrated improvements in morbidity and mortality to those patients who utilise the service, but this has largely excluded developing country populations due to set up costs. Haiti Air Ambulance is the first completely publicly-available helicopter ambulance service in a developing country. US standards were adopted for both aviation and aeromedical care in Haiti due to proximity and relationships. In order to implement properly, standards for aviation, critical care, and insurance reimbursement had to be put in place with local authorities...
May 2016: Injury
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