Air Medical Journal最新文献

Recent Outcomes Research in Helicopter Emergency Medical Services: A Scoping Review of Publication Year 2023 Additions to the Helicopter Outcomes Assessment Research Database 直升机紧急医疗服务最新成果研究：直升机成果评估研究数据库 2023 年新增出版内容的范围审查

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.05.002

{"title":"Recent Outcomes Research in Helicopter Emergency Medical Services: A Scoping Review of Publication Year 2023 Additions to the Helicopter Outcomes Assessment Research Database","authors":"","doi":"10.1016/j.amj.2024.05.002","DOIUrl":"10.1016/j.amj.2024.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this scoping review was to identify and characterize helicopter emergency medical services (HEMS) outcomes literature from 2023, with the goal of describing updates to the Critical Care Transport Collaborative Outcomes Research Effort HEMS Outcomes Assessment Research Database (HOARD).</p></div><div><h3>Methods</h3><p>Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, a multireviewer approach was used to source and review articles published or in preprint databases from 2023. The articles included assessed a patient-centered outcome for HEMS versus a non-HEMS control group. Article characteristics included the journal impact factor (JIF), diagnostic group (trauma or nontrauma), and geographic origin. Categoric analyses comparing 2023 studies with HOARD studies from the previous decade (2013-2022) were executed with the Fisher exact test; nonnormal JIF data were described using median and interquartile range and analyzed (vs 2013-2022) with rank sum testing.</p></div><div><h3>Results</h3><p>Of the initial records (N = 4,486), 4,410 were screened out, leaving 76 for full-text review. Of these, 58 were discarded, and 18 were classified as eligible for addition to HOARD. Most studies (14/18, 78%) focused on trauma, and an equally high proportion (14/18, 78%) came from North America. The median JIF was 2.4 (interquartile range, 1.2-3.6). Compared with HOARD studies from the previous decade, 2023 studies were similar with respect to diagnostic focus (<em>P</em> = .779), geographic origin (<em>P</em> = .171), and JIF (<em>P</em> = .531).</p></div><div><h3>Conclusion</h3><p>This scoping review provides information on 18 HEMS outcomes studies new to the evidence base in 2023.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 5","pages":"Pages 395-400"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401320","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

Airway and Ventilator Management in a New Presentation of Idiopathic Subglottic Stenosis: A Case Report 特发性声门下狭窄新病例的气道和呼吸机管理：病例报告

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.06.002

Rebecca K. Bell MD , Skyler A. Lentz MD , Jeremy C. Patten NRP , Patricia Ruth A. Atchinson DO , Matthew A. Roginski MD, MPH

引用次数: 0

Outcomes After Interhospital Critical Care Transfer 院际重症监护转运后的结果

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.05.005

Meghan E. Edmondson PhD, RN, CCRN , Andrew P. Reimer PhD, RN, CFRN

{"title":"Outcomes After Interhospital Critical Care Transfer","authors":"Meghan E. Edmondson PhD, RN, CCRN , Andrew P. Reimer PhD, RN, CFRN","doi":"10.1016/j.amj.2024.05.005","DOIUrl":"10.1016/j.amj.2024.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>Patients who undergo interhospital transfer, particularly for intensive care unit (ICU) care, experience greater length of stay and mortality. There is evidence that patients transferred for surgical ICU care experience higher mortality rates; however, differences in length of stay or mortality across other ICU types remain unclear. The goals of this work were to assess how length of stay and mortality differ by ICU subspecialties.</p></div><div><h3>Methods</h3><p>We conducted a retrospective analysis of an existing critical care transfer data repository. We used multiple and logistic regression to identify significant factors that contribute to differences in length of stay and mortality for surgical ICU patients.</p></div><div><h3>Results</h3><p>There were no differences in length of stay or mortality based on ICU subspecialty. For every 1-year increase in age, mortality odds increased by 8.6% (<em>P</em> = .002). Patients transferred from an ICU had a longer length of stay by 6.3 days (<em>P</em> < .001). Non-Caucasian patients had a shorter length of stay by 3.4 days (<em>P</em> = .012).</p></div><div><h3>Conclusion</h3><p>Length of stay and mortality are not influenced by ICU subspecialty. Further research is needed to determine the mechanism by which sending unit type and race influence length of stay and identify other factors that predict mortality for SICU patients.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 5","pages":"Pages 406-411"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1067991X24000907/pdfft?md5=4cf8da2cde50d4795db9cf9dc21269f3&pid=1-s2.0-S1067991X24000907-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239840","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 Elements of Medical Protocols 医疗协议的关键要素

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.06.008

Eileen Frazer RN, CMTE, Jan Eichel MBA, RN, CFRN, FAASTN, Tobin Miller DNP, MSN/Ed., RN, CEN, CCRN, CFRN

引用次数: 0

Air Transport Medicine: From the Field 航空运输医学：来自现场

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.07.003

James Arthur MBBS, Jonathan Berger MBChB, ES, Jack Lewis MBBS, Andrew Patton MBBCh, BAO, Jacob Tant MEmergHlth, Brian Burns MBBCh, BAO, MSc, James Price MBBS, Ed B.G. Barnard PhD

引用次数: 0

Patients With Near Arrest Induced by Foreign Body Airway Obstructions Treated by a Physician-Staffed Helicopter 异物气道阻塞导致濒临窒息的患者由配备医生的直升机进行治疗

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.07.002

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

{"title":"Patients With Near Arrest Induced by Foreign Body Airway Obstructions Treated by a Physician-Staffed Helicopter","authors":"Youichi Yanagawa MD, PhD, Hiroaki Taniguchi MD, Kenji Kawai MD, Hiroki Nagasawa MD, PhD","doi":"10.1016/j.amj.2024.07.002","DOIUrl":"10.1016/j.amj.2024.07.002","url":null,"abstract":"<div><p><span>Acute airway obstruction<span><span>, whether partial or complete, requires immediate intervention to prevent fatal outcomes. An 81-year-old man with a history of pneumonia experienced respiratory distress after attempting to swallow a large piece of meat. Despite attempts by his daughter, back blows and abdominal thrusts failed to dislodge the obstruction, and he collapsed, prompting an emergency call. Upon the arrival of the </span>emergency medical team, the patient was conscious with good </span></span>oxygen saturation<span> but deteriorated during transport, becoming unresponsive and unable to cough. Upon assessment by the doctor helicopter team, the patient's condition was critical with low oxygen saturation and unstable vital signs. Using a laryngoscope, the team identified a large meat fragment near the vocal cords<span><span> and successfully removed it, relieving the obstruction. The patient's respiratory distress improved, and he was transported to the hospital without the need for intubation. Further examination at the hospital revealed </span>sinus tachycardia<span> and lung abnormalities on a computed tomography scan but no significant abnormalities in blood tests. The patient was admitted for observation and received antibiotics for prophylaxis. He recovered well, with no further need for oxygen by the second day and was discharged on the fourth day, highlighting the importance of prompt intervention in airway emergencies.</span></span></span></p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 5","pages":"Pages 454-456"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691058","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

Flying Doctor Services in Sarawak: A Medical Frontline Experience 沙捞越的飞行医生服务：医疗前线经验

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.05.001

Lim Siong Hee MD , Sam Froze Giee MD , Winnie Johnny MD , Lai Hui Yee MD

引用次数: 0

Pericardiocentesis During Transport for Cardiac Tamponade Complicating Acute Type A Aortic Dissection 急性 A 型主动脉夹层并发心脏填塞转运过程中的心包穿刺术

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.04.001

引用次数: 0

September/October 2024 Forum 2024 年 9 月/10 月论坛

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.07.007

引用次数: 0

Comparison of Interfacility Transfer of Critically Ill Pediatric Patients by Helicopter Versus Ground Ambulance in a Remote and Rural Domain 在偏远农村地区使用直升机与地面救护车转运重症儿科病人的比较

Air Medical Journal Pub Date : 2024-09-01 DOI: 10.1016/j.amj.2024.06.005

Sivanath Peeracheir MD , Kanjanee Wachirarangsiman MD , Terence Martin MBBS, DAvMed, DRTM, FCRS, FRCA

{"title":"Comparison of Interfacility Transfer of Critically Ill Pediatric Patients by Helicopter Versus Ground Ambulance in a Remote and Rural Domain","authors":"Sivanath Peeracheir MD , Kanjanee Wachirarangsiman MD , Terence Martin MBBS, DAvMed, DRTM, FCRS, FRCA","doi":"10.1016/j.amj.2024.06.005","DOIUrl":"10.1016/j.amj.2024.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>Since 2018, Thailand's helicopter emergency medical service (HEMS) has been used to transport critically ill pediatric patients from Tak Province's community hospitals to the tertiary care hospital. This article describes a pilot study to look at the feasibility of comparing mortality rates and complications during transport.</p></div><div><h3>Methods</h3><p>This retrospective pilot study used data from the medical records of the referring and receiving hospitals. Participants were critically ill patients under 18 years of age who were transferred between facilities using HEMS or ground emergency medical services (GEMS) between January 2018 and December 2022. HEMS transported 9 patients, whereas GEMS transported 52.</p></div><div><h3>Results</h3><p>The predominant age group was newborns. Respiratory-related conditions were the most common diagnoses. The majority of patients underwent intubation and displayed abnormal respiratory rates and levels of consciousness before flight. Approximately one third were hypotensive or required vasoactive drugs. Cardiac arrest requiring cardiopulmonary resuscitation was the most common significant complication during transport in the HEMS group (22.2%). Meanwhile, changing hospital destination because of an unstable patient condition was the most common complication during transport in the GEMS group (3.9%). Hypotension was the most common complication upon arrival at the receiving hospital in both groups (25% versus 8%). HEMS demonstrated shorter transport times.</p></div><div><h3>Conclusion</h3><p>HEMS reduced transport times compared with GEMS. However, there was a higher incidence of cardiac arrest requiring cardiopulmonary resuscitation during transfer and hypotension upon arrival.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 5","pages":"Pages 433-439"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1067991X2400124X/pdfft?md5=26f156e382ede92f1e2a5ad3b9067e1a&pid=1-s2.0-S1067991X2400124X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689601","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