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https://www.readbyqxmd.com/read/28536727/comment-on-what-to-do-during-inflight-medical-emergencies-practice-pointers-from-a-medical-ethicist-and-an-aviation-medicine-specialist
#1
Zohar Lederman
No abstract text is available yet for this article.
May 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28510736/go-no-go-decision-in-anaesthesia-wide-variation-in-risk-tolerance-amongst-anaesthetists
#2
P R Greig, H E Higham, J L Darbyshire, C Vincent
Background: The variability in risk tolerance in medicine is not well understood. Parallels are often drawn between aviation and anaesthesia. The aviation industry is perceived as culturally risk averse, and part of preflight checks involves a decision on whether the flight can operate. This is sometimes termed a go/no-go decision. This questionnaire study was undertaken to explore the equivalent go/no-go decision in anaesthesia. We presented anaesthetists with a range of situations in which additional risk might be expected and asked them to decide whether they would proceed with the case...
May 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28484609/interactive-numerals
#3
Harold Thimbleby, Paul Cairns
Although Arabic numerals (like '2016' and '3.14') are ubiquitous, we show that in interactive computer applications they are often misleading and surprisingly unreliable. We introduce interactive numerals as a new concept and show, like Roman numerals and Arabic numerals, interactive numerals introduce another way of using and thinking about numbers. Properly understanding interactive numerals is essential for all computer applications that involve numerical data entered by users, including finance, medicine, aviation and science...
April 2017: Royal Society Open Science
https://www.readbyqxmd.com/read/28441505/error-detection-based-model-to-assess-educational-outcomes-in-crisis-resource-management-training-a-pilot-study
#4
Sarah Bouhabel, Emily Kay-Rivest, Carol Nhan, Ilana Bank, Peter Nugus, Rachel Fisher, Lily Hp Nguyen
Otolaryngology-head and neck surgery (OTL-HNS) residents face a variety of difficult, high-stress situations, which may occur early in their training. Since these events occur infrequently, simulation-based learning has become an important part of residents' training and is already well established in fields such as anesthesia and emergency medicine. In the domain of OTL-HNS, it is gradually gaining in popularity. Crisis Resource Management (CRM), a program adapted from the aviation industry, aims to improve outcomes of crisis situations by attempting to mitigate human errors...
April 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28417838/transferring-aviation-practices-into-clinical-medicine-for-the-promotion-of-high-reliability
#5
Nicole Powell-Dunford, Mark K McPherson, Joseph S Pina, Steven J Gaydos
BACKGROUND: Aviation is a classic example of a high reliability organization (HRO)-an organization in which catastrophic events are expected to occur without control measures. As health care systems transition toward high reliability, aviation practices are increasingly transferred for clinical implementation. METHODS: A PubMed search using the terms aviation, crew resource management, and patient safety was undertaken. Manuscripts authored by physician pilots and accident investigation regulations were analyzed...
May 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28291846/are-human-factors-the-primary-cause-of-complications-in-the-field-of-implant-dentistry
#6
Franck Renouard, René Amalberti, Erell Renouard
Complications in medicine and dentistry are usually analyzed from a purely technical point of view. Rarely is the role of human behavior or judgment considered as a reason for adverse outcomes. When the role of human factors is considered, these are usually described in general terms rather than specifically identifying the factors responsible for an adverse event. The impact of cognitive and behavioral factors in the explanation of adverse events has been studied in other high-stakes areas such as aviation and nuclear power...
March 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/28260956/in-flight-medical-emergencies-during-airline-operations-a-survey-of-physicians-on-the-incidence-nature-and-available-medical-equipment
#7
Jochen Hinkelbein, Christopher Neuhaus, Lennert Böhm, Steffen Kalina, Stefan Braunecker
BACKGROUND: Data on the incidence of in-flight medical emergencies on-board civil aircraft are uncommon and rarely published. Such data could provide information regarding required medical equipment on-board aircraft and requisite training for cabin crew. The aim of the present study was to gather data on the incidences, nature, and medical equipment for in-flight medical emergencies by way of a survey of physician members of a German aerospace medical society. MATERIALS AND METHODS: Using unipark...
2017: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/28228722/transcranial-doppler-sonography-reveals-reductions-in-hemispheric-asymmetry-in-healthy-older-adults-during-vigilance
#8
Amanda E Harwood, Pamela M Greenwood, Tyler H Shaw
Given that older adults are remaining longer in the workforce, their ability to perform demanding cognitive tasks such as vigilance assignments needs to be thoroughly examined, especially since many vigilance assignments affect public safety (e.g., aviation, medicine and long distance driving). Previous research exploring the relation between aging and vigilance is conflicted, with some studies finding decreased vigilance performance in older adults but others finding no effect of age. We sought a better understanding of effects of age on vigilance by assessing neurophysiological change over the course of a vigil in young (aged 18-24) and healthy older (aged 66-77) adults...
2017: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/28061921/bipolar-disorder-in-aviation-medicine
#9
REVIEW
Alpo Vuorio, Tanja Laukkala, Pooshan Navathe, Bruce Budowle, Robert Bor, Antti Sajantila
BACKGROUND: One of the most difficult challenges in aviation medicine is to diagnose, as early as possible, pilots with psychiatric disorders that may impair pilot performance and increase the risk of incidents and accidents. This diagnosis applies particularly to bipolar disorder (BD), where return to flying duty is not an option in the majority of cases. BD is a long-term mental disorder presenting remittent depressive, hypomanic, manic, or mixed episodes between low symptomatic or asymptomatic intermediate periods...
January 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27994084/ernsting-s-aviation-and-space-medicine
#10
Lachlan Mackay Brown
No abstract text is available yet for this article.
December 2016: Occupational Medicine
https://www.readbyqxmd.com/read/27898553/the-aeromedical-physician-assistant
#11
Joshua Radi, Michael Brisson, Michael Line
The US Army aeromedical physician assistant (PA) serves aviation units in regards to crewmember medical readiness. All PAs are graduates of a 6-week flight surgeon course. They are responsible for conducting nearly 40% of the annual US Army flight physicals. This unique training and deployment illustrates the growing adaptability of PAs to assume a greater role in military medicine.
December 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/27779958/aeromedical-evaluation-for-an-f-16-candidate-with-incomplete-paraplegia
#12
Monica Chahal-Kummen, Trond-Eirik Strand, Jan Ove Owe, Eigil Gulliksen, Anthony S Wagstaff
BACKGROUND: A candidate with paraplegia contacted the Institute of Aviation Medicine, Oslo, requesting a medical examination and medical certification for flying back seat on an F-16 Fighting Falcon. Thorough aeromedical examinations, including specialist evaluations, were initiated for the final decision to be made. CASE REPORT: Almost 13 yr earlier the candidate had acquired spinal cord damage at neurological level L1 after falling 4 m (13 ft) from out of a window...
2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27662350/middle-ear-resonance-frequency-in-pilots-and-pilot-candidates
#13
Melisa Melek Tuncer, Seda Turkoglu Babakurban, Erdinc Aydin
BACKGROUND: Barotrauma is a frequent problem in aviation medicine. Eustachian tube dysfunction plays a critical role in the pathogenesis of barotrauma. Function of the Eustachian tube can be indirectly assessed by multifrequency tympanometry, which provides valuable information about the resistance and permeability of the middle ear in a wide frequency range. The aim of this study was to research whether multifrequency tympanometry could be used for assessing middle ear impairments in pilots...
2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27634705/endovascular-treatment-of-a-severe-stroke-occurring-in-a-commercial-airplane-over-the-sahara
#14
Christian Foerch, Christoph A Mayer, Joachim Berkefeld, Se-Jong You
BACKGROUND: The occurrence of an acute stroke syndrome during a long-distance flight demands critical decisions from the crew and attendant physicians. One in particular is whether the flight should be continued or be detoured to a nearby airport. CASE REPORT: We describe a 42-yr-old woman who suffered from a severe stroke in a commercial airplane over the Sahara. The captain, together with a physician aboard and the next of kin, decided not to detour to north African or south European airports, but to continue flying to Frankfurt, Germany (final destination; remaining flight time 4 h), where an efficient transfer infrastructure and an advanced medical standard were presumed...
September 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27623822/patient-safety-in-otolaryngology-a-descriptive-review
#15
REVIEW
Julian Danino, Jameel Muzaffar, Chris Metcalfe, Chris Coulson
Human evaluation and judgement may include errors that can have disastrous results. Within medicine and healthcare there has been slow progress towards major changes in safety. Healthcare lags behind other specialised industries, such as aviation and nuclear power, where there have been significant improvements in overall safety, especially in reducing risk of errors. Following several high profile cases in the USA during the 1990s, a report titled "To Err Is Human: Building a Safer Health System" was published...
March 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27599281/current-concepts-of-oral-and-maxillofacial-rehabilitation-and-treatment-in-aviation
#16
Esra Yuce, Gulperi Koçer, Turan Atila Çini
Aerospace medicine is the medical discipline responsible for assessing and conserving the health, safety, and performance of individuals involved in air and space travel. With the upward trend in airline travel, flight-related oral conditions requiring treatment have become a source of concern for aircrew members. Awareness and treatment of any potential physiological problems for these aircrews have always been critical components of aviation safety. In a flight situation, oral and maxillofacial problems may in fact become life-threatening clinical conditions...
September 2016: General Dentistry
https://www.readbyqxmd.com/read/27570867/what-to-do-during-inflight-medical-emergencies-practice-pointers-from-a-medical-ethicist-and-an-aviation-medicine-specialist
#17
Shu Fang Ho, T Thirumoorthy, Benjamin Boon Lui Ng
No abstract text is available yet for this article.
January 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/27465443/debriefing-and-feedback-in-the-current-healthcare-environment
#18
Linda A Hunter
Over the past several decades, simulation-based learning and postsimulation debriefing have become a mainstay of clinical education in healthcare. With origins in both the military and aviation industries, debriefing in particular has been used across multiple nursing and medicine disciplines to promote team training and reflective learning. Self-reflection and improvement in practice are at the core of effective debriefing. Feedback and simulation experts have continued to develop more effective debriefing strategies...
July 2016: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/27316638/does-simulation-have-a-role-in-palliative-medicine-specialty-training
#19
Lucy N Walker, Lynne Russon
Simulation training has been adopted by other industries, particularly aviation, for many years. With patient safety on every agenda, more recently there has been considerable interest and investment in its use for the acute medical specialities. Evidence in palliative medicine, for the use of simulation is mainly limited to advanced communication skills but little is described about its use in developing acute clinical skills. This article describes how in the Yorkshire and Humber Deanery a simulation training day was set up for Palliative Medicine specialty trainees, to assess their knowledge and develop the skills required to deal with acute medical emergencies, as described in the specialty training curriculum for palliative medicine...
December 2016: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/27008299/analgesic-effects-and-neuropathology-changes-of-electroacupuncture-on-curing-a-rat-model-of-brachial-plexus-neuralgia-induced-by-cobra-venom
#20
Hui Liu, Xiao-Yan Qian, Jian-Xiong An, Cai-Cai Liu, Yi-De Jiang, Doris K Cope, John P Williams
BACKGROUND: Electroacupuncture (EA) is widely applied to treat neuropathic pain. Brachial plexus neuralgia (BPN) is a common form of chronic persistent pain. Few studies have evaluated the analgesic effects and mechanism of EA using the novel animal model of BPN. OBJECTIVE: To observe the curative effects of repeated EA on curing BPN induced by administration of cobra venom to the lower trunk of the right brachial plexus. STUDY DESIGN: Controlled animal study...
March 2016: Pain Physician
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