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https://www.readbyqxmd.com/read/27021671/interprofessional-flight-camp
#1
Celeste M Alfes, Amanda S Rowe
The Dorothy Ebersbach Academic Center for Flight Nursing in Cleveland, OH, holds an annual flight camp designed for master's degree nursing students in the acute care nurse practitioner program, subspecializing in flight nursing at the Frances Payne Bolton School of Nursing at Case Western Reserve University. The weeklong interprofessional training is also open to any health care provider working in an acute care setting and focuses on critical care updates, trauma, and emergency care within the critical care transport environment...
March 2016: Air Medical Journal
https://www.readbyqxmd.com/read/26764565/reconsidering-the-resources-needed-for-multiple-casualty-events-lessons-learned-from-the-crash-of-asiana-airlines-flight-214
#2
Eric M Campion, Catherine Juillard, M Margaret Knudson, Rochelle Dicker, Mitchell J Cohen, Robert Mackersie, Andre R Campbell, Rachael A Callcut
IMPORTANCE: To date, a substantial portion of multiple casualty incident literature has focused exclusively on prehospital and emergency department resources needed for optimal disaster response. Thus, inpatient resources required to care for individuals injured in multiple casualty events are not well described. OBJECTIVE: To highlight the resources beyond initial emergency department triage needed for multiple casualty events, using one of the largest commercial aviation disasters in modern US history as a case study...
June 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/26206542/critical-care-transport-training-new-strides-in-simulating-the-austere-environment
#3
Celeste M Alfes, Stephanie L Steiner, Christopher F Manacci
The air medical transport arena requires the practitioner to develop clinical and diagnostic reasoning abilities to manage the dynamic needs of the patient in unstructured, uncertain, and often unforgiving environments. High-fidelity simulation can be instrumental in training interprofessional flight teams to improve competency through quality and safe patient care during medical transport that may otherwise take years to learn because of the inconsistency in real-world experiences. Because of the suboptimal circumstantial conditions inherent to critical care transport, a helicopter simulator designed to discretely replicate the phases of flight and train teams in air medical transport scenarios has been developed at the Dorothy Ebersbach Academic Center for Flight Nursing at the Frances Payne Bolton School of Nursing in Cleveland, OH...
July 2015: Air Medical Journal
https://www.readbyqxmd.com/read/26167501/impact-of-video-laryngoscopy-on-advanced-airway-management-by-critical-care-transport-paramedics-and-nurses-using-the-cmac-pocket-monitor
#4
Bradley Boehringer, Michael Choate, Shelley Hurwitz, Peter V R Tilney, Thomas Judge
Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to direct laryngoscopy, offers providers improved and varied tools to employ in management of the advanced airway. Over a nine-year period a helicopter emergency medical services team, comprised of a flight paramedic and flight nurse, intended to intubate 790 patients...
2015: BioMed Research International
https://www.readbyqxmd.com/read/24460997/paediatric-aeromedical-retrievals-in-the-top-end-of-the-northern-territory
#5
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/24373476/air-ambulance-nurses-as-expert-supplement-to-local-emergency-services
#6
Torben Wisborg, Bjørn Bjerkan
OBJECTIVE: Flight nurses in the Norwegian National Air Ambulance Service are specialist nurse anesthetists or intensive care nursing specialists. For air ambulance bases far from hospitals, these nurses present otherwise unavailable competencies. This study reports a 6-year experience with flight nurse participation in local emergencies beyond the transportation phase. METHODS: The fixed-wing air ambulance base in Alta, Northern Norway (20,000 inhabitants), with 2 aircraft and 2 on-call teams is 150 km by road from the nearest hospital...
January 2014: Air Medical Journal
https://www.readbyqxmd.com/read/24003951/measuring-adverse-events-in-helicopter-emergency-medical-services-establishing-content-validity
#7
P Daniel Patterson, Judith R Lave, Christian Martin-Gill, Matthew D Weaver, Richard J Wadas, Robert M Arnold, Ronald N Roth, Vincent N Mosesso, Francis X Guyette, Jon C Rittenberger, Donald M Yealy
INTRODUCTION: We sought to create a valid framework for detecting adverse events (AEs) in the high-risk setting of helicopter emergency medical services (HEMS). METHODS: We assembled a panel of 10 expert clinicians (n = 6 emergency medicine physicians and n = 4 prehospital nurses and flight paramedics) affiliated with a large multistate HEMS organization in the Northeast US. We used a modified Delphi technique to develop a framework for detecting AEs associated with the treatment of critically ill or injured patients...
January 2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/23684131/the-incidence-of-fever-in-us-critical-care-air-transport-team-combat-trauma-patients-evacuated-from-the-theater-between-march-2009-and-march-2010
#8
Joanne M Minnick, Vikhyat S Bebarta, Marietta Stanton, Julio R Lairet, James King, Pedro Torres, James Aden, Rosemarie Ramirez
INTRODUCTION: Most critically ill injured patients are transported out of the theater by Critical Care Air Transport Teams (CCATTs). Fever after trauma is correlated with surgical complications and infection. The purposes of this study are to identify the incidence of elevated temperature in patients managed in the CCATT environment and to describe the complications reported and the treatments used in these patients. METHODS: We performed a retrospective review of available records of trauma patients from the combat theater between March 1, 2009, and March 31, 2010, who were transported by the US Air Force CCATT and had an incidence of hyperthermia...
November 2013: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/23354486/-anesthetist-s-briefing-check-tool-to-improve-patient-safety-in-the-operating-room
#9
REVIEW
H Trimmel, R Fitzka, J Kreutziger, A von Goedecke
Adverse events are not unusual in a more and more complex anesthesiological environment. The main reasons for this are an increasing workload, economic pressure, growing expectations of patients and deficits in planning and communication. However, these incidents mostly do not refer to medical deficits but to flaws in non-technical skills (team organisation, task orientation, decision making and communication). The introduction of the WHO Safe Surgery Checklist depicted that a structural approach can improve the situation...
January 2013: Der Anaesthesist
https://www.readbyqxmd.com/read/22847091/impact-of-critical-care-trained-flight-paramedics-on-casualty-survival-during-helicopter-evacuation-in-the-current-war-in-afghanistan
#10
Robert L Mabry, Amy Apodaca, Jason Penrod, Jean A Orman, Robert T Gerhardt, Warren C Dorlac
BACKGROUND: The US Army pioneered medical evacuation (MEDEVAC) by helicopter, yet its system remains essentially unchanged since the Vietnam era. Care is provided by a single combat medic credentialed at the Emergency Medical Technician - Basic level. Treatment protocols, documentation, medical direction, and quality improvement processes are not standardized and vary significantly across US Army helicopter evacuation units. This is in contrast to helicopter emergency medical services that operate within the United States...
August 2012: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/22748416/emergent-interfacility-evacuation-of-critical-care-patients-in-combat
#11
Yvonne E Franco, Robert A De Lorenzo, Steven W Salyer
During the Second Iraq War (Operation Iraqi Freedom), high-intensity, low-utilization medical and surgical services, such as neurosurgical care, were consolidated into a centralized location within the combat zone. This arrangement necessitated intra-theater air medical evacuation of critically ill or injured patients from outlying combat support hospitals (CSH) to another combat zone facility having the needed services. A case series is presented of intratheater transfer of neurosurgical patients in Iraq during 2005-06...
July 2012: Air Medical Journal
https://www.readbyqxmd.com/read/22669002/prehospital-airway-management-high-tech-meets-trauma-an-air-medical-perspective
#12
Kris Bauer
Trauma is the leading cause of death in the United States for those younger than 35 years and injuries sustained from trauma are a significant source of moderate to severe disability. The inability to establish, secure, or maintain a definitive airway is a major cause of preventable death and secondary injury due to inadequate oxygenation and ventilation. Prehospital airway management is an essential skill of any prehospital care provider. A critical component to providing excellent airway management is the ability of the provider to quickly establish endotracheal intubation without complications such as hypoxia, hyper/hypocapnea, or hypotension...
July 2012: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/22661029/-roles-and-functions-of-military-flight-nursing-aeromedical-evacuation
#13
Chun-Lan Lee, Yun-Chien Hsiao, Chao-Yen Chen
Evacuating the injured is an important part of disaster medicine. Aircraft provide timely access to distant and remote areas and, in an emergency, can evacuate sick or injured individuals in such areas quickly and safely for critical treatment elsewhere. Aeromedical evacuation (AE) comprises the two categories of fixed-wing ambulance service and helicopter emergency medical service (HEMS). Each aims to accomplish unique objectives. In Taiwan, the Second Taiwan Strait Crisis in 1958 established the unique role and functions of medical flight nursing...
June 2012: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/22661027/-the-helicopter-emergency-medical-service-and-essential-related-nursing-skills
#14
Hsin-Mao Shen, Shu-Yuan Chao
Nurses play a critical role in Taiwan's helicopter emergency medical service, an essential healthcare response service for residents of outlying islands. The care skillsets required of nurses in special care and urgent care environments are significantly more specialized than those in other professional care environments. This article discusses the development of the civil helicopter emergency medical service (HEMS) and elements essential to HEMS nursing care efficacy. These elements can be grouped under the categories of pre-flight preparation, assessment for flight-readiness and in-flight care, decision-making abilities, personal physical characteristics, training and experience...
June 2012: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/22426608/air-transport-by-the-wellington-flight-service-a-descriptive-analysis-of-interhospital-transfers-over-a-5-year-period-in-the-wellington-region-of-new-zealand
#15
Julia A Myers, Alex Psirides, Karyn Hathaway, Peter D Larsen
AIM: To describe and characterise the interhospital transport workload of a New Zealand based flight service over a 5-year period. METHOD: Wellington Flight Service database records from 1 November 2005 to 31 October 2010 were reviewed. Details of mission purpose, timings, transport type, severity of illness, clinical service requesting the transfer, and medical crew in attendance, were examined. RESULTS: The Flight Service completed 4046 transport missions over 5 years...
March 9, 2012: New Zealand Medical Journal
https://www.readbyqxmd.com/read/22421316/how-much-and-where-assessment-of-knowledge-level-of-the-application-of-cricoid-pressure
#16
Susan J Black, Elizabeth M Carson, Andrea Doughty
INTRODUCTION: Application of cricoid pressure is a frequently used technique in both rapid sequence intubation in multiple settings and in a more controlled setting in the operating room. In a survey of emergency department personnel performed at the University of Michigan, it was found that there is a knowledge deficit in the recommended force and the anatomic localization of cricoid pressure. Participants in the original study, which included emergency nurses, medical residents, and attending physicians, rated their training in cricoid pressure as poor or nonexistent...
July 2012: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/21793112/establishing-a-culture-of-perinatal-safety-in-a-community-hospital
#17
Jeffrey P Phelan, Lisa M Korst
While unsafe behavior of frontline hospital staff, primarily physicians and nurses, is sometimes the proximal cause of adverse events, the critical importance of system-wide, hospital organizational factors is now being acknowledged(1,2). These organizational factors create the "safety culture" that influences the occurrence of these proximal failures.(3) The concept of safety culture originated in high-reliability organization theory, which was largely developed by a group of social scientists at the University of California at Berkeley who studied high-risk organizations that have achieved very low accident and error rates, for example, aircraft carrier flight decks, nuclear power plants and air-traffic control systems...
2011: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/20731282/critical-care-air-transport-team-ccatt-nurses-deployed-experience
#18
Theresa L Brewer, Nancy A Ryan-Wenger
The objective of this study was to use descriptive and phenomenological methods with Critical Care Air Transport Team (CCATT) nurses to identify knowledge and skills required to provide care for critically ill patients in a combat environment. Unstructured interviews, focus groups, written narratives, group interviews, participant observation, and review of in-flight documentation of care were used to obtain data from 23 registered nurses who had deployed with CCATT missions. Dimensions that emerged from the data included: clinical and operational competence, personal, physical, and psychosocial readiness, soldier and survival skills, leadership, administrative concerns, group identification and integration, aircraft air and evacuation familiarity, and nurse characteristics...
May 2009: Military Medicine
https://www.readbyqxmd.com/read/20683230/medevac-critical-care-transport-from-the-battlefield
#19
R A Higgins
In current military operations, the survival rates of critically injured casualties are unprecedented. An often hidden aspect of casualty care is safe transport from the point of injury to a field hospital and subsequently on to higher levels of care. This en route critical care, which is provided by flight medics under the most austere and rigorous conditions, is a crucial link in the care continuum. This article introduces the role and capabilities of US Army MEDEVAC and reflects the author's recent experience in Afghanistan as a flight medic...
July 2010: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/20500648/standards-for-nurse-staffing-in-critical-care-units-determined-by-the-british-association-of-critical-care-nurses-the-critical-care-networks-national-nurse-leads-royal-college-of-nursing-critical-care-and-in-flight-forum
#20
REVIEW
Kate Bray, Ian Wren, Andrea Baldwin, Una St Ledger, Vanessa Gibson, Sheila Goodman, Dominic Walsh
BACKGROUND: Since 1967 the gold standard for nurse staffing levels in intensive care and subsequently critical care units has been one nurse for each patient. However, critical care has changed substantially since that time and in recent years this standard has been challenged. Previously individual nursing organisations such as the British Association of Critical Care Nurses (BACCN) and the Royal College of Nursing have produced guidance on staffing levels for critical care units. This paper represents the first time all three UK Professional Critical Care Associations have collaborated to produce standards for nurse staffing in critical care units...
May 2010: Nursing in Critical Care
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