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Air Medical Journal

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https://read.qxmd.com/read/30711090/ards-from-syndrome-to-disease-prevention-and-genomics
#1
REVIEW
David J Dries
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711089/camts
#2
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711088/case-of-a-hypertensive-crisis-in-diffuse-axonal-injury
#3
Matthew Carvey
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...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711087/uncuffed-endotracheal-tubes-not-appropriate-for-pediatric-critical-care-transport
#4
Thomas E Pearson, Meg A Frizzola, Henry H Khine
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...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711086/improving-air-medical-transport-education-for-emergency-providers
#5
LETTER
Colton Junod, Catherine Hagerman Pangan
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711085/force-of-habit-developing-situation-awareness-in-critical-care-transport
#6
Michael J Lauria, Mina K Ghobrial, Christopher M Hicks
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. This article explores specific techniques to promote and maintain SA in dynamic clinical environments using principles derived from cognitive psychology, neuroscience, and human behavioral and organizational research...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711084/impact-of-paralytic-agent-on-postintubation-sedation
#7
Kelsey Billups, Ashley Larrimore, Junan Li, Howard Werman, Mary Beth Shirk
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...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711083/air-medical-transportation-of-injured-operational-canines
#8
Chelsea S Hogan, Chadd E Nesbit
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...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711082/investigation-of-stethoscope-technology-for-en-route-care
#9
Melissa A Wilson, Brittany L Fouts, Charles J Harding
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. Device 1 was a dual-mode stethoscope developed for rotary wing military airframes. Device 2 was an electronic stethoscope developed for high noise civilian environments...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711081/causes-and-management-of-sleepiness-among-pilots-in-a-norwegian-and-an-austrian-air-ambulance-service-a-comparative-study
#10
Erik Zakariassen, Siri Waage, Anette Harris, Pia Gatterbauer-Trischler, Bernd Lang, Wolfgang Voelckel, Ståle Pallesen, Bjørn Bjorvatn
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...
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711080/2018-community-awards
#11
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711079/27-th-critical-care-transport-medicine-conference
#12
Monica Newman, Pat Petersen, Nikole Good
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711078/still-soaring-health-first-s-first-flight-turns-30
#13
Sara Paulson
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711077/forum
#14
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711076/articles-that-may-change-your-practice-prehospital-plasma
#15
REVIEW
Russell D MacDonald
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30711075/the-fireman-s-rule
#16
John R Clark
No abstract text is available yet for this article.
January 2019: Air Medical Journal
https://read.qxmd.com/read/30424861/concern-network
#17
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Air Medical Journal
https://read.qxmd.com/read/30424860/prehospital-blood-product-transfusion-in-mountain-rescue-operations
#18
Jürgen Knapp, Urs Pietsch, Oliver Kreuzer, Björn Hossfeld, Michael Bernhard, Heiko Lier
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...
November 2018: Air Medical Journal
https://read.qxmd.com/read/30424859/multiple-patients-with-heatstroke-air-evacuated-by-agreement-concerning-collaboration
#19
Kei Jitsuiki, Kazuhiko Omori, Ikuto Takeuchi, Akihiko Kondo, Hiromichi Ohsaka, Kouhei Ishikawa, Yoshihide Nakagawa, Sadaki Inokuchi, Youichi Yanagawa
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. At that time, the DH of eastern Shizuoka was transporting an injured patient to Kanagawa Prefecture, so the flight dispatcher of the DH of eastern Shizuoka decided to request support DHs from Kanagawa Prefectures based on an agreement concerning collaboration using the DH...
November 2018: Air Medical Journal
https://read.qxmd.com/read/30424858/a-15-year-old-male-with-wide-complex-tachyarrhythmia
#20
Philip S Nawrocki, Matthew Poremba
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. The patient was transported by rotor wing aircraft to a pediatric cardiac intensive care unit where he was ultimately diagnosed with Lyme disease. He was treated with a course of intravenous antibiotics, his heart block resolved, and he was discharged home with a good neurologic outcome...
November 2018: Air Medical Journal
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