Air Medical Journal最新文献_第5页

Italian Search and Rescue Seaplanes From the 50s to the 70s: A Brave People and Mighty Aircraft Story 从50年代到70年代的意大利搜救水上飞机：一个勇敢的人和强大的飞机的故事

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.007

Carlo Bellini MD, PhD

引用次数: 0

Elevating Prehospital Traumatic Brain Injury Care: A Comparative Analysis of Civilian and Military Air Transport Guidelines 提高院前创伤性脑损伤护理：民用和军用航空运输指南的比较分析

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.10.002

Sarthak Parikh DO , Christopher G. Hendrix MD , Jeremy Norman BAS, FP-C, NRP , Andrew K. Kurklinsky MD

{"title":"Elevating Prehospital Traumatic Brain Injury Care: A Comparative Analysis of Civilian and Military Air Transport Guidelines","authors":"Sarthak Parikh DO , Christopher G. Hendrix MD , Jeremy Norman BAS, FP-C, NRP , Andrew K. Kurklinsky MD","doi":"10.1016/j.amj.2024.10.002","DOIUrl":"10.1016/j.amj.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>Traumatic brain injuries (TBIs) are a leading cause of death and disability worldwide. Establishing TBI guidelines is crucial for prehospital management. Civilian medical practices are often influenced by military trauma guidelines. This study provides a comparative analysis of prehospital TBI management by a civilian air medical evacuation service using civilian guidelines and military clinical practice guidelines from the Joint Trauma System of the Department of Defense.</div></div><div><h3>Methods</h3><div>A retrospective review of 100 deidentified patient transport logs from a prominent civilian air medical service was conducted. The logs were compared with the service's patient care guidelines and the 2023 Joint Trauma System Clinical Practice Guidelines. Data were analyzed for adherence to 14 metrics.</div></div><div><h3>Results</h3><div>Patients showed improvement in preflight and postflight Glasgow Coma Scale scores and were managed according to recommendations on head elevation, oxygenation, blood pressure, and temperature by both organizations. Discrepancies between guidelines included differences in the management of ventilator settings, blood pressure, oxygenation, temperature, serum glucose, intracranial hypertension, suspected brain herniation, serum sodium levels, and seizure prophylaxis.</div></div><div><h3>Conclusion</h3><div>Comparing civilian and military guidelines highlights areas for potential improvements in TBI management, such as integrating advanced monitoring and the implementation of (i-STAT, Abbott Laboratories, Chicago, IL) testing in air transport to enhance patient care and outcomes.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 548-552"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758906","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

November/December 2024 Forum 2024年11 / 12月论坛

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.011

引用次数: 0

Maternal Cardiac Arrest for Critical Care Transport Providers: A Review 重症监护转运提供者的产妇心脏骤停：综述

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.08.007

Charles Barrows DO, Michael J. Lauria MD, NRP, FP-C, Fatemeh Abbasi MD, Elizabeth Garchar MD, FACOG

引用次数: 0

Acute Respiratory Distress Syndrome: Updates for Critical Care Transport 急性呼吸窘迫综合征：重症监护运输的最新进展

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.09.005

Matthew A. Roginski MD, MPH , Patricia Ruth A. Atchinson DO , Alyson M. Esteves PharmD, BCPS, BCCCP , Skyler A. Lentz MD , Kalle J. Fjeld MD , Jacob M. Markwood MD , Michael J. Lauria MD , Brittney Bernardoni MD

引用次数: 0

UCAN Make a Difference: Over 40 Years of Flying High Above Chicago UCAN做出改变：在芝加哥上空飞行40多年

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.08.008

Meaghan J. Panfil MSN, RN, CFRN , Caitlin Kilcoyne BSN, RN, CFRN, C-NPT , Julianne Heiple MSN, APN, RN, FNP-C, CFRN , Ira J. Blumen MD, FACEP, FAMPA , Candice Schaper MSN, RN, CFRN, CCRN, CEN, PHRN , Michael P. McCartin MD

{"title":"UCAN Make a Difference: Over 40 Years of Flying High Above Chicago","authors":"Meaghan J. Panfil MSN, RN, CFRN , Caitlin Kilcoyne BSN, RN, CFRN, C-NPT , Julianne Heiple MSN, APN, RN, FNP-C, CFRN , Ira J. Blumen MD, FACEP, FAMPA , Candice Schaper MSN, RN, CFRN, CCRN, CEN, PHRN , Michael P. McCartin MD","doi":"10.1016/j.amj.2024.08.008","DOIUrl":"10.1016/j.amj.2024.08.008","url":null,"abstract":"<div><div>The University of Chicago Aeromedical Network (UCAN) was established in 1983 and has been providing critical care transport via both air and ground in and around the Chicago area for over 40 years. Over that time, the program has transported thousands of critically ill individuals, including complex specialty populations, while also maintaining a safe transport environment for its crew members and patients. UCAN has had a profound impact not only on its patients, but also on the entire transport community by providing continuing education, conducting vital safety research while maintaining the highest safety standards, and driving the industry forward through service and leadership. Since inception, the program has experienced many changes, including the transition from a traditional hospital-based program to an alternate delivery model and the conversion of the crew from a nurse-physician team to a nurse-nurse configuration. These changes have allowed for continuous evolution within UCAN, including the introduction of internal process improvements that focus on quality, safety and education, growth of the communications team and its capabilities, and expansion of UCAN's commitment to outreach and education for its community partners.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 488-492"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758895","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

Sedation Management in the Intubated Pediatric Patient as a Method to Reduce Neuromuscular Blockade Utilization Rate During Transport: A Quality Improvement Project 镇静管理在插管儿童患者作为一种方法，以减少在运输过程中的神经肌肉阻滞使用率：一个质量改进项目

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.07.008

Laura Lyons BSN, RN, CCRN, EMT-B , Jennifer Minehart MSN, RN , Christine Perebzak MSN, RN, CNS , Kerwyn Jones MD , Michael T. Bigham MD, MBA , Jeffrey Naples DO

{"title":"Sedation Management in the Intubated Pediatric Patient as a Method to Reduce Neuromuscular Blockade Utilization Rate During Transport: A Quality Improvement Project","authors":"Laura Lyons BSN, RN, CCRN, EMT-B , Jennifer Minehart MSN, RN , Christine Perebzak MSN, RN, CNS , Kerwyn Jones MD , Michael T. Bigham MD, MBA , Jeffrey Naples DO","doi":"10.1016/j.amj.2024.07.008","DOIUrl":"10.1016/j.amj.2024.07.008","url":null,"abstract":"<div><h3>Objective</h3><div>Models recommending continuous sedation combined with specific tools to assess sedation depth during pediatric transport do not exist. Published studies demonstrate that nurse-driven sedation protocols yield more consistent levels of appropriate sedation.</div></div><div><h3>Methods</h3><div>A retrospective review in 2020 of mechanically ventilated pediatric transport patients at this institution demonstrated that 60.7% received neuromuscular blockade. This higher than anticipated neuromuscular blockade usage indicated an opportunity to improve sedation management. The primary aim of this quality improvement project is to decrease neuromuscular blockade use to < 30% of intubated pediatric patients cared for by our critical care transport team. To achieve this, we aimed to improve patient sedation by increasing the use of continuous sedation medication infusions to > 75% of patients by the first quarter of 2022. The initiative took place with a hospital-based pediatric/neonatal critical care transport team.</div></div><div><h3>Results</h3><div>Continuous sedation infusions increased using protocolized sedation from 10.7% at baseline to a sustained rate of 88% with dexmedetomidine (76.3%) and propofol (13.6%) as primary medications. The percentage of patients receiving neuromuscular blockade decreased in stepwise fashion from the initial 60.7% to 8.3%.</div></div><div><h3>Conclusion</h3><div>This project demonstrated sustained improvement in continuous sedation and decrease in neuromuscular blockade use through the initiation of a continuous sedation protocol in transport.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 493-498"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758896","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

Epidemiology and Expected Cost of International Medical Repatriation Into South Korea: 2019 to 2021 国际医疗遣返韩国的流行病学和预期成本：2019年至2021年

Air Medical Journal Pub Date : 2024-11-01 DOI: 10.1016/j.amj.2024.10.005

Jeong Hyeok Lee PhD , Ki Hong Kim MD , Ki Jeong Hong MD, PhD , Yong Joo Park MD , Kyoung Jun Song MD, PhD , Sang Do Shin MD, PhD

{"title":"Epidemiology and Expected Cost of International Medical Repatriation Into South Korea: 2019 to 2021","authors":"Jeong Hyeok Lee PhD , Ki Hong Kim MD , Ki Jeong Hong MD, PhD , Yong Joo Park MD , Kyoung Jun Song MD, PhD , Sang Do Shin MD, PhD","doi":"10.1016/j.amj.2024.10.005","DOIUrl":"10.1016/j.amj.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>Overseas Koreans face challenges in accessing adequate medical care abroad. Understanding the epidemiology and costs of international medical repatriation is important.</div></div><div><h3>Methods</h3><div>A retrospective analysis of overseas Korean patients who were repatriated to South Korea between 2019 and 2021 was conducted. The data collected from 121 countries included demographics, medical conditions, and costs. Variables from 9 continents (Southeast Asia, Northeast Asia, Southwest Asia–Pacific, Russia–Central Asia, North America, Central and South America, Europe, Middle East‒North Africa, and Sub-Saharan Africa) and the era of coronavirus disease 2019 (February 2020 and after) were analyzed and compared. Based on the available total cost data, stepwise extrapolation was conducted for the total cohort.</div></div><div><h3>Results</h3><div>A total of 428 overseas Korean patients who had undergone international medical repatriation via air transport were included in this study. The greatest number of repatriated patients were from Southeast Asia (108 patients), and 279 patients were transported within the coronavirus disease 2019 era. The average cost per patient exceeded $7,000, and the total cost estimated by extrapolation was over $8 million.</div></div><div><h3>Conclusion</h3><div>International medical repatriation is significant for overseas Koreans. Standardized guidelines and system development are essential for effective air medical services.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 6","pages":"Pages 553-558"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758907","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

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}

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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