1,212 results match your criteria Air Medical Journal [Journal]


ARDS: From Syndrome to Disease: Prevention and Genomics.

Authors:
David J Dries

Air Med J 2019 Jan - Feb;38(1):7-9. Epub 2019 Jan 15.

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http://dx.doi.org/10.1016/j.amj.2018.11.018DOI Listing
January 2019

CAMTS.

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Air Med J 2019 Jan - Feb;38(1). Epub 2019 Jan 29.

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http://dx.doi.org/10.1016/j.amj.2018.11.014DOI Listing
January 2019

Case of a Hypertensive Crisis in Diffuse Axonal Injury.

Authors:
Matthew Carvey

Air Med J 2019 Jan - Feb;38(1):55-57. Epub 2018 Dec 4.

School of Medicine, St George's University, West Indies, Grenada. Electronic address:

This case considers underdosing of analgesics as a prime contributor to hypertension in diffuse axonal injury (DAI) patients who are being mechanically ventilated. In the air medical environment, obtunded patients' hemodynamic parameters are the primary tools available in diagnosing complex disorders such as an acute rise in intracranial pressure (ICP) when invasive ICP monitoring is not available. Therefore, differential diagnoses must follow a continuum, from most severe to least, in order to deal with sudden-onset hypertension rapidly. Read More

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http://dx.doi.org/10.1016/j.amj.2018.11.004DOI Listing
December 2018

Uncuffed Endotracheal Tubes: Not Appropriate for Pediatric Critical Care Transport.

Air Med J 2019 Jan - Feb;38(1):51-54. Epub 2018 Dec 3.

Department of Anesthesiology and Critical Care, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.

Objective: The effect of using uncuffed endotracheal tubes in children during interfacility critical care transport has not yet been assessed. We hypothesized that many children with uncuffed endotracheal tubes experience complications leading to replacement with a cuffed tube after arrival at a tertiary pediatric care facility.

Methods: We conducted a retrospective case review of all intubated patients transported by our dedicated pediatric critical care transport team to our pediatric intensive care unit over a 3-year period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183023
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http://dx.doi.org/10.1016/j.amj.2018.10.002DOI Listing
December 2018
2 Reads

Improving Air Medical Transport Education for Emergency Providers.

Air Med J 2019 Jan - Feb;38(1). Epub 2018 Dec 7.

Butler University, Indianapolis, IN.

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http://dx.doi.org/10.1016/j.amj.2018.11.003DOI Listing
December 2018

Force of Habit: Developing Situation Awareness in Critical Care Transport.

Air Med J 2019 Jan - Feb;38(1):45-50. Epub 2018 Oct 25.

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Situation awareness (SA) is a vital cognitive skill for high-stakes, high-hazard occupations, including military, aviation, and health care. The ability to maintain SA can deteriorate in stressful situations, exposing patients to dangerous errors. The literature regarding how to best teach SA techniques is sparse. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183022
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http://dx.doi.org/10.1016/j.amj.2018.09.007DOI Listing
October 2018
1 Read

Impact of Paralytic Agent on Postintubation Sedation.

Air Med J 2019 Jan - Feb;38(1):39-44. Epub 2018 Oct 25.

Department of Pharmacy, The Ohio State University Wexner Medical Center, Columbus, OH; Division of Pharmacy Practice and Science, The Ohio State University College of Pharmacy, Columbus, OH. Electronic address:

Objective: The aim of this study was to evaluate the difference in the time to postintubation sedation between patients receiving etomidate and either succinylcholine or rocuronium in the prehospital setting.

Setting: Patients who received rapid sequence intubation medications from transport service personnel and were subsequently intubated were included. The critical care transport agency operates 8 helicopter- and 3 ground-based emergency medical service units. Read More

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http://dx.doi.org/10.1016/j.amj.2018.09.006DOI Listing
October 2018

Air Medical Transportation of Injured Operational Canines.

Air Med J 2019 Jan - Feb;38(1):36-38. Epub 2018 Oct 24.

Penn State College of Medicine, Hershey, PA; Department of Emergency Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA. Electronic address:

Operational canines (OpK9s) are frequently injured in the line of duty and may benefit from specialized medical transport, including air medical transport. Reports of such transports can be found in the popular press, but there is a lack of research aimed at quantifying and examining these transports. We sent a survey to 295 programs in the United States identified through the Atlas and Database of Air Medical Services database to inquire about OpK9 transports and program policies and procedures for these transports. Read More

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http://dx.doi.org/10.1016/j.amj.2018.09.005DOI Listing
October 2018

Investigation of Stethoscope Technology for En Route Care.

Air Med J 2019 Jan - Feb;38(1):30-35. Epub 2018 Oct 23.

Oak Ridge Institute for Science and Education, 711th Human Performance Wing, US Air Force School of Aerospace Medicine, Aeromedical Research Department, En Route Care Research Division, Wright-Patterson Air Force Base, OH 45433.

Objective: Occupational challenges in air transport domains make auscultation with traditional stethoscopes difficult. This study aimed to investigate two commercial off-the-shelf stethoscopes for use in high noise military patient transport environments. The stethoscopes were assessed by Aeromedical Evacuation providers in a simulated C-130 trainer on live standardized mock patients. Read More

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http://dx.doi.org/10.1016/j.amj.2018.09.004DOI Listing
October 2018

Causes and Management of Sleepiness Among Pilots in a Norwegian and an Austrian Air Ambulance Service-A Comparative Study.

Air Med J 2019 Jan - Feb;38(1):25-29. Epub 2018 Dec 13.

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway.

Objective: We compared subjectively reported sleepiness and fatigue as well as causes and management strategies for combating sleepiness among pilots working in 2 different helicopter emergency medical services operating with different shift systems.

Methods: Pilots from the Norwegian Air Ambulance (NAA) and Christophorus Flugrettungsverein (CFV) in Austria participated. NAA performs flight missions 24/7, whereas at the time of the study the participating CFV bases did not fly after sunset. Read More

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http://dx.doi.org/10.1016/j.amj.2018.11.002DOI Listing
December 2018
1 Read

2018 Community Awards.

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Air Med J 2019 Jan - Feb;38(1):23-24. Epub 2018 Nov 22.

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http://dx.doi.org/10.1016/j.amj.2018.11.005DOI Listing
November 2018

27 Critical Care Transport Medicine Conference.

Air Med J 2019 Jan - Feb;38(1):20-22. Epub 2018 Nov 19.

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http://dx.doi.org/10.1016/j.amj.2018.11.001DOI Listing
November 2018

Still Soaring: Health First's First Flight Turns 30.

Authors:
Sara Paulson

Air Med J 2019 Jan - Feb;38(1):16-19. Epub 2018 Oct 12.

Health First, Brevard, FL. Electronic address:

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http://dx.doi.org/10.1016/j.amj.2018.09.001DOI Listing
October 2018

Forum.

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Air Med J 2019 Jan - Feb;38(1):14-15. Epub 2018 Dec 6.

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http://dx.doi.org/10.1016/j.amj.2018.11.019DOI Listing
December 2018

Articles That May Change Your Practice: Prehospital Plasma.

Air Med J 2019 Jan - Feb;38(1):12-13. Epub 2018 Nov 15.

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http://dx.doi.org/10.1016/j.amj.2018.10.001DOI Listing
November 2018

The Fireman's Rule.

Authors:
John R Clark

Air Med J 2019 Jan - Feb;38(1):10-11

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http://dx.doi.org/10.1016/j.amj.2018.11.015DOI Listing
November 2018

Concern Network.

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Air Med J 2018 Nov - Dec;37(6):e1-e2

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http://dx.doi.org/10.1016/j.amj.2018.09.008DOI Listing
November 2018
1 Read

Prehospital Blood Product Transfusion in Mountain Rescue Operations.

Air Med J 2018 Nov - Dec;37(6):392-399. Epub 2018 Sep 21.

Task Force "Tactical Medicine" of the Scientific Working Group Emergency Medicine of the German Society of Anaesthesiology and Intensive Care Medicine, Nürnberg, Germany; Department of Anaesthesiology and Postoperative Intensive Care Medicine, University of Cologne, Köln, Germany.

Severely injured patients with hemorrhage present major challenges for emergency medical services, especially during mountain rescue missions in which harsh environmental conditions and long out-of-hospital times are frequent. Because uncontrolled hemorrhage is the leading cause of death within the first 48 hours after severe trauma, initiating damage control resuscitation (DCR) as early as possible after severe trauma and exporting the concept of DCR to the out-of-hospital arena is pivotal for patient survival. Appropriate bleeding control, management of coagulopathy, and transfusion of blood products are core aspects of DCR. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183009
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http://dx.doi.org/10.1016/j.amj.2018.08.003DOI Listing
September 2018
10 Reads

Multiple Patients With Heatstroke Air Evacuated by Agreement Concerning Collaboration.

Air Med J 2018 Nov - Dec;37(6):388-391. Epub 2018 Sep 3.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Shizouka, Japan. Electronic address:

On August 30, 2017, the wet-bulb globe temperature was 30°C. Three female military personnel fell unconscious almost simultaneously around noon after a long-distance march that had started at 6 am. The fire department in Gotenba received a 119 call [at 1:16 PM] and requested dispatch of the eastern Shizuoka doctor helicopter (DH) because it would take about 1 hour from the scene to arrive at our hospital by ground ambulance. Read More

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http://dx.doi.org/10.1016/j.amj.2018.07.026DOI Listing
September 2018
3 Reads

A 15-Year-Old Male With Wide Complex Tachyarrhythmia.

Air Med J 2018 Nov - Dec;37(6):383-387. Epub 2018 Sep 1.

Department of Emergency Medicine, Allegheny General Hospital, Pittsburgh, PA.

A 15-year-old male presented with exertional syncope and was found to be in an unstable regular wide complex tachyarrhythmia (WCT). After a trial of antiarrhythmic medication, his clinical condition declined, necessitating synchronized cardioversion. Although he noted symptomatic improvement after cardioversion, he was found to be in third-degree heart block. Read More

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http://dx.doi.org/10.1016/j.amj.2018.07.024DOI Listing
September 2018
7 Reads

Resuscitative Airway Management for Massive Gastrointestinal Hemorrhage.

Air Med J 2018 Nov - Dec;37(6):380-382. Epub 2018 Sep 8.

Department of Emergency Medicine, University of Washington, Seattle, WA; Airlift Northwest, University of Washington, Seattle, WA.

Massive upper gastrointestinal hemorrhage represents a highly morbid, resource intensive disease entity that requires rapid diagnostic and therapeutic delivery in parallel with mobilization of in-hospital providers for definitive intervention. This report details a unique case demonstrating exceptional collaboration spanning multiple healthcare systems, a novel use of resuscitative endovascular balloon occlusion of the aorta, and a discussion on resuscitative airway management in the setting of massive upper gastrointestinal hemorrhage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183012
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http://dx.doi.org/10.1016/j.amj.2018.07.004DOI Listing
September 2018
16 Reads

Transporting the Deceased: Partnering With the Organ Recovery Center to Improve Transplant Outcomes.

Air Med J 2018 Nov - Dec;37(6):374-379. Epub 2018 Sep 26.

Alabama Organ Center, Recovery Center, Birmingham, AL.

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http://dx.doi.org/10.1016/j.amj.2018.08.002DOI Listing
September 2018
1 Read

Endotracheal Intubation for Traumatic Cardiac Arrest by an Australian Air Medical Service.

Air Med J 2018 Nov - Dec;37(6):371-373. Epub 2018 Sep 8.

James Cook University, Queensland, Australia; SAAS MedSTAR, Adelaide, South Australia; Ambulance Victoria, Victoria, Australia; St Vincent's Hospital, Melbourne, Australia.

Objective: Traumatic cardiac arrest (TCA) has been associated with poor outcome, but there are survivors with good neurological outcome. Treatment of hypoxia plays a key part in resuscitation algorithms, but little evidence exists on the ideal method of airway management in TCA.

Methods: LifeFlight Retrieval Medicine is an aeromedical retrieval service based in Queensland, Australia. Read More

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http://dx.doi.org/10.1016/j.amj.2018.07.030DOI Listing
September 2018
2 Reads

Helicopter Emergency Medical Services in Buenos Aires: An Operational Overview.

Air Med J 2018 Nov - Dec;37(6):367-370. Epub 2018 Sep 6.

Dirección General Emergency Medical Care System, Buenos Aires.

As part of the emergency medical care system, helicopter emergency medical services (HEMS) have a different crew composition from the traditional team. HEMS consist of a pilot, doctor, and firefighter with rescue skills and training in basic life support on board an air ambulance. This allows the adaptation to different environments and increases the varieties of air procedures normally performed. Read More

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http://dx.doi.org/10.1016/j.amj.2018.07.029DOI Listing
September 2018
1 Read

Critical Care Skill Triad for Tactical Evacuations.

Air Med J 2018 Nov - Dec;37(6):362-366. Epub 2018 Sep 12.

Department of Anesthesiology and Intensive Care, Percy Military Teaching Hospital, Clamart, France.

Objective: Providing medical support to French soldiers deployed on war theater everywhere around the world is the first mission of the French Military Medical Service (FMMS). En-route critical care is critical to maintain the continuum of care and safety during forward and tactical medical evacuation (MEDEVAC). The FMMS has developed specific training programs to ensure optimal en-route critical care air transport. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183007
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http://dx.doi.org/10.1016/j.amj.2018.07.028DOI Listing
September 2018
12 Reads

Clinical Interventions Account for Scene Time in a Helicopter Emergency Medical Service in South Africa.

Air Med J 2018 Nov - Dec;37(6):357-361. Epub 2018 Sep 14.

Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. Electronic address:

Introduction: Helicopter emergency medical services (HEMS) have been associated with a prolonged scene time, compromising the time benefit in an urban setting. Therefore, the clinical benefit offered through additional equipment, skills, and experience of HEMS crews must be investigated to propose the value of HEMS. This study aimed at establishing whether HEMS scene time was associated with the number of clinical interventions performed and improved patient stability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183001
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http://dx.doi.org/10.1016/j.amj.2018.07.027DOI Listing
September 2018
11 Reads

Operational Impact of a Critical Care Transport Duty Time Tool Implementation: A Quality Improvement Project to Enhance Crew and Patient Safety.

Air Med J 2018 Nov - Dec;37(6):352-356. Epub 2018 Sep 8.

Critical Care Transport Team, Children's Hospital & Medical Center, Omaha, NE.

Objective: The Commission on Accreditation of Medical Transport Systems requires transport programs to have operational risk assessment tools that must address issues such as transport acceptance with tools for assessing pilot/driver and crew alertness and fatigue, aviation decision making, and mission acceptance/medical decision making. The objective of this study was to evaluate the impact the implementation of this tool has on programmatic operations.

Methods: This hospital-based dedicated pediatric/neonatal transport team has experienced rapid increase in volume as well as an expanding response area. Read More

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http://dx.doi.org/10.1016/j.amj.2018.07.002DOI Listing
September 2018
1 Read

Ultrasound in the Air Medical Environment.

Authors:

Air Med J 2018 Nov - Dec;37(6):351. Epub 2018 Oct 14.

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http://dx.doi.org/10.1016/j.amj.2018.09.003DOI Listing
October 2018
1 Read

Out-Of-Hospital Blood Product Administration Considerations.

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Air Med J 2018 Nov - Dec;37(6):349-350. Epub 2018 Oct 14.

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http://dx.doi.org/10.1016/j.amj.2018.09.002DOI Listing
October 2018
1 Read

Forum.

Authors:

Air Med J 2018 Nov - Dec;37(6):346-348. Epub 2018 Oct 15.

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http://dx.doi.org/10.1016/j.amj.2018.09.009DOI Listing
October 2018
2 Reads

You Call, They Come, and You Say "Help Us".

Authors:
Janie Ford

Air Med J 2018 Nov - Dec;37(6):345. Epub 2018 Aug 28.

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http://dx.doi.org/10.1016/j.amj.2018.07.006DOI Listing
August 2018
1 Read

Articles That May Change Your Practice: Steroids and Septic Shock.

Air Med J 2018 Nov - Dec;37(6):343-344. Epub 2018 Sep 5.

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http://dx.doi.org/10.1016/j.amj.2018.08.001DOI Listing
September 2018
2 Reads

Ketamine: Good Drug. . .Bad Rap.

Air Med J 2018 Nov - Dec;37(6):339-342. Epub 2018 Sep 22.

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http://dx.doi.org/10.1016/j.amj.2018.08.005DOI Listing
September 2018
1 Read

A 79-Year-Old Man With Angioedema.

Air Med J 2018 Nov - Dec;37(6):336-338. Epub 2018 Oct 15.

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http://dx.doi.org/10.1016/j.amj.2018.08.006DOI Listing
October 2018
2 Reads

Policy Changes.

Authors:
Eileen Frazer

Air Med J 2018 Nov - Dec;37(6):335. Epub 2018 Sep 22.

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http://dx.doi.org/10.1016/j.amj.2018.08.004DOI Listing
September 2018
1 Read

Should Helicopters Transport Patients Who Become Sick After a Chemical, Biological, Radiologic, Nuclear, and Explosive Attack? No but . . .

Air Med J 2018 Nov - Dec;37(6):333-334. Epub 2018 Sep 6.

Chef de Ia Division Formation Service de Protection Radiologique des Armées, Clamart Cedex, France.

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http://dx.doi.org/10.1016/j.amj.2018.07.025DOI Listing
September 2018
1 Read

Concern Network.

Authors:

Air Med J 2018 Sep 6;37(5):e1-e2. Epub 2018 Sep 6.

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183018
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http://dx.doi.org/10.1016/j.amj.2018.07.009DOI Listing
September 2018
4 Reads

A Report Concerning Collaboration Between a Physician-staffed Helicopter (Doctor Helicopter) and Firefighting/Rescue Helicopter.

Air Med J 2018 Sep 7;37(5):325-328. Epub 2018 Aug 7.

Department of Acute Critical Care Medicine, Juntendo University Shizuoka Hospital, Izunokuni City, Shizuoka, Japan.

Objective: In Japan, the main helicopters that transport patients are physician-staffed helicopters (known as doctor helicopters [DHs]) and firefighter/rescue helicopters (F/RHs). We report the collaboration between F/RHs and DHs in eastern Shizuoka Prefecture.

Methods: We retrospectively investigated all of the patients who were transported by F/RHs in Shizuoka Prefecture between January 2015 and April 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183012
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http://dx.doi.org/10.1016/j.amj.2018.07.001DOI Listing
September 2018
10 Reads

Prehospital Blood Transfusions in Pediatric Patients by a Helicopter Emergency Medical Service.

Air Med J 2018 Sep 31;37(5):321-324. Epub 2018 Jul 31.

Department of Anesthesiology, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.

Objective: In the prehospital setting, the Nijmegen and Rotterdam helicopter emergency medical services administer packed red blood cells to critically ill or injured pediatric patients. Blood is given on scene or during transport and is derived from nearby hospitals. We summarize our experience with prehospital blood use in pediatric patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183006
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http://dx.doi.org/10.1016/j.amj.2018.05.008DOI Listing
September 2018
10 Reads

Effect of Video-based Telemedicine on Transport Management of Simulated Newborns.

Air Med J 2018 Sep 27;37(5):317-320. Epub 2018 Jul 27.

Neonatal Education and Simulation-Based Training Program, University of Washington, Seattle, WA; Seattle Children's Hospital, Seattle, WA.

Objective: Video-based telemedicine is a reliable tool to assess the severity of respiratory distress in children, increasing the appropriateness of triage and disposition for acutely ill children. Telemedicine simulations may identify patterns in regional transport management and influence attitudes toward telemedicine.

Methods: The objective was to determine the effect of videos on simulated neonatal transport care compared with telephone management. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183004
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http://dx.doi.org/10.1016/j.amj.2018.05.007DOI Listing
September 2018
5 Reads

Prognostic Factors of Cardiopulmonary Arrest Patients by a Physician-Staffed Helicopter.

Air Med J 2018 Sep 12;37(5):312-316. Epub 2018 Jun 12.

Department of Emergency Medicine, Juntendo Shizuoka Hospital, Shizuoka, Japan.

Objective: The aim of this study was to identify the prognostic factors of cardiopulmonary arrest (CPA) patients transported by a physician-staffed helicopter who received cardiopulmonary resuscitation (CPR) using AutoPulse (ZOLL Circulation, Sunnyvale, CA).

Methods: A total of 110 CPA patients who had CPR performed on them in the helicopter using AutoPulse were enrolled in this retrospective study. We used logistic regression analysis to examine the prognostic factors of CPA patients who were transported by a physician-staffed helicopter. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X173032
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http://dx.doi.org/10.1016/j.amj.2018.05.004DOI Listing
September 2018
13 Reads

A Protocol for Helicopter In-Cabin Intubation.

Air Med J 2018 Sep 7;37(5):306-311. Epub 2018 Jun 7.

Swedish Air Ambulance, Mora, Sweden; Department of Clinical Science and Education, Section of Anaesthesology, Karolinska Institutet, Stockholm, Sweden; Department of Anaesthesiology and Intensive Care, Södersjukhuset, Stockholm, Sweden; SAE Medevac Helicopter, Swedish Armed Forces, Stockholm, Sweden.

Objective: The gold standard for prehospital intubation is to avoid intubating in confined spaces. For our helicopter service, this is not always realistic. Operating in a rural region with a subarctic, cold climate, our crews are frequently forced to intubate inside ambulances or in our helicopter. Read More

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http://dx.doi.org/10.1016/j.amj.2018.05.002DOI Listing
September 2018
1 Read

Intubation Success after Introduction of a Quality Assurance Program Using Video Laryngoscopy.

Air Med J 2018 Sep 7;37(5):303-305. Epub 2018 Jun 7.

VCU Health, Department of Emergency Medicine, Richmond, VA.

Objective: The deployment of video laryngoscopy devices that include recording capability presents a new and unique opportunity for medical directors to review prehospital patient encounters. We sought to evaluate the effect of introducing a video laryngoscope and video quality assurance program to an air medical program on measures of intubation success including overall success, first-pass success, success within 2 attempts, and the total number of attempts.

Methods: This was a retrospective review of data collected on intubations by nurses and paramedics of the Virginia State Police Med-Flight 1 air medical program. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X173039
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http://dx.doi.org/10.1016/j.amj.2018.05.001DOI Listing
September 2018
13 Reads

From Living Proof to Large-Scale Study: Why I'm Passionate About Board Certification for Nurses.

Authors:
Janie Schumaker

Air Med J 2018 Sep 10;37(5):299-302. Epub 2018 Aug 10.

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http://dx.doi.org/10.1016/j.amj.2018.07.007DOI Listing
September 2018
1 Read

Forum.

Authors:

Air Med J 2018 Sep 22;37(5):287-288. Epub 2018 Aug 22.

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https://linkinghub.elsevier.com/retrieve/pii/S1067991X183018
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http://dx.doi.org/10.1016/j.amj.2018.07.010DOI Listing
September 2018
3 Reads

Can You Keep a Secret?

Authors:
John R Clark

Air Med J 2018 Sep 7;37(5):282-284. Epub 2018 Aug 7.

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http://dx.doi.org/10.1016/j.amj.2018.07.003DOI Listing
September 2018
1 Read

Sepsis: 2018 Update.

Authors:
David J Dries

Air Med J 2018 Sep 6;37(5):277-281. Epub 2018 Aug 6.

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http://dx.doi.org/10.1016/j.amj.2018.06.002DOI Listing
September 2018
1 Read