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"Transport Medicine"

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https://www.readbyqxmd.com/read/27456509/management-of-pediatric-trauma
#1
(no author information available yet)
Injury is still the number 1 killer of children ages 1 to 18 years in the United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also for productivity lost to the economy. The families of children who survive childhood injury with disability face years of emotional and financial hardship, along with a significant societal burden. The entire process of managing childhood injury is enormously complex and varies by region...
August 2016: Pediatrics
https://www.readbyqxmd.com/read/27379221/transportation-of-critically-ill-patients-on-extracorporeal-membrane-oxygenation
#2
REVIEW
L Mikael Broman, Björn Frenckner
Extracorporeal membrane oxygenation (ECMO) may be a life-saving procedure for patients with severe reversible pulmonary or cardiac failure or for patients in need for a bridge to transplantation. ECMO is provided by specialized centers, but patients in need of ECMO are frequently taken care of at other centers. Conventional transports to an ECMO center can be hazardous and deaths have been described. For this reason, many ECMO centers have developed transport programs with mobile ECMO. After request, the mobile team including all necessary equipment to initiate ECMO is sent to the referring hospital, where the patient is cannulated and ECMO commenced...
2016: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/26992643/pediatric-transport-medicine-and-the-dawn-of-the-pediatric-anesthesiology-and-critical-care-medicine-subspecialty-an-interview-with-pioneer-dr-alvin-hackel
#3
Christine L Mai, Zulfiqar Ahmed, Aubrey Maze, Fatima Noorulla, Myron Yaster
Dr. Alvin 'Al' Hackel (1932-) Professor Emeritus of Anesthesiology, Perioperative and Pain Medicine, and Pediatrics at the Stanford University School of Medicine, has been an influential pioneer in shaping the scope and practice of pediatric anesthesia. His leadership helped to formally define the subspecialty of pediatric anesthesiology ('who is a pediatric anesthesiologist?') and the importance of specialization and regionalization of expertise in both patient transport and perioperative care. His enduring impact on pediatric anesthesia and critical care practice was recognized in 2006 by the American Academy of Pediatrics when it bestowed upon him the profession's highest lifetime achievement award, the Robert M...
May 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26181297/quality-metrics-in-neonatal-and-pediatric-critical-care-transport-a-national-delphi-project
#4
Hamilton P Schwartz, Michael T Bigham, Pamela J Schoettker, Keith Meyer, Michael S Trautman, Robert M Insoft
OBJECTIVES: The transport of neonatal and pediatric patients to tertiary care facilities for specialized care demands monitoring the quality of care delivered during transport and its impact on patient outcomes. In 2011, pediatric transport teams in Ohio met to identify quality indicators permitting comparisons among programs. However, no set of national consensus quality metrics exists for benchmarking transport teams. The aim of this project was to achieve national consensus on appropriate neonatal and pediatric transport quality metrics...
October 2015: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/26160033/the-stockholm-experience-interhospital-transports-on-extracorporeal-membrane-oxygenation
#5
L Mikael Broman, Bernhard Holzgraefe, Kenneth Palmér, Björn Frenckner
INTRODUCTION: In severe respiratory and/or circulatory failure, extracorporeal membrane oxygenation (ECMO) may be a lifesaving procedure. Specialized departments provide ECMO, and these patients often have to be transferred for treatment. Conventional transportation is hazardous, and deaths have been described. Only a few centers have performed more than 100 ECMO transports. To date, our mobile ECMO teams have performed more than 700 transports with patients on ECMO since 1996. We describe 4 consecutive years (2010-2013) of 322 national and international ECMO transports and report adverse events...
2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/25786539/an-educational-measure-to-significantly-increase-critical-knowledge-regarding-interfacility-patient-transfers
#6
Torben K Becker, James F Skiba, Cemal B Sozener
BACKGROUND: Patient transfers among medical facilities are high-risk situations. Despite this, there is very little training of physicians regarding the medical and legal aspects of transport medicine. OBJECTIVES: To examine the effects of a one hour, educational intervention on Emergency Medicine (EM) residents' and Critical Care (CC) fellows' knowledge regarding the medical and legal aspects of interfacility patient transfers. METHODS: Prior to the intervention, physician knowledge regarding 12 key concepts in patient transfer was assessed using a pre-test instrument...
June 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/25335419/-transportation-medicine-experience-problems-prospects-right-for-recognition
#7
A A Él'garov, M A Kalmykova, M A Él'garov
Analysis of most important Russian and foreign publications dedicated to vehicle drivers health condition, driving quality deterioration due to chronic noninflectional diseases, traffic accidence frequency and their outcome, also lack of considerable scientific and practical projects in this field of science--is a basis to acknowledge traffic medicine in Russian Federation.
2014: Meditsina Truda i Promyshlennaia Ekologiia
https://www.readbyqxmd.com/read/24914930/identifying-significant-and-relevant-events-during-pediatric-transport-a-modified-delphi-study
#8
Anna C Gunz, Sonny Dhanani, Hillary Whyte, Kusum Menon, Jennifer R Foster, Melissa J Parker, J Dayre McNally
OBJECTIVES: Children must often be transported to dedicated pediatric centers to receive specialized medical and surgical care, which places them at risk for significant deterioration and life-threatening events. Studies designed to identify and mitigate these events have been limited by variability in the selection and definition of significant events. The objective of this study was to identify and evaluate indicators that represent significant events during the transport of pediatric patients and are relevant to future research initiatives in transport medicine...
September 2014: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/24597166/travelers-thrombosis
#9
Raymond V Johnston, Martin F Hudson
The suggestion that venous thromboembolism (VTE) is associated with air travel has for several decades been the subject of both "media hype" and extensive debate in the medical literature. As emotion and anecdote is often a feature in this debate, it is therefore necessary to separate evidence from anecdote. "Travelers' thrombosis" is a more appropriate term because the evidence suggests that any form of travel involving immobility lasting more than 4 h can predispose to thrombosis. There is no unique factor in the air travel cabin environment that has been shown to have any effect on the coagulation cascade...
February 2014: Aviation, Space, and Environmental Medicine
https://www.readbyqxmd.com/read/23970005/compendial-activities-relating-to-cold-chain-management-issues-drug-products-and-compounded-preparations
#10
Claudia C Okeke
The expansion of distibution pathways by emerging technologies has heightened the expectations of those involved in the area of drug storage and transportation. Medicines are now transported to remote areas of the world. Some of these medicines include HIV medications that may require refrigeration or special handling. Added to this, advances in healthcare treatment have allowed the use of complex biologics and proteins, as well as specialized compounded preparations such as biiodegradable hormone therapy that require special handling and specific storage methods...
March 2009: International Journal of Pharmaceutical Compounding
https://www.readbyqxmd.com/read/23821698/pediatric-and-neonatal-interfacility-transport-results-from-a-national-consensus-conference
#11
Michael H Stroud, Michael S Trautman, Keith Meyer, M Michele Moss, Hamilton P Schwartz, Michael T Bigham, Nicholas Tsarouhas, Webra Price Douglas, Janice Romito, Sherrie Hauft, Michael T Meyer, Robert Insoft
The practice of pediatric/neonatal interfacility transport continues to expand. Transport teams have evolved into mobile ICUs capable of delivering state-of-the-art critical care during pediatric and neonatal transport. The most recent document regarding the practice of pediatric/neonatal transport is more than a decade old. The following article details changes in the practice of interfacility transport over the past decade and expresses the consensus views of leaders in the field of transport medicine, including the American Academy of Pediatrics' Section on Transport Medicine...
August 2013: Pediatrics
https://www.readbyqxmd.com/read/23273306/21st-critical-care-transport-medicine-conference-we-re-going-to-austin-live-music-capital-of-the-world
#12
Monica Newman, Pat Petersen, Karen Wojdyla
No abstract text is available yet for this article.
January 2013: Air Medical Journal
https://www.readbyqxmd.com/read/22193690/missed-opportunities-during-pediatric-residency-training-report-of-a-10-year-follow-up-survey-in-critical-care-transport-medicine
#13
Sarah Kline-Krammes, Derek S Wheeler, Hamilton P Schwartz, Michael Forbes, Michael T Bigham
OBJECTIVES: The Accreditation Council for Graduate Medical Education requires pediatric residency training programs to provide exposure to the prehospital management and transport of patients. The authors hypothesized that compared with a similar study a decade prior, current pediatric residency training programs have reduced requirements for participation in transport medicine, thus reducing further the opportunities for residents to learn the management of critically ill infants and children...
January 2012: Pediatric Emergency Care
https://www.readbyqxmd.com/read/21381305/-automobile-transport-medicine-experience-and-prospects
#14
A A El'garov, M A Kalmykova, M A El'garov
Results of complex long-standing research served as a basis to present social and medical reasons for official acknowledgement of automobile transport medicine in Russia and ways to improve traffic safety.
2010: Meditsina Truda i Promyshlennaia Ekologiia
https://www.readbyqxmd.com/read/21226552/safe-transport-of-patients-with-acute-coronary-syndrome-or-cardiogenic-shock-by-skilled-air-medical-crews
#15
Jan Trojanowski, Russell D MacDonald
INTRODUCTION: Acute coronary syndrome (ACS) is a spectrum of disease that includes unstable angina (UA), non?ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). Cardiogenic shock is a severe complication of an ACS. Evidence suggests that emergent primary coronary intervention is the treatment of choice for patients with acute STEMI, and patients who have hemodynamic instability or suffer a major complication of therapy also require emergent intervention...
April 2011: Prehospital Emergency Care
https://www.readbyqxmd.com/read/21034233/communication-errors-in-dispatch-of-air-medical-transport
#16
Daniel Vilensky, Russell D MacDonald
BACKGROUND: Communication errors are a source of preventable medical errors. In high-risk health care settings, identifying the source and addressing root causes can reduce error and improve patient safety. While air medical transport is a high-risk setting, its sources and rates of error have been investigated only within the last several years. OBJECTIVES: This investigation examined the rate and types of communication errors during call booking of interfacility air medical transports...
January 2011: Prehospital Emergency Care
https://www.readbyqxmd.com/read/20429074/the-social-and-political-impact-of-animal-diseases
#17
B Evans
The twenty-first century is characterised by 'epidemiological globalisation' on an unprecedented scale with resulting impacts at the interface of economic, scientific, social and political forces arising from the emergence and re-emergence of animal diseases. Throughout history, animals have served as a source to humankind of food, transportation, medicines, entertainment, clothing, fuel, military advantage and financial security. It is therefore not at all surprising that animal diseases have resulted in significant social and political impacts that have shaped and continue to shape the course of national and international events...
October 2006: Veterinaria Italiana
https://www.readbyqxmd.com/read/20199234/occupational-health-and-safety-assessment-of-exposure-to-jet-fuel-combustion-products-in-air-medical-transport
#18
Russell D MacDonald, Laura Thomas, Frederick C Rusk, Shauna D Marques, Dan McGuire
INTRODUCTION: Transport medicine personnel are potentially exposed to jet fuel combustion products. Setting-specific data are required to determine whether this poses a risk. OBJECTIVE: This study assessed exposure to jet fuel combustion products, compared various engine ignition scenarios, and determined methods to minimize exposure. METHODS: The Beechcraft King Air B200 turboprop aircraft equipped with twin turbine engines, using a kerosene-based jet fuel (Jet A-1), was used to measure products of combustion during boarding, engine startup, and flight in three separate engine start scenarios ("shielded": internal engine start, door closed; "exposed": ground power unit start, door open; and "minimized": ground power unit right engine start, door open)...
April 2010: Prehospital Emergency Care
https://www.readbyqxmd.com/read/19667853/pediatric-and-neonatal-interfacility-transport-medicine-after-mass-casualty-incidents
#19
REVIEW
Calvin G Lowe
Pediatric and neonatal interfacility transport medicine is a relatively young but a rapidly evolving specialty. Transport teams are essential for the safe interfacility movement of critically ill patients. A mass casualty incident (MCI) can present major challenges for a critical care transport team. This article will examine the capabilities and limitations of pediatric and neonatal critical care transport teams. The predicaments brought about by Hurricane Katrina that hindered the evacuation of pediatric and neonatal patients out of ravaged hospitals are also reviewed...
August 2009: Journal of Trauma
https://www.readbyqxmd.com/read/19564281/pediatric-specialized-transport-teams-are-associated-with-improved-outcomes
#20
COMPARATIVE STUDY
Richard A Orr, Kathryn A Felmet, Yong Han, Karin A McCloskey, Michelle A Dragotta, Debra M Bills, Bradley A Kuch, R Scott Watson
OBJECTIVE: The goal was to test the hypothesis that interfacility transport performed by a pediatric critical care specialized team, compared with nonspecialized teams, would be associated with improved survival rates and fewer unplanned events during the transport process. METHODS: A single-center, prospective, cohort study was performed between January 2001 and September 2002. A total of 1085 infants and children at referral community hospitals with requests for retrieval by the Children's Hospital of Pittsburgh transport team were studied; 1021(94%) were transported by a specialty team and 64 (6%) by nonspecialized teams...
July 2009: Pediatrics
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