Air Medical Journal最新文献_第8页

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}

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