Air Medical Journal最新文献

{"title":"Fifteen Years of Purpose: The Safety Management Training Academy’s Enduring Legacy and Future Vision","authors":"Donna York DNP, RN, FAASTN, CMTE, CAFO, CACO","doi":"10.1016/j.amj.2025.10.005","DOIUrl":"10.1016/j.amj.2025.10.005","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 2","pages":"Pages 103-104"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272263","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}

{"title":"Don’t Pay the Ferryman: International Aeromedical Transport of Patients to or From Treatments Prohibited in Their Place of Residence","authors":"Alex Veldman MD,&nbsp;Nico Lange JD,&nbsp;Andrea Ressler,&nbsp;Lynn Gordon MD,&nbsp;Yann Rouaud MD,&nbsp;Bettina Vadera MD,&nbsp;Cai Glushak MD,&nbsp;Pascaline Wolfermann","doi":"10.1016/j.amj.2025.10.014","DOIUrl":"10.1016/j.amj.2025.10.014","url":null,"abstract":"<div><div>Patients seek planned health care outside of their home country for several reasons, one being that the treatment of choice might not be legally available in their respective place of residence (eg, abortion of pregnancy, assisted dying/suicide, gender transition). The practice of traveling abroad with the intention of participating in a health-related activity that is prohibited in one’s own country but not in the destination country has been coined as circumvention.</div><div>In the context of international medical transportation, someone who assists a person in accessing a procedure that is illegal in the person’s home country, state, or jurisdiction may face significant legal consequences for facilitating a criminal act under domestic law, even if that act is not committed in the country in which it is illegal. Commercial entities engaging in international medical transportation are well advised to protect their employees and organizations from these substantial legal risks by thoroughly investigating the legal and ethical background of cross-border transports to or from treatments that are not legally available in the country of patient origin or destination. Patients who cannot travel independently may be exposed to a disadvantaged and potentially harmful situation.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 2","pages":"Pages 96-100"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272284","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}

{"title":"January-February 2026 Forum","authors":"","doi":"10.1016/j.amj.2025.11.005","DOIUrl":"10.1016/j.amj.2025.11.005","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 15-16"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947767","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}

{"title":"Boosting Confidence Through Interagency Air Medical Simulation: A Quality Assurance Exercise of a Critical Care Helicopter Landing at a Tertiary Trauma Hospital","authors":"John Iliff FACEM ,&nbsp;Breeanna Spring MMedHlthScRes ,&nbsp;San Kumaradevan MCom ,&nbsp;David Cosford FACEM ,&nbsp;Jenny Vance FACEM ,&nbsp;Alice Richardson BA(Hons), MStats, PhD ,&nbsp;Fergus Gardiner OAM, PhD","doi":"10.1016/j.amj.2025.09.003","DOIUrl":"10.1016/j.amj.2025.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>Emergency preparedness training in health care improves patient outcomes. For critically unwell patients outside the hospital setting, air medical helicopter hospital landings expedite emergency health care access. However, little is known of interagency staff experiences during this multifaceted health care provision. We captured staff experiences during the first interagency air medical helicopter landing simulation exercise between the Royal Flying Doctor Service of Australia and Royal Perth Hospital in Western Australia as a quality assurance exercise.</div></div><div><h3>Methods</h3><div>The simulation exercise yielded 21 participants (hospital and air medical clinicians, logisticians, and pilots) and 8 simulation facilitators who consented to provide data between June and October 2023. Data were collected by phone interviews and surveys and analyzed descriptively and qualitatively.</div></div><div><h3>Results</h3><div>Facilitators reported that conducting successful interagency helicopter retrieval simulations requires extensive planning and preparation. After the simulation, participants reported increased clinical confidence in their specific role, with a desire for greater exposure to diverse simulation training to optimize their future performances for real scenarios. Simulation debriefs allow for further participant clarification surrounding the overall process. They provide a medium for valuable feedback to health service providers in process refinement in the management of the critically unwell, enhancing a culture of safety.</div></div><div><h3>Conclusion</h3><div>This study highlighted that interagency simulations are a valuable exercise when multiple health service providers are involved in the management of individual patients who are critically unwell. The significant effort to organize and coordinate to create high-fidelity scenarios by facilitators is rewarded with significant benefit found by the participants in their ability to be prepared for the real-life scenario. Such findings have important implications for ongoing interagency collaboration and ongoing health care and educational strategy.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 45-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947970","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}

{"title":"Effects of Transport Team Composition on Neonatal Intubation Success","authors":"Alyssa J. Averhoff DO ,&nbsp;Junghyae Lee PhD ,&nbsp;Robyn Sawyer RN ,&nbsp;Emily Mohs APRN-NP ,&nbsp;Cori Kerr APRN-NP ,&nbsp;Courtney McLean MD, MS","doi":"10.1016/j.amj.2025.09.005","DOIUrl":"10.1016/j.amj.2025.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>Neonatal transport is necessary to move the smallest and sickest patients. Transport team configuration can vary among institutions. One major concern with varied team composition is the ability to intubate neonates. This study investigates team composition effects on neonatal intubation success when performed by a neonatal nurse practitioner (NNP) or critical care transport (CCT) registered nurses (RNs) and paramedics.</div></div><div><h3>Methods</h3><div>Neonates &lt;4 weeks of age who were intubated on transport between 2016 and 2023 were analyzed by retrospective chart review. Intubation success and number of attempts were compared between NNP and CCT, while controlling for confounding factors such as birth weight, age, and use of premedication or video laryngoscope.</div></div><div><h3>Results</h3><div>A total of 111 neonates were included in the study with 119 intubation procedures by transport team members. There was no difference in the overall intubation success rate between the NNP and CCT with an average of 84% (<em>P</em> = .68). An increase in first-attempt success rate with the CCT was found, which was not significant after controlling for the use of premedication and video laryngoscope.</div></div><div><h3>Conclusion</h3><div>During the study period, neonatal intubation success on transport did not differ when comparing NNP with CCT. This result supports staffing neonatal transport teams based on staffing availability.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 59-62"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947890","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}

{"title":"Air Transport Medicine: From the Field","authors":"Jason Cohen DO, FACEP, FCCM, FAEMS ,&nbsp;Vahé Ender FP-C, C-NPT ,&nbsp;Michael A. Frakes APRN, EMTP, FCCM, FACHE ,&nbsp;Susan R. Wilcox MD, FCCM, FAAEM ,&nbsp;James Price MBBS ,&nbsp;Ed B.G. Barnard PhD","doi":"10.1016/j.amj.2025.10.012","DOIUrl":"10.1016/j.amj.2025.10.012","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 9-11"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947765","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}

{"title":"One Mission, One Team: Celebrating 40 Years of Duke Life Flight","authors":"Anna Sapp RN, BSN, CCRN, C-NPT","doi":"10.1016/j.amj.2025.05.007","DOIUrl":"10.1016/j.amj.2025.05.007","url":null,"abstract":"<div><h3>Background</h3><div>Duke LifeFlight, established in 1985, has provided four decades of exceptional critical care transport to patients across the Southeast. As one of the first hospital-based air medical programs in North Carolina, it has set the standard for safety, innovation, and clinical excellence.</div></div><div><h3>Objective</h3><div>To commemorate the 40-year anniversary, celebrated last year, of Duke LifeFlight by highlighting its historical milestones, evolving capabilities, and lasting impact on patient outcomes and prehospital care.</div></div><div><h3>Methods/Approach</h3><div>A retrospective review of archival data, program development timelines, and patient care advancements. Key performance indicators and patient transport volumes were analyzed to illustrate growth and effectiveness.</div></div><div><h3>Results</h3><div>Since inception, Duke LifeFlight has completed thousands of transports, expanded to include rotor- and fixed-wing aircraft capabilities as well as critical care ground teams, and maintained accreditation from the Commission on Accreditation of Medical Transport Systems (CAMTS). Innovations in training, telemedicine, and trauma care have further elevated its regional and national standing.</div></div><div><h3>Conclusion</h3><div>Over 40 years, Duke LifeFlight has exemplified resilience, clinical excellence, and leadership in critical care transport. As it enters a new era, the program remains dedicated to advancing prehospital medicine and continuing its mission of delivering lifesaving care when seconds matter most.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 22-25"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947934","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}

{"title":"General Information","authors":"","doi":"10.1016/S1067-991X(25)00360-8","DOIUrl":"10.1016/S1067-991X(25)00360-8","url":null,"abstract":"","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Page 7"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947764","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}

{"title":"Air Embolism After Diving and Decisions Surrounding Air Transport","authors":"Mary Kraby RN, CFRN, CCRN,&nbsp;Michael Dunn FP-C,&nbsp;Andrea Tsai MD,&nbsp;Michael Frakes APRN, NRP,&nbsp;Jason Cohen DO,&nbsp;Susan R. Wilcox MD","doi":"10.1016/j.amj.2025.10.002","DOIUrl":"10.1016/j.amj.2025.10.002","url":null,"abstract":"<div><div>A healthy young woman sustained severe hyperbaric injury after scuba diving, despite having done previous dives. She had an asystolic cardiac arrest immediately after ascent and was resuscitated for 90 minutes before return of spontaneous circulation (ROSC). After ROSC, she remained profoundly unstable, on multiple vasopressors, with refractory hypothermia and hypoxemia. She was diagnosed with arterial gas emboli (AGE) leading to arrest. The only treatment for AGE is rapid hyperbaric oxygen therapy, but she was too acute to be cared for in any local hyperbaric chamber. The closest chamber that could accommodate a patient of her acuity was 440 miles away. The critical care transport team was prepared to transport her, but such a transport created numerous clinical and logistical challenges.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 81-84"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947911","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}

{"title":"Facilitators and Barriers Influencing Resilience Amongst Critical Care Transport Professionals in a Fixed-Wing Air Ambulance Environment","authors":"Karien Basson RN, MCur (DCur candidate) ,&nbsp;Isabel Coetzee-Prinsloo RN, PGCHE, MCur, Dlitt et Phil, FANSA ,&nbsp;Annatjie van der Wath RN, BCur, MCur, DCur ,&nbsp;Letitia Greenberg BA, Ba (Hons)","doi":"10.1016/j.amj.2025.09.001","DOIUrl":"10.1016/j.amj.2025.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study describes the facilitators and barriers influencing resilience in a fixed-wing air ambulance environment.</div></div><div><h3>Methods</h3><div>Self-reported interview guides were used to explore and describe the facilitators and barriers influencing resilience among critical care transport professionals in a fixed-wing air ambulance environment.</div></div><div><h3>Results</h3><div>The findings revealed 12 facilitators and 8 barriers influencing resilience among critical care transport professionals in a fixed-wing air ambulance environment in South Africa.</div></div><div><h3>Conclusion</h3><div>The findings revealed 12 facilitators and eight barriers influencing resilience among CCTPs in the fixed-wing air ambulance environment in South Africa.</div></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"45 1","pages":"Pages 17-21"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947933","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}