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