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Helicopter EMS

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11 papers 0 to 25 followers Helicopter and aeromedical EMS literature
By Merlin Curry MD, EMT-P
https://www.readbyqxmd.com/read/27393758/safety-and-efficacy-of-thoracostomy-in-the-air-medical-environment
#1
Kevin High, Jeremy Brywczynski, Oscar Guillamondegui
OBJECTIVE: The use of thoracostomy to treat tension pneumothorax is a core skill for prehospital providers. Tension pneumothoraces are potentially lethal and are often encountered in the prehospital environment. METHODS: The authors reviewed the prehospital electronic medical records of patients who had undergone finger thoracostomy (FT) or tube thoracostomy (TT) while under the care of air medical crewmembers. Demographic data were obtained along with survival and complications...
July 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27176727/prehospital-administration-of-tranexamic-acid-in-trauma-patients
#2
Arasch Wafaisade, Rolf Lefering, Bertil Bouillon, Andreas B Böhmer, Michael Gäßler, Matthias Ruppert
BACKGROUND: Evidence on prehospital administration of the antifibrinolytic tranexamic acid (TXA) in civilian trauma populations is scarce. The aim was to study whether prehospital TXA use in trauma patients was associated with improved outcomes. METHODS: The prehospital database of the ADAC (General German Automobile Club) Air Rescue Service was linked with the TraumaRegister of the German Trauma Society to reidentify patients documented in both registries. Primarily admitted trauma patients (2012 until 2014) who were treated with TXA during the prehospital phase were matched with patients who had not received prehospital TXA, applying propensity score-based matching...
May 12, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27894561/apneic-oxygenation-may-not-prevent-severe-hypoxemia-during-rapid-sequence-intubation-a-retrospective-helicopter-emergency-medical-service-study
#3
Sattha Riyapan, Jeffrey Lubin
OBJECTIVE: This study sought to determine the effectiveness of apneic oxygenation in preventing hypoxemia during prehospital rapid sequence intubation (RSI). METHODS: We performed a case-cohort study using a pre-existing database looking at intubation management by a single helicopter emergency medical service between July 2013 and June 2015. Apneic oxygenation using high-flow nasal cannula (15 L/min) was introduced to the standard RSI protocol in July 2014. Severe hypoxemia was defined as an incidence of oxygen saturation less than 90%...
November 2016: Air Medical Journal
https://www.readbyqxmd.com/read/28089059/management-of-hospitalized-asthmatic-children-before-transport
#4
Brande Mazzeo, Rami Bzeih, Robert Schultz, Melissa Tavolieri, Alicia Fraser, Sabrina M Heidemann
Asthmatic children are at risk for respiratory failure and should be appropriately treated before transport. The objectives were to find out if the Pediatric Advanced Life Support guidelines for asthma treatment were followed in the emergency department (ED); to determine if additional treatment during transport or within the first 2 hours of admission was needed; and to compare the management of intubated asthmatics by the ED, transport team, and the intensive care unit (ICU) physician. The records for children diagnosed with acute asthma over 7 years who were transported by the intensive care transport team were reviewed...
January 2017: Air Medical Journal
https://www.readbyqxmd.com/read/26611223/a-ketamine-protocol-and-intubation-rates-for-psychiatric-air-medical-retrieval
#5
Minh Le Cong, Ian Humble
OBJECTIVE: The air medical transfer of psychiatric patients with acute agitation is a regular requirement in only a few countries, with ours (Australia) being one of them. The optimal strategy has yet to be well described, ranging from physical restraints to general anesthesia with endotracheal intubation. In an Australian air medical service, Royal Flying Doctor Service (Queensland Section) rates of endotracheal intubation required for patient management were retrospectively compared before and after implementation of a ketamine sedation protocol for this patient population...
November 2015: Air Medical Journal
https://www.readbyqxmd.com/read/26270795/feasibility-of-remote-ischemic-peri-conditioning-during-air-medical-transport-of-stemi-patients
#6
Christian Martin-Gill, Max Wayne, Francis X Guyette, Oladipupo Olafiranye, Catalin Toma
Remote ischemic peri-conditioning (RIPC) has gained interest as a means of reducing ischemic injury in patients with acute ST-elevation myocardial infarction (STEMI) who are undergoing emergent primary percutaneous coronary intervention (pPCI). We aimed to evaluate the feasibility, process, and patient-related factors related to the delivery of RIPC during air medical transport of STEMI patients to tertiary pPCI centers. We performed a retrospective review of procedural outcomes of a cohort of STEMI patients who received RIPC as part of a clinical protocol in a multi-state air medical service over 16 months (March 2013 to June 2014)...
2016: Prehospital Emergency Care
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/12385616/medical-director-for-air-medical-transport-programs
#8
Stephen H Thomas, Kenneth A Williams, David W Claypool
The NAEMSP recognizes the multifaceted and integral position of a medical director for an air medical transport program and the EMS community at large.
October 2002: Prehospital Emergency Care
https://www.readbyqxmd.com/read/12385618/medical-direction-and-medical-control-of-air-medical-services-position-statement-of-the-air-medical-physician-association
#9
(no author information available yet)
No abstract text is available yet for this article.
October 2002: Prehospital Emergency Care
https://www.readbyqxmd.com/read/12879394/determination-of-medical-necessity-for-air-and-critical-care-medical-transportation
#10
(no author information available yet)
No abstract text is available yet for this article.
July 2003: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26856657/difficult-intubation-factors-in-prehospital-rapid-sequence-intubation-by-an-australian-helicopter-emergency-medical-service
#11
Brian Burns, Karel Habig, Hilary Eason, Sandra Ware
OBJECTIVE: Prehospital rapid sequence intubation (RSI) of critically ill trauma patients is a high-risk procedure that may be associated with an increased rate of severe complications such as failed intubation, failure of oxygenation, hypoxia, hypotension, or need for surgical airway. The objective of this study was to describe the factors associated with difficult intubation in prehospital RSI as defined by more than a single look at laryngoscopy to achieve tracheal intubation. METHODS: This is an observational study using prospectively collected data...
January 2016: Air Medical Journal
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