Air Medical Journal最新文献

33rd Critical Care Transport Medicine Conference

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2025.01.008

Nikole R. Good CCTMC and ASTNA

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Patients With Suffocation Treated by a Physician-Staffed Helicopter in Japan From 2015 to 2020

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2024.12.006

Hiroaki Taniguchi MD, Hiroki Nagasawa MD, PhD, Youichi Yanagawa MD, PhD

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The Coverup Is Worse Than the Crime: Navigating Provider Documentation in Post-transfer Scenarios

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2025.01.001

John R. Clark JD, MBA, NRP, FP-C, CCP-C, WP-C, CMTE

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General Information

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/S1067-991X(25)00050-1

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Air Transport Medicine: From the Field

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2024.12.005

Luca Carenzo MD, Ewoud ter Avest PhD, Harriet Tucker BMBCh, John Glasheen MD, Michael Hughes MBBS, Zane Perkins MBBCh, David Lockey MD, James Price MBBS, Ed B.G. Barnard PhD

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Testing Quality Indicators for Physician-Staffed Fixed-Wing Air Medical Services in Iceland

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2024.12.002

María Kristbjörg Árnadóttir MD , Björn Gunnarsson MD, PhD , Helge Haugland MD, PhD

{"title":"Testing Quality Indicators for Physician-Staffed Fixed-Wing Air Medical Services in Iceland","authors":"María Kristbjörg Árnadóttir MD , Björn Gunnarsson MD, PhD , Helge Haugland MD, PhD","doi":"10.1016/j.amj.2024.12.002","DOIUrl":"10.1016/j.amj.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>Medical evacuation with fixed-wing air ambulances and rescue helicopters plays an important role in Iceland's emergency medical services. The objective of this study was to measure the quality of physician-staffed fixed-wing air ambulance services in Iceland using the 15 response-specific quality indicators (QIs) developed by the EQUIPE consensus group in Scandinavia.</div></div><div><h3>Methods</h3><div>Physicians working in the Icelandic fixed-wing air ambulance service were asked to register response-specific QIs in an online questionnaire after every physician-staffed patient transport undertaken by the service from March 1 to December 31, 2023.</div></div><div><h3>Results</h3><div>The fixed-wing air ambulance service in Iceland did not reach the benchmarks proposed by EQUIPE in 11 of 15 QIs tested. Furthermore, 7 QIs fell in the low performance zone and 4 in the average performance zone.</div></div><div><h3>Conclusion</h3><div>Sparse population density, long transports, and the lack of a single prehospital organizational structure are challenging for Icelandic physician-staffed emergency medical services. This is, to our knowledge, the first time that the quality of the service has been assessed from other perspectives than time and mortality alone. As a result, several areas in need of improvement have been identified in our study.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"44 2","pages":"Pages 150-154"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical Care Transport of Patients With Spontaneous Coronary Artery Dissection: A Case Series

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2024.11.014

Widmac Laterion BS, NRP, FP-C, C-NPT , Michael Frakes APRN, EMT-P , Jason Cohen DO , Vahe Ender EMT-P , Susan R. Wilcox MD

{"title":"Critical Care Transport of Patients With Spontaneous Coronary Artery Dissection: A Case Series","authors":"Widmac Laterion BS, NRP, FP-C, C-NPT , Michael Frakes APRN, EMT-P , Jason Cohen DO , Vahe Ender EMT-P , Susan R. Wilcox MD","doi":"10.1016/j.amj.2024.11.014","DOIUrl":"10.1016/j.amj.2024.11.014","url":null,"abstract":"<div><h3>Objective</h3><div>Spontaneous coronary artery dissection (SCAD) refers to a naturally occurring tear or separation within the layers of the coronary artery walls. As a result, a blood-filled cavity forms within the coronary artery, obstructing blood flow to the myocardium. SCAD is an uncommon condition that predominantly affects young and healthy individuals, particularly women.</div></div><div><h3>Methods</h3><div>We performed a retrospective review of patients with a known or final diagnosis of SCAD transported for the years the electronic medical record was available (April 2017-November 2023). Given the descriptive and educational nature of this case series for quality improvement, with a small number of transports of interest, comparative statistics were not performed.</div></div><div><h3>Results</h3><div>We identified 30 patients with a coronary artery dissection undergoing 31 transports. Of these dissections, 2 were iatrogenic and 3 were associated with a concomitant aortic dissection, leaving 26 transports of 25 patients with SCAD. Of these patients, 20 were female (77%), and the median age was 51 (interquartile range 40.3-55.8) years. This skewed younger and more female than all adult transports, at 39.6% female with a median age of 62 (interquartile range 47-73) years. Seven (27%) of the transports involved a patient who was peripartum. In addition, 8 patients (31%) required mechanical circulatory support and 2 were on vasopressors.</div></div><div><h3>Conclusion</h3><div>In a critical care transport registry, patients with SCAD were younger and more likely to be female than the general adult transport population. More than a quarter were peripartum, and 31% required mechanical circulatory support. Although rare, this is a high-acuity condition that affects a population traditionally considered to be less vulnerable to classic atherosclerotic coronary disease.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"44 2","pages":"Pages 143-145"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Articles that May Change Your Practice: Double-Sequential External Defibrillation in Out-of-Hospital Cardiac Arrest

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2025.01.003

Michael J. DeFilippo DO , Christianne L. Jafari DO , James L. Li MD, MEd, FAEMS , Aaron J. Lacy MD, MHPE, FACEP

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A Comprehensive Quality Improvement Program to Improve Intubation Performance in Critical Care Transport

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2025.01.002

Andrew P. Reimer PhD, RN, CFRN, FAAN , Joshua Driscoll BSN, RN, CCRN , Lisa Lorenz MSN, ACNP, CCRN , Abigail Brown DNP, MBA, APRN, ACNP-C, CCRN, EMT-P , Travis Gullett MD, MATS, FACEP , Fredric M. Hustey MD

{"title":"A Comprehensive Quality Improvement Program to Improve Intubation Performance in Critical Care Transport","authors":"Andrew P. Reimer PhD, RN, CFRN, FAAN , Joshua Driscoll BSN, RN, CCRN , Lisa Lorenz MSN, ACNP, CCRN , Abigail Brown DNP, MBA, APRN, ACNP-C, CCRN, EMT-P , Travis Gullett MD, MATS, FACEP , Fredric M. Hustey MD","doi":"10.1016/j.amj.2025.01.002","DOIUrl":"10.1016/j.amj.2025.01.002","url":null,"abstract":"<div><h3>Objective</h3><div>Advanced airway management is a primary skill critical care transport teams provide. There are several measures of performance for airway management that can be tracked and improved through quality improvement initiatives. The purpose of this project was to improve first-pass intubation success rates and the associated Definitive Airway Sans Hypoxia/Hypotension on First Attempt (DASH-1A) metric—definitive airway without hypoxia or hypotension.</div></div><div><h3>Methods</h3><div>A multiyear quality improvement initiative was undertaken. Best practices from the literature were identified and implemented through the Institute for Healthcare Improvement Model for Improvement using a plan-do-study-act cycle approach. Improvement cycles included airway training in a cadaver laboratory, implementation of an airway checklist, use of high-fidelity airway mannequins with simulation, and difficult airway mannequins that could be used for on-shift training. We prioritized tracking of first-pass intubation success rates with focused communication to the team.</div></div><div><h3>Results</h3><div>There was incremental improvement in first-pass success rates evidenced by the stepwise increase in annual moving averages starting at 59% and progressing to the current annual average at approximately 95%. Similarly, DASH-1A results exhibit similar incremental improvement in the moving annual average year on year, starting at 59% and improving to the current 92% annual average.</div></div><div><h3>Conclusion</h3><div>Our results demonstrate that a dedicated quality improvement project focused on improving airway management, specifically first-pass success and DASH-1A, improved our transport team's performance over time.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"44 2","pages":"Pages 155-160"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who Wants to Fly? A Descriptive Analysis of Clinician Interest in a Career in Prehospital and Retrieval Medicine

Air Medical Journal Pub Date : 2025-03-01 DOI: 10.1016/j.amj.2024.12.001

Bradley R. Richardson FACEM, MBBS, BPHTY (Hons) , Michael F. Devlin FACEM, MBBS, BE (Hons) , Anne Zielke XX

{"title":"Who Wants to Fly? A Descriptive Analysis of Clinician Interest in a Career in Prehospital and Retrieval Medicine","authors":"Bradley R. Richardson FACEM, MBBS, BPHTY (Hons) , Michael F. Devlin FACEM, MBBS, BE (Hons) , Anne Zielke XX","doi":"10.1016/j.amj.2024.12.001","DOIUrl":"10.1016/j.amj.2024.12.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to describe the epidemiology of critical care clinicians seeking careers in prehospital and retrieval medicine (PHRM) in Queensland.</div></div><div><h3>Methods</h3><div>This is a retrospective cohort exploratory analysis of data from Queensland Health's 2023 Resident Medical Officer (RMO) Campaign, with subgroup analysis to demonstrate the demographics and interest from the Australasian College for Emergency Medicine (ACEM), College of Intensive Care Medicine, Australian and New Zealand College of Anaesthetists (ANZCA), and Australian College of Rural and Remote Medicine (ACRRM).</div></div><div><h3>Results</h3><div>Of the applicants to Queensland's RMO Campaign, 32% had potential interest in a career in PHRM, with no statistical difference between the demographics of these groups. The median age of the applicants was 31 years, with ACRRM trainees having the youngest interested cohort. Furthermore, 68% trainees from core PHRM colleges were interested in PHRM, with ANZCA trainees having the lowest interest (52%) and ACEM having the highest (77%).</div></div><div><h3>Conclusion</h3><div>There was significant interest in a career in PHRM, with ACEM trainees having the highest interest. There are significant differences in age, sex, and postgraduate study year in critical care colleges. As the PHRM field continues to evolve, understanding these demographic trends and training preferences is pivotal for fostering the growth of this subspecialty.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"44 2","pages":"Pages 146-149"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0