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Aeromedical nursing, aeromedical transport

Penny F Pierce, Margaret M McNeill, Susan F Dukes
BACKGROUND: Sometimes we come upon unexpected or counterfactual results during research that make us wonder and lead us into unknown territory. Such was the experience of a team of Air Force researchers exploring aeromedical evacuation crew members' experiences of safety and patient care concerns throughout the en route care system. OBJECTIVE: To explore what it is about the aeromedical evacuation crew members' occupation that generates a strong motivation to the mission despite the demands it places on its workers...
April 2018: Critical Care Nurse
Jennifer Hatzfeld, Jennifer Serres, Susan Dukes
BACKGROUND: Pain management is a challenge in the transport setting, but actual factors that influence pain have not been assessed systematically. OBJECTIVE: To describe the environmental factors and social context that affect pain management in military aeromedical evacuation. METHODS: Field notes were taken throughout flight, including observational measures of pain, environmental factors, and interactions between the patient and crew. Data collection was completed on 8 missions and 16 patients; common themes were identified that should be considered in the management of pain in aeromedical evacuation...
April 2018: Critical Care Nurse
Margaret M McNeill
BACKGROUND: Critical Care Air Transport Teams care for 5% to 10% of injured patients who are transported on military aircraft to definitive treatment facilities. Little is known about how the aeromedical evacuation environment affects care. OBJECTIVES: To determine the effects of 2 stressors of flight, altitude-induced hypoxia and aircraft noise, and to examine the contributions of fatigue and clinical experience on cognitive and physiological performance of the Critical Care Air Transport Team...
April 2018: Critical Care Nurse
Julie M Swearingen, Tanya M Goodman, Wayne L Chappelle, William T Thompson
Critical Care Air Transport Teams (CCATT) are specialized military medical personnel who provide high-acuity care in an aeromedical environment. The rate of post-traumatic stress disorder (PTSD) symptoms was assessed in CCATT personnel and their rates were compared to general aeromedical evacuation (AE) personnel. As part of a computer-based occupational stress survey, 188 crew members (138 AE nurses and technicians, 50 CCATT nurses and respiratory therapists) completed the PTSD Checklist - Military Version...
March 2017: Military Medicine
Marla J De Jong, Susan F Dukes, Karey M Dufour, Darcy L Mortimer
BACKGROUND: The clinical experience and preferred learning style of U.S. Air Force flight nurses and aeromedical evacuation technicians are unknown. METHODS: Using a cross-sectional survey design, we gathered data regarding the clinical experience, level of comfort providing clinical care, and preferred learning style of 77 active duty (AD), Air Force Reserve (AFR), and Air National Guard (ANG) nurses enrolled in the U.S. Air Force School of Aerospace Medicine Flight Nurse course, and 121 AD, AFR, and ANG medical technicians enrolled in the Aeromedical Evacuation Technician course...
January 1, 2017: Aerospace Medicine and Human Performance
David Gaskin, Nicholas A Kroll, Alyson A Ochs, Martin A Schreiber, Prakash K Pandalai
Since the beginning of Operation Enduring Freedom and Operation Iraqi Freedom, the US military has treated more than 51,000 casualties and sustained more than 6,600 deaths. The past decade of conflict has solidified major advances in the use of blood component therapy and the liberal use of fresh whole blood during damage control resuscitation. This resuscitation strategy, combined with far forward damage control surgery, rapid aeromedical evacuation, and major improvements in critical care air transportation and personal protective equipment has led to a 90% to 92% survival rate in US casualties...
October 2015: AANA Journal
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
Jennifer L Serres, Brittany L Fouts, Susan F Dukes, Genny M Maupin, Molly E Wade
BACKGROUND: Aeromedical evacuation providers care for patients during air transport. By applying standard medical practices, oftentimes developed for ground care, these practitioners perform their mission duties under additional physical stress in this unique medical environment. Awkward postures and excessive forces are common occurrences among personnel operating in this domain. Additionally, anecdotal reports highlight the risk of developing musculoskeletal injuries for these providers...
April 2015: American Journal of Preventive Medicine
Alejandra G Mora, Alicia T Ervin, Victoria J Ganem, Vikhyat S Bebarta
BACKGROUND: Military critical care air transport teams (CCATT) evacuate critically ill and injured patients out of theater for tertiary treatment. Teams are led by a physician, nurse, and respiratory technician. Current aeromedical guidelines require a hemoglobin (Hgb) of 9 g/dL or greater to evacuate; however, civilians report that an Hgb of 8 g/dL or less is safe in critically ill patients. This study aimed to compare postflight short-term and 30-day patient outcomes for CCATT patients evacuated out of theater with an Hgb of 8 g/dL or less with those with an Hgb of greater than 8 g/dL...
November 2014: Journal of Trauma and Acute Care Surgery
Margaret M McNeill, Penny Pierce, Susan Dukes, Elizabeth J Bridges
The purpose of this study was to describe the patient safety culture of en route care in the United States Air Force aeromedical evacuation system. Almost 100,000 patients have been transported since 2001. Safety concerns in this unique environment are complex because of the extraordinary demands of multitasking, time urgency, long duty hours, complex handoffs, and multiple stressors of flight. An internet-based survey explored the perceptions and experiences of safety issues among nursing personnel involved throughout the continuum of aeromedical evacuation care...
August 2014: Military Medicine
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
M Le Cong
OBJECTIVE: To describe the profile and success rates of emergency endotracheal intubation conducted by the Queensland Royal Flying Doctor Service aeromedical retrieval team comprising a doctor and flight nurse. METHOD: Each intubator completed a study questionnaire at the time of each intubation for indications, complications, overall success, drugs utilised and deployment of rescue airway devices/adjuncts. RESULTS: 76 patients were intubated; 72 intubations were successful...
March 2012: Emergency Medicine Journal: EMJ
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
Di Lamb
Modern warfare has generated a significant increase in blast injuries, which demand careful management during planning and while undertaking air transfer. Pain management following multiple injuries can be challenging even when a patient is cared for in a stationary health care setting; this is further complicated by the additional stressors of flight. This article describes health care governance initiatives implemented by the Aeromedical Evacuation Squadron, based at Royal Air Force (RAF), United Kingdom...
June 2010: Nursing Clinics of North America
Marla J De Jong, Richard Benner, Patricia Benner, Maggie L Richard, Deborah J Kenny, Patricia Kelley, Mona Bingham, Annette Tyree Debisette
To discover new experience-based clinical and care delivery knowledge learned in the Iraq and Afghanistan combat zones, 107 Air Force, Army, and Navy nurses were interviewed. Eight areas of experiential knowledge were identified in the new care delivery system that featured rapid transport, early trauma and surgical care, and expeditious aeromedical evacuation: (1) organizing for mass casualties, (2) uncertainty about incoming casualties, (3) developing systems to track patients, (4) resource utilization, (5) ripple effects of a mass casualty event, (6) enlarging the scope of nursing practice, (7) operating medical facilities under attack, and (8) nurse emotions related to mass casualties...
January 2010: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Melinda Cornelius
Aeromedical evacuation (AE) is a system within the Air Force to provide patient care in the air during transport between levels of care. The system predominantly uses guard and reserve flight crew members who are arranged into rotations. However, when a need arises because of heavy influx of sick and wounded, the activation of crew members comes with short notice. This article presents my experiences flying AE in support of Operation Iraqi Freedom/Enduring Freedom.
July 2009: Plastic Surgical Nursing
Debby Booth
The author thanks Rachelle Springer for her great editing skills, Marcia Spear in showing how to upload in editorial manager, and Amanda Bailey for converting the pictures to JPEGs. Have you ever entertained the idea of serving in the military? Has your sense of patriotism ever made you feel some regret that you never served your country in uniform? It was this deep spirit of patriotism and my sense of adventure that moved me to take the oath of commitment and to give 22 years of my life in service to our country...
July 2009: Plastic Surgical Nursing
Stephen E Fecura, Cathy M Martin, Kathleen D Martin, Rose M Bolenbaucher, Tracy Cotner-Pouncy
Nurses' role within the Joint Theater Trauma System's trauma performance improvement program spans the entire trauma continuum. Nurses serve as trauma nurse coordinators at combat zone medical treatment facilities, flight nurses within the US Air Force Aeromedical Evacuation system, multidisciplinary trauma teams at overseas and stateside military and Veterans Affairs healthcare organizations, and members on trauma video teleconferences. Many of the trauma performance improvement initiatives that have occurred since the Joint Theater Trauma System inception have been led by nurses serving within the trauma continuum and resulted in successful outcomes for patients with polytrauma...
October 2008: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
William Beninati, Michael T Meyer, Todd E Carter
BACKGROUND: The critical care air transport team program is a component of the U.S. Air Force Aeromedical Evacuation system. A critical care air transport team consists of a critical care physician, critical care nurse, and respiratory therapist along with the supplies and equipment to operate a portable intensive care unit within a cargo aircraft. DISCUSSION: This capability was developed to support rapidly mobile surgical teams with high capability for damage control resuscitation and limited capacity for postresuscitation care...
July 2008: Critical Care Medicine
Alan L Peterson, Monty T Baker, Kelly R McCarthy
TOPIC: Exposure to combat-related trauma is a leading cause of posttraumatic stress disorder. Deployed military mental health practitioners serve important roles in the assessment, diagnosis, and aeromedical evacuation of psychiatric patients from the combat zone. PURPOSE: To review the role of military mental health professionals working with psychiatric patients at a combat hospital and aeromedical staging facility in Iraq. SOURCE OF INFORMATION: Military operating instructions, existing theoretical and research literature, and personal experiences of the authors while deployed to Iraq...
July 2008: Perspectives in Psychiatric Care
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