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A T Reisner, M Y Khitrov, L Chen, A Blood, K Wilkins, W Doyle, S Wilcox, T Denison, J Reifman
BACKGROUND: Advanced decision-support capabilities for prehospital trauma care may prove effective at improving patient care. Such functionality would be possible if an analysis platform were connected to a transport vital-signs monitor. In practice, there are technical challenges to implementing such a system. Not only must each individual component be reliable, but, in addition, the connectivity between components must be reliable. OBJECTIVE: We describe the development, validation, and deployment of the Automated Processing of Physiologic Registry for Assessment of Injury Severity (APPRAISE) platform, intended to serve as a test bed to help evaluate the performance of decision-support algorithms in a prehospital environment...
2013: Applied Clinical Informatics
Stephen H Thomas, Christine Kociszewski, Robert J Hyde, Paul J Brennan, Suzanne K Wedel
Care provision and benchmarking for patients with ST-elevation myocardial infarction (STEMI) have focused on streamlining time between initial hospital presentation and opening of theinfarct-related artery. In a Boston-area regional system already characterized by expedited advanced life support (ALS) dispatch and paramedic performance of prehospital electrocardiogram (EKG), a critical pathway was designed that allows for helicopter dispatch based on ground ALS providers' STEMI diagnosis. The pathway dictates that as soon as ALS crews make the diagnosis of STEMI from their 12-lead EKG, they will contact Boston MedFlight (BMF) and a helicopter will be immediately dispatched to the participating community hospital (Lawrence General Hospital [LGH])...
September 2006: Critical Pathways in Cardiology
Mark Gaynor, Dan Myung, Nada Hashmi, G Shankaranarayanan
iRevive is a sensor-supported, pre-hospital patient care system for the capture and transmittal of electronic patient data from the field to hospitals. It is being developed by 10Blade and Boston MedFlight. iRevive takes advantage of emerging technologies to offer a robust, flexible, and extensible IT infrastructure for patient data collection.
2007: International Journal of Electronic Healthcare
Sanjay Shewakramani, Stephen H Thomas, Tim H Harrison, Jonathan D Gates
OBJECTIVE: The purpose of this study was to describe an air transport service's protocol for direct transport of patients with abdominal aortic aneurysm leak (AAAL) into receiving hospital operating rooms (ORs). METHODS: This retrospective consecutive-case analysis examined AAAL patients undergoing nurse-paramedic Boston MedFlight (BMF) transport during 1999-2004, who were taken directly into ORs at four academic centers. BMF uses a rotating roster system to assign receiving hospitals when referring physicians have no preidentified receiving facility, but this practice may prolong patient transport or be associated with less diagnostic certainty, and thus more delay, at receiving hospitals...
July 2007: Prehospital Emergency Care
B Sibbald
Unemployed, newly wed and newly graduated, Patricia O'Connor was desperate for a job and, to everyone's astonishment, became an ambulance attendant. Twenty-two years later she's still in the field--a true pioneer. She's gone from being the only RN on Ontario's first team of flight paramedics, to starting an air medivac service in the Northwest Territories, to owning Medflight and providing trained flight nurses and paramedics for the N.W.T.
August 1999: Canadian Nurse
S H Thomas, T Harrison, S K Wedel
OBJECTIVE: To analyze flight crew airway management in four different settings (in flight, at trauma scenes, in ambulance, and in referring hospitals) and in two different aircraft used by the same helicopter EMS (HEMS) service. The null hypothesis was that there was no association between practice setting, or aircraft, and airway practices or success rate. METHODS: This retrospective study analyzed all patients in whom advanced airway management was attempted by the HEMS service during the study period October 1991 through October 1997...
October 1999: Prehospital Emergency Care
J C Taylor
No abstract text is available yet for this article.
December 1996: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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