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    1150 results match your criteria Air Medical Journal [Journal]

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    Transport of a Prone Position Acute Respiratory Distress Syndrome Patient.
    Air Med J 2018 May - Jun;37(3):206-210. Epub 2018 Mar 12.
    Department of Anesthesia, Dalhousie University, Halifax, Nova Scotia, B3H 3A6, Canada; Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, B3H 3A6, Canada; Department of Medical Neurosciences, Dalhousie University, Halifax, Nova Scotia, B3H 3A6, Canada.
    We report the case of a non-physician based critical care transport team (registered nurse and paramedic) that successfully initiated prone positioning of a severe acute respiratory distress patient prior to transport to an extracorporeal membrane oxygenation capable teaching hospital. With the increasing use of advanced treatments such as extracorporeal membrane oxygenation, prone positioning, and continuous renal replacement therapy for severe acute respiratory distress syndrome (ARDS), the necessity to transport these patients to specialized hospitals will correspondingly increase. Emergency Health Services Life Flight, the primary critical care transport program in Eastern Canada, developed a prone position protocol to meet this clinical need. Read More

    Intracerebral Hemorrhage with Herniation in a Second-Trimester Pregnant Female.
    Air Med J 2018 May - Jun;37(3):203-205. Epub 2018 Feb 15.
    Yale New Haven Health System, New Haven, CT. Electronic address:
    A 30-year-old woman, gravida 1, para 2, in her second trimester presented to the local emergency department complaining of an atraumatic headache described as the worst headache of her life. While undergoing evaluation, she became unresponsive with signs of herniation, including a blown pupil and bradycardia. Emergent imaging identified an intracerebral hemorrhage requiring immediate surgical decompression. Read More

    An Evaluation of Education Methods Used to Train United States Air Force Air Medical Evacuation Crewmembers on Aircraft Systems.
    Air Med J 2018 May - Jun;37(3):199-202. Epub 2018 Mar 16.
    Nursing Program, Clarkson College, 101 S.42 Street, Omaha, NE 68131.
    Objective: United States Air Force air medical evacuation crewmembers (AECMs) are responsible for the safe air medical evacuation of casualties in dynamic environments and must be highly proficient in the C-17, C-130H/J, and KC-135R/T aircraft. Current methods to train AECMs on their aircraft proficiency include computer-based simulation training (CBT) or instructor-based training (IBT) on an actual aircraft. This study compares the aircraft proficiency scores between AECMs who were trained via CBT and IBT methods. Read More

    The Effect of Team Configuration on the Incidence of Adverse Events in Pediatric Critical Care Transport.
    Air Med J 2018 May - Jun;37(3):186-198. Epub 2018 Mar 22.
    College of Nursing, University of Nebraska Medical Center, Lincoln, NE; Niedfelt Nursing Research Center, University of Nebraska Medical Center, Lincoln, NE.
    Objective: Specialty pediatric transport teams are widely used for pediatric interfacility transport in the United States, with little industry consensus on optimal team configuration. The aim of this study is to assess the quality of the nurse/paramedic specialty team configuration as indirectly measured by the rate of adverse events in these transports.

    Methods: Retrospective analysis of pediatric transport data from a hospital-based dedicated pediatric/neonatal transport team was conducted for patients transported in 2016. Read More

    Comparing the Efficacy of Methods for Immobilizing the Thoracic-Lumbar Spine.
    Air Med J 2018 May - Jun;37(3):178-185. Epub 2018 Mar 13.
    Department of Emergency Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA.
    Objective: The purpose of this study was to compare the relative efficacy of immobilization systems in limiting thoracic-lumbar movements.

    Methods: A dynamic simulation system was used to reproduce transport-related shocks and vibration, and involuntary movements of the thoracic-lumbar region were measured using 3 immobilization configurations.

    Results: The vacuum mattress and the long spine board were generally more effective than the cot alone in reducing thoracic-lumbar rotation and flexion/extension. Read More

    Management of Multiple Burned Patients with Inhalation Injuries.
    Air Med J 2018 May - Jun;37(3):174-177
    Department of Acute Critical Care Medicine at Shizuoka Hospital, Juntendo University, Izunokui City, Shizuoka, Japan.
    The fire department in Atami received an emergency call at 6:17 am, with notification of 4 or 5 casualties because of a fire. Because there was only 1 ambulance (O) at the station, an additional ambulance (P) was also requested. Ambulance O transported 2 patients (A and B), and ambulance P transported 2 patients (C and D). Read More

    Drones for Provision of Flotation Support in Simulated Drowning.
    Air Med J 2018 May - Jun;37(3):170-173. Epub 2018 Mar 9.
    Department of medicine at the Center for Resuscitation Science, Karolinska Institute, Sweden. Electronic address:
    Objective: The feasibility and potential of using drones for providing flotation devices in cases of drowning have not yet been assessed. We hypothesize that a drone carrying an inflatable life buoy is a faster way to provide flotation compared with traditional methods. The purpose of this study is to explore the feasibility and efficiency of using a drone for delivering and providing flotation support to conscious simulated drowning victims. Read More

    Direct Air Versus Ground Transport Predictors for Rural Pediatric Trauma.
    Air Med J 2018 May - Jun;37(3):165-169. Epub 2018 Mar 15.
    University of Oklahoma School of Community Medicine, Tulsa, OK.
    Objective: Traumatic injury is the leading cause of mortality in children and the most common cause of emergency medical services transport in pediatric populations. We aimed to identify what factors are currently associated with selection for helicopter transport (HEMS) over ground ambulance (GEMS) in a primarily rural state.

    Methods: We performed a retrospective case-control study of trauma patients younger than 18 years old reported to the Oklahoma State Trauma Registry between 2005 and 2014 who received direct transport from the scene of injury to a tertiary trauma center within the state. Read More

    Care of the Injured Patients at Nursing Stations and during Air Medical Transport.
    Air Med J 2018 May - Jun;37(3):161-164. Epub 2018 Feb 21.
    Ornge Air Ambulance, 5310 Explorer Drive, Mississauga, Ontario, L5W 5H8, Canada. Electronic address:
    Introduction: Nursing stations are the only access point into the health care system for some communities and have limited capabilities and resources. We describe characteristics of patients injured in Northern Ontario who present to nursing stations and require transport by air ambulance. Secondary objectives are to compare interventions performed at nursing stations with those performed by flight paramedics and to identify systemic gaps in trauma care. Read More

    Exploration of a Preflight Acuity Scale for Fixed Wing Air Ambulance Transport.
    Air Med J 2018 Mar - Apr;37(2):99-103. Epub 2018 Jan 17.
    Global Jetcare, Brooksville, FL.
    Introduction: Despite the prevalence of fixed wing medical flights for specialized care and repatriation, few acuity rating scales exist aimed at the prediction of adverse in-flight medical events. An acuity scoring system can provide information to flight crews, allowing for staffing enhancements, protocol modifications, and flight planning, with the aim of improving patient care, outcomes, and preventing losses to providers because of costly diversions.

    Methods: Our medical crew developed an acuity scale, which was applied retrospectively to 296 patients transported between January 2016 and March 2017. Read More

    Air Medical Simulation Training: A Retrospective Review of Cost and Effectiveness.
    Air Med J 2018 Mar - Apr;37(2):131-137. Epub 2018 Jan 12.
    HealthNet Aeromedical Services, Charleston, WV.
    Objective: Simulation training is an integral part of the training of medical personnel. However, there are limited data on the use of simulation in the training of helicopter emergency medical services (HEMS).

    Methods: In this study, we retrospectively compared the number of orientation flights needed to be released to a full crewmember and the cost of training in an air medical flight academy before and after implementation of a high-fidelity air medical simulator. Read More

    Should Helicopters Transport Patients Who Become Sick After a Chemical, Biological, Radiological, Nuclear, and Explosive Attack?
    Air Med J 2018 Mar - Apr;37(2):124-125. Epub 2017 Dec 25.
    The local fire department executed a training simulation for chemical and explosive incidents at a large sports facility. In this training simulation, a physician-staffed helicopter arrived at the request of the fire department and landed just outside the cold zone in the parking area. The doctor and nurse of the helicopter were escorted to a red area in the cold zone, which was selected based on the results of postdecontamination triage. Read More

    Safe Interfacility Transport of Pediatric Patients: Medical Control Training, an Interdisciplinary Approach.
    Air Med J 2018 Mar - Apr;37(2):120-123
    Section of Pediatric Emergency Medicine, Nationwide Children's Hospital and The Ohio State University, Columbus, OH.
    Introduction: Critically ill children who require transfer to tertiary care centers often require transport by specialized transport teams (TT). These interfacility transports require a medical control physician (MCP). Traditionally this role is assigned to fellows who are taught "on-the-job", but achieving competency in communication for those trained this way may not be optimal. Read More

    In-Flight Pharmacological Management of Patients with Acute Mental Health Disturbance.
    Air Med J 2018 Mar - Apr;37(2):115-119. Epub 2018 Feb 21.
    Royal Flying Doctor Service (Western Operations), Jandakot, WA, Australia. Electronic address:
    Objective: Patients can be transferred many hundreds of kilometers with acute mental health disturbance for specialist mental health services in Western Australia.

    Methods: A retrospective notes review of Royal Flying Doctor Service Western Operations records was undertaken over a 4-month period. Patients were identified from the transfer database by mental health diagnosis. Read More

    Canceled to Be Called Back: A Retrospective Cohort Study of Canceled Helicopter Emergency Medical Service Scene Calls That Are Later Transferred to a Trauma Center.
    Air Med J 2018 Mar - Apr;37(2):108-114. Epub 2018 Jan 12.
    Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
    Introduction: In our trauma system, helicopter emergency medical services (HEMS) can be requested to attend a scene call for an injured patient before arrival by land paramedics. Land paramedics can cancel this response if they deem it unnecessary. The purpose of this study is to describe the frequency of canceled HEMS scene calls that were subsequently transferred to 2 trauma centers and to assess for any impact on morbidity and mortality. Read More

    Systolic Blood Pressure Threshold for HEMS-Witnessed Arrests.
    Air Med J 2018 Mar - Apr;37(2):104-107. Epub 2018 Jan 12.
    Department of Emergency Medicine, Arrowhead Regional Medical Center, Colton, CA; Air Methods Corporation, Englewood, CA; California University of Science and Medicine, San Bernardino, CA. Electronic address:
    Objective: Defining vital sign thresholds has focused on mortality, which may be delayed for hours, days, or weeks after injury. This limits the immediate clinical significance in guiding therapy to avoid arrest. The aim of this study was to identify a systolic blood pressure (SBP) threshold indicating imminent cardiopulmonary arrest. Read More

    Air Transport of a Patient With Impending Cerebral Herniation From Tension Pneumocephalus.
    Air Med J 2018 Jan - Feb;37(1):71-73. Epub 2017 Nov 7.
    Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT. Electronic address:
    Tension pneumocephalus is a rare but dangerous complication of craniotomy, sinus surgery, and traumatic cranial injury. Compared with simple pneumocephalus, which often resolves spontaneously over the course of a few days, tension pneumocephalus tends to increase with ongoing cerebrospinal fluid leak and requires immediate neurosurgical treatment to prevent cerebral herniation. Air transport of patients with tension pneumocephalus for neurosurgical care entails a risk of neurologic worsening because of changes in ambient air pressure with altitude and cabin pressurization. Read More

    Long-Distance, Nonstop Neonatal Transport From Shanghai, China, to Genoa, Italy.
    Air Med J 2018 Jan - Feb;37(1):67-70. Epub 2017 Nov 6.
    Neonatal Intensive Care UnitNeonatal Emergency Transport ServiceIRCCS Istituto Giannina GasliniGenoaItaly.
    The purpose of this article is to describe the long-distance, nonstop intercontinental transport of a severely ill, mechanically ventilated newborn from Shanghai, China, to Genoa, Italy focusing in particular on the clinical and planning difficulties. The aircraft equipment, the assessment and preparation for transport are discussed. Read More

    Pediatric Extracorporeal Cardiopulmonary Resuscitation Patient With Traumatic Subarachnoid Hemorrhage and Takotsubo Syndrome.
    Air Med J 2018 Jan - Feb;37(1):64-66. Epub 2017 Oct 20.
    Division of Critical Care Medicine, Department of Pediatrics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.
    Takotsubo syndrome is rare in pediatric patients but must be considered in patients with subarachnoid hemorrhage with pulmonary edema and cardiomyopathy. A systematic, collaborative approach is needed to facilitate emergent transfer of patients where extracorporeal cardiopulmonary resuscitation (e-CPR) is used as a lifesaving measure. Extracorporeal membrane oxygenation (ECMO) use in transport requires preplanning, role delineation, resources, and research efforts to be successful. Read More

    Cricothyrotomy in Helicopter Emergency Medical Service Transport.
    Air Med J 2018 Jan - Feb;37(1):51-53. Epub 2017 Dec 6.
    Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN.
    Objective: Airway management is a requisite skill set for helicopter emergency medical service (HEMS) providers. Cricothyrotomy is a potentially lifesaving skill that is used when other airway maneuvers fail. The authors reviewed all transports by a helicopter program in which cricothyrotomy was performed to assess the frequency, success, and technique. Read More

    Compliance With a National Standard by Norwegian Helicopter Emergency Physicians.
    Air Med J 2018 Jan - Feb;37(1):46-50. Epub 2017 Nov 29.
    Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Objective: The "National Standard Requirements for Helicopter Emergency Medicine Services Physicians" gives recommendations on medical requirements for flight physicians. This study describes the level of formal competence, experience, and guideline compliance of Norwegian helicopter emergency medical service (HEMS) physicians.

    Methods: In May 2013, all HEMS physicians with full-time engagement at Norwegian HEMS bases were invited to participate in a cross-sectional survey using a structured, Web-based questionnaire. Read More

    Development and Testing of a Neonatal Intubation Checklist for an Air Medical Transport Team.
    Air Med J 2018 Jan - Feb;37(1):41-45. Epub 2017 Nov 7.
    Airlift Northwest, Department of Pediatrics, Division of Neonatology, Seattle, WA.
    Objective: We developed a Neonatal Intubation Checklist for Airlift Northwest. Our goal was to improve the preparation, technical proficiency, and safety of neonatal intubation without increasing the time required to perform the procedure.

    Methods: The Neonatal Intubation Checklist, a "call and response" checklist for neonatal intubation, was developed. Read More

    An Analysis of Intoxicated Patients Transported by a Doctor Helicopter.
    Air Med J 2018 Jan - Feb;37(1):37-40. Epub 2017 Nov 6.
    Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Shizouka, Japan. Electronic address:
    Objective: We retrospectively investigated all of the intoxicated patients who were transported by a doctor helicopter (DH) in eastern Shizuoka between April 2004 and December 2015 to determine when air medical transport was used in cases of toxic exposure.

    Methods: Subjects were divided into 2 groups: an outpatient group of subjects who went home after receiving a medical evaluation and treatment and an admission group.

    Results: The outpatient and admission groups included 17 and 31 subjects, respectively. Read More

    Does Medical Staffing Influence Perceived Safety? An International Survey on Medical Crew Models in Helicopter Emergency Medical Services.
    Air Med J 2018 Jan - Feb;37(1):29-36. Epub 2017 Nov 1.
    Department of Health Studies, University of Stavanger, Stavanger, Norway; Department of Research and Development, The Norwegian Air Ambulance Foundation, Drøbak, Norway; Air Ambulance Department, Oslo University Hospital, Oslo, Norway.
    Objective: The competence, composition, and number of crewmembers have generally been considered to influence the degree of patient care and safety in helicopter emergency medical services (HEMS), but evidence to support the advantages of one crew concept over another is ambiguous; additionally, the benefit of physicians as crewmembers is still highly debated.

    Methods: To compare perceived safety in different medical crew models, we surveyed international HEMS medical directors regarding the types of crew compositions their system currently used and their supportive rationales and to evaluate patient and flight safety within their services.

    Results: Perceived patient and flight safety is higher when HEMS is staffed with a dual medical crew in the cabin. Read More

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