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Aeromedical retrieval

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https://www.readbyqxmd.com/read/29141622/am-i-getting-an-accurate-picture-a-tool-to-assess-clinical-handover-in-remote-settings
#1
Malcolm Moore, Chris Roberts, Jonathan Newbury, Jim Crossley
BACKGROUND: Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. METHODS: Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature...
November 15, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29132594/ketamine-sedation-for-patients-with-acute-behavioral-disturbance-during-aeromedical-retrieval-a-retrospective-chart-review
#2
Vinay Gangathimmaiah, Minh Le Cong, Mike Wilson, Kate Hooper, Andrew Perry, Luke Burman, Nathan Puckeridge, Brian J Maguire
OBJECTIVE: The aim of this study was to determine the prevalence, safety (as measured by the incidence of adverse events), and effectiveness (as measured by the incidence of intubations) of ketamine sedation in patients with acute behavioral disturbance (ABD) during air medical retrieval. METHODS: This was a retrospective observational study. Eligible patients were identified by searching the electronic databases of 2 air medical retrieval services in Queensland, Australia, for adult patients with ABD transported between January 1, 2015, and June 30, 2016...
November 2017: Air Medical Journal
https://www.readbyqxmd.com/read/29115700/the-challenge-of-generalist-care-in-remote-australia-beyond-aeromedical-retrieval
#3
Zachary Pancer, Malcolm Moore, John T Wenham, Maelynn Burridge
OBJECTIVE: To examine clinical service activity amongst patients of the Royal Flying Doctor Service South Eastern Section in Far West New South Wales and to evaluate the management of chronic disease among frequent users of evacuation services. DESIGN: A retrospective audit of the Royal Flying Doctor Service South Eastern Section patient database inclusive of patients within the geographical study area who accessed a clinical or remote consultation, or evacuation service at least once between 1 July 2008 and 30 June 2013...
November 8, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28746084/epidemiology-and-location-of-primary-retrieval-missions-in-a-scottish-aeromedical-service
#4
Gregg Neagle, Lisa Curatolo, John Ferris, Mike Donald, Stephen Hearns, Alasdair R Corfield
INTRODUCTION: Prehospital critical care teams comprising an appropriately trained physician and paramedic or nurse have been associated with improved outcomes in selected trauma patients. These teams are a scarce and expensive resource, especially when delivered by rotary air assets. The optimal tasking of prehospital critical care teams is therefore vital and remains a subject of debate. Emergency Medical Retrieval Service (EMRS) provides a prehospital critical care response team to incidents over a large area of Scotland either by air or by road...
July 25, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28720187/experiences-with-regional-anesthesia-for-analgesia-during-prolonged-aeromedical-evacuation
#5
Jeffrey M Carness, Melissa A Wilson, Mark J Lenart, Danny E Smith, Susan F Dukes
INTRODUCTION: There is much debate regarding the appropriate analgesic management of patients undergoing medical evacuation following combat trauma. Our primary objective was to review the utility of regional anesthetic techniques in patients undergoing aeromedical evacuation following surgical limb amputation as treatment for combat trauma. METHODS: This study was conducted as an observational retrospective cohort whereby acutely injured amputee patients were identified via the U...
August 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28328680/re-analysis-of-aeromedical-retrieval-coverage-using-elliptical-isochrones
#6
Jan O Jansen, Stephanie Phillips, David R Green
No abstract text is available yet for this article.
June 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28328678/analysis-of-aeromedical-retrieval-coverage-using-elliptical-isochrones
#7
Luke Regan, Charles Lee
No abstract text is available yet for this article.
June 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28030500/analysis-of-aeromedical-retrieval-coverage-using-elliptical-isochrones-an-evaluation-of-helicopter-fleet-size-configurations-in-scotland
#8
Naomi Dodds, Philip Emerson, Stephanie Phillips, David R Green, Jan O Jansen
BACKGROUND: Trauma systems in remote and rural regions often rely on helicopter emergency medical services to facilitate access to definitive care. The siting of such resources is key, but often relies on simplistic modeling of coverage, using circular isochrones. Scotland is in the process of implementing a national trauma network, and there have been calls for an expansion of aeromedical retrieval capacity. The aim of this study was to analyze population and area coverage of the current retrieval service configuration, with three aircraft, and a configuration with an additional helicopter, in the North East of Scotland, using a novel methodology...
March 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27371641/management-of-critical-illness-with-non-invasive-ventilation-by-an-australian-hems
#9
Andrew R Coggins, Erin N Cummins, Brian Burns
BACKGROUND: Non-invasive ventilation (NIV) therapy is widely used for the management of acute respiratory failure. The objective of this study was to investigate the current use of NIV during interhospital retrievals in an Australian physician-led aeromedical service. METHODS: We reviewed patients receiving NIV during interhospital retrieval at the Greater Sydney Area Helicopter Medical Services (GSA-HEMS) over a 14-month period. The main objectives were to describe the number of retrievals using NIV, the need for intubation in NIV patients and the effect of the therapy on mission duration...
November 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27250671/review-of-therapeutic-agents-employed-by-an-australian-aeromedical-prehospital-and-retrieval-service
#10
Marcus D Hayward, Luke Regan, John Glasheen, Brian Burns
OBJECTIVE: There is little current evidence regarding which therapeutic agents are actually used within existing aeromedical services. The Greater Sydney Area Helicopter Emergency Medical Service operates a large, physician-staffed, multimodal, prehospital and interhospital retrieval service. The aim of the present study was to identify the range and frequency of drug, fluid and blood product use within our service. METHODS: This was a retrospective cross-sectional study...
June 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/26214969/australia-s-flying-doctors-how-the-world-s-largest-aeromedical-response-service-provides-effective-patient-retrieval-in-the-outback
#11
Russell Jones, Stephen Langford
No abstract text is available yet for this article.
April 2015: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/25727252/the-role-and-scope-of-retrieval-nurse-practitioners-in-the-uk
#12
Jo Davies, Fiona Lynch, Andrew Nyman, Shelley Riphagen
BACKGROUND: The first independent paediatric retrieval nurse practitioners (RNP) in the UK and Europe were appointed in 2006 in one hospital Trust. Since then, many have been appointed around the UK but the range of responsibility and scope of the role is unknown as well as possible geographical variability. AIM: The aim of this paper is to explore the role and scope of paediatric retrieval nurse practitioners in the United Kingdom (UK). METHOD: A two part questionnaire was sent to all RNPs identified by the regional retrieval/transport centres...
July 2016: Nursing in Critical Care
https://www.readbyqxmd.com/read/25392069/comparison-of-factors-associated-with-desaturation-in-prehospital-emergency-anaesthesia-in-primary-and-secondary-retrievals
#13
Yashvi H Wimalasena, Alasdair R Corfield, Stephen Hearns
OBJECTIVE: To investigate the incidence and factors associated with desaturation related to emergency intubations within an aeromedical retrieval service pertaining to both primary prehospital and secondary interhospital missions. METHODS: A retrospective analysis of all rapid sequence intubations (RSI) was performed by the Emergency Medical Retrieval Service over a 4.5-year period (June 2008-November 2012). For each RSI, clinical indication for RSI, age, sex, traumatic or medical diagnosis, team leader specialty, Cormack and Lehane (C-L) grade of laryngoscope view, attempts at intubation, desaturation and hypotension was analysed...
August 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25214963/aeromedical-evacuation-of-injured-hikers-in-hong-kong
#14
Tai Wai Wong, Ping Fat Lau, Chor Chiu Lau
BACKGROUND: Hiking is a very popular sport in Hong Kong. Serious injuries can sometimes occur in the remote areas not accessible to roads. Aeromedical evacuation service is run by the Government Flying Service (GFS) with emergency physicians and nurses as volunteers in Hong Kong. In this paper we describe the profile and outcome of injured hikers rescued by the GFS. METHODS: In this retrospective review, nature of the complaints, medical team composition, vital signs, clinical assessment and diagnosis on site were collected from the GFS medical record...
2010: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24460997/paediatric-aeromedical-retrievals-in-the-top-end-of-the-northern-territory
#15
Claire L Barker, Mark Ross
OBJECTIVE: The primary objective of this study was to describe the remote paediatric aeromedical population of the 'Top End' of the Northern Territory. The secondary objective was to identify children requiring high-dependency care by the transport team. DESIGN: Retrospective case review. SETTING: Aeromedical service in the remote Northern Territory. PARTICIPANTS: All patients under the age of 16 years transported over a one-year period between February 2012 and February 2013...
February 2014: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/24279767/an-evidence-based-guideline-for-the-air-medical-transportation-of-prehospital-trauma-patients
#16
Stephen H Thomas, Kathleen M Brown, Zoë J Oliver, Daniel W Spaite, Benjamin J Lawner, Ritu Sahni, Tasmeen S Weik, Yngve Falck-Ytter, Joseph L Wright, Eddy S Lang
BACKGROUND: Decisions about the transportation of trauma patients by helicopter are often not well informed by research assessing the risks, benefits, and costs of such transport. OBJECTIVE: The objective of this evidence-based guideline (EBG) is to recommend a strategy for the selection of prehospital trauma patients who would benefit most from aeromedical transportation. METHODS: A multidisciplinary panel was recruited consisting of experts in trauma, EBG development, and emergency medical services (EMS) outcomes research...
2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/24033216/cost-savings-from-a-telemedicine-model-of-care-in-northern-queensland-australia
#17
COMPARATIVE STUDY
Darshit A Thaker, Richard Monypenny, Ian Olver, Sabe Sabesan
OBJECTIVE: To conduct a cost analysis of a telemedicine model for cancer care (teleoncology) in northern Queensland, Australia, compared with the usual model of care from the perspective of the Townsville and other participating hospital and health services. DESIGN: Retrospective cost-savings analysis; and a one-way sensitivity analysis performed to test the robustness of findings in net savings. PARTICIPANTS AND SETTING: Records of all patients managed by means of teleoncology at the Townsville Cancer Centre (TCC) and its six rural satellite centres in northern Queensland, Australia between 1 March 2007 and 30 November 2011...
September 16, 2013: Medical Journal of Australia
https://www.readbyqxmd.com/read/23635851/improvements-in-the-hemodynamic-stability-of-combat-casualties-during-en-route-care
#18
Amy N Apodaca, Jonathan J Morrison, Mary Ann Spott, John J Lira, Jeffery Bailey, Brian J Eastridge, Robert L Mabry
Three Forward Aeromedical Evacuation platforms operate in Southern Afghanistan: UK Medical Emergency Response Team (MERT), US Air Force Expeditionary Rescue Squadron (PEDRO), and US Army Medical Evacuation Squadrons (DUSTOFF), each with a different clinical capability. Recent evidence suggests that retrieval by a platform with a greater clinical capability (MERT) is associated with improved mortality in critical patients when compared with platforms with less clinical capability (PEDRO and DUSTOFF). It is unclear whether this is due to en route resuscitation or the dispatch procedure...
July 2013: Shock
https://www.readbyqxmd.com/read/23345317/use-of-prothrombin-complex-concentrates-4-year-experience-of-a-national-aeromedical-retrieval-service-servicing-remote-and-rural-areas
#19
Laura Catriona Robertson, Jayne A C McKinlay, Philip T Munro, Stephen Hearns
INTRODUCTION: Prothrombin complex concentrates (PCCs) are recommended as first-line treatment for acquired or congenital factor II, VII, IX and X deficiencies in situations of major haemorrhage. The Emergency Medical Retrieval Service (EMRS) provides critical care and aeromedical retrieval to patients in remote and rural Scotland. It has an important role in the care of these patients. METHOD: We sought to determine the incidence of haemorrhage requiring PCC administration in our cohort of patients, and to assess compliance with current national guidelines regarding their storage and use...
February 2014: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/23264607/defibrillation-and-external-pacing-in-flight-incidence-and-implications
#20
Stuart Daly, Helen J Milne, Dan P Holmes, Alasdair R Corfield
INTRODUCTION: Emergency electrical intervention for patients in the form of defibrillation, cardioversion and external cardiac pacing can be life saving. Advances in medical technology have enabled electrical intervention to be delivered from small, portable devices. With the rising use of air transport for patients, electrical intervention during aeromedical transfer has an increasing incidence. Our aim was to describe the incidence of electrical intervention in a cohort of critically ill patients undergoing aeromedical transfer and review the risks associated with electrical intervention...
January 2014: Emergency Medicine Journal: EMJ
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