Air Medical Journal最新文献

{"title":"Prehospital Cardiac Ultrasound to Confirm Mechanical Capture in Emergency Transcutaneous Pacing: A Case Report","authors":"Mason A. Hill BS ,&nbsp;Jarett D. Jones BS ,&nbsp;Simanjit K. Mand MD ,&nbsp;Craig Tschautscher MD, MS ,&nbsp;Andrew D. Cathers MD ,&nbsp;Hani I. Kuttab MD","doi":"10.1016/j.amj.2024.03.014","DOIUrl":"10.1016/j.amj.2024.03.014","url":null,"abstract":"<div><p>Point-of-care ultrasound (POCUS) is a safe diagnostic tool that clinicians use to rapidly evaluate critically ill patients.<span>¹</span> POCUS has expanded into the prehospital setting and has been demonstrated to be accurate, feasible, and helpful in guiding clinical decision making.<span>2</span>, <span>3</span>, <span>4</span> Additionally, the American College of Emergency Physicians recommends the use of echocardiography to evaluate for ventricular activity in the setting of cardiac arrest.<span>⁵</span> There is minimal evidence regarding the use of POCUS to confirm mechanical capture in patients undergoing transcutaneous pacing. This case report highlights the use of POCUS in a patient with bradyasystolic cardiac arrest requiring transcutaneous pacing. Despite electrical capture, the patient had absent central pulses; however, POCUS demonstrated ventricular contractions, indicating mechanical capture. This suggests a role for POCUS for the evaluation of mechanical capture in patients undergoing cardiac pacing.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 357-359"},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774482","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":"Evaluation of Posttraumatic Stress Disorder Screening Measures of Emergency Medical Services Clinicians in Urban and Suburban New York During the Coronavirus Disease 2019 Pandemic","authors":"Lauren M. Maloney MD, NRP, FP-C, NCEE, FACEP, FAEMS ,&nbsp;R. Jonathan Robitsek PhD ,&nbsp;Katherine McKenzie DO ,&nbsp;Edder Peralta MA, NRP, NCEE ,&nbsp;Julie Y. Valenzuela MD","doi":"10.1016/j.amj.2024.03.006","DOIUrl":"10.1016/j.amj.2024.03.006","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to assess the psychological impact of the coronavirus disease 2019 (COVID-19) pandemic on the self-reported rates of posttraumatic stress disorder (PTSD) among emergency medical services (EMS) clinicians in urban and suburban settings that were one of the primary epicenters during the first wave of the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Anonymous surveys containing the PTSD Checklist–Specific (PCL-S) were sent electronically between November 2020 and April 2021 to EMS clinicians working in 2 EMS agencies. A threshold score ≥ 36 was considered a positive screen for PTSD symptomology; a score ≥ 44 was considered a presumptive PTSD diagnosis.</p></div><div><h3>Results</h3><p>Of the 214 surveys sent, 107 responses were returned. The total PCL-S scores suggested PTSD symptoms were present in 33% of responding EMS clinicians (95% confidence interval [CI], 24.1%-42.5%), and 25% (95% CI, 17.6%-34.7%) met the criteria for a presumptive diagnosis of PTSD. Regression revealed increasing PCL-S scores were associated with thoughts of job resignation (+3.8; 95% CI, 1.1-6.4; <em>P</em> = .006), whereas lower PCL-S scores were related to the degree that respondents believed emotional support was available at their institution (−3.6; 95% CI, −6.8 to −0.4; P = .03).</p></div><div><h3>Conclusion</h3><p>Sixth months after the first wave of the COVID-19 pandemic, one third of participating EMS clinicians screened positive for PTSD symptoms. Pandemic planning must address the mental health of EMS clinicians to reduce subsequent burnout and maintain a healthy workforce.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 340-344"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780706","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":"Flight to Recovery: Impact of a Rooftop Helipad Air Ambulance Service at the Emergency University Hospital of Bucharest—A Caseload Analysis of the First 3 Years After Its Implementation","authors":"Dimitrios Koniaris BSc ,&nbsp;Constantin Suciu MD ,&nbsp;Silvia Nica MD, PhD","doi":"10.1016/j.amj.2024.03.002","DOIUrl":"https://doi.org/10.1016/j.amj.2024.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>This observational study provides an overview of the implementation and impact of the helipad at the Bucharest Emergency University Hospital, Romania. The helipad, established in April 2019, is the only rooftop medical helipad in Bucharest authorized for day and night flights. Its influence extends beyond the local region, enabling the hospital to receive patients from various cities across Romania. The helipad has particularly strengthened the hospital's capabilities in cardiology, neurovascular emergencies, and neonatal care. Patients with acute myocardial infarctions or strokes can now be swiftly transported to the hospital for immediate intervention, whereas critically ill newborns can receive specialized care at the earliest stages of their lives. The objective of this article was to present a comprehensive timeline of the helipad's implementation and to demonstrate its transformative role in improving patient transportation, enhancing medical interventions, and elevating the overall efficiency of the health care facility.</p></div><div><h3>Methods</h3><p>The study is a retrospective regional caseload analysis based on data gathered from the Emergency Department of the University Emergency Hospital of Bucharest database. We included all 215 air transfer missions registered between December 2019 and December 2022, exactly 3 years apart from the beginning of the program.</p></div><div><h3>Results</h3><p>The findings provide valuable insights into patient demographics, case distribution, and trends, highlighting the importance of specialized medical interventions at the University Emergency Hospital of Bucharest. In particular, the mean age of patients treated at the hospital was 55.9 years, with a higher representation of males (156) than females (59). The average duration of hospitalization was 10.68 days. The study also examined transportation statistics, showing a decrease in the average number of transports per month over the years. Cardiologic cases accounted for the highest frequency (62.8%) among the analyzed categories followed by neurosurgery (8.8%) and neurologic cases (8.4%).</p></div><div><h3>Conclusion</h3><p>The analysis provides important insights into patient demographics, case distribution, and trends. The findings highlight the significance of specialized medical interventions, particularly in cardiology and neurosurgery, which accounted for the majority of the cases. The implementation of the helipad has greatly improved patient transportation and facilitated timely medical assistance.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 321-327"},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1067991X2400052X/pdfft?md5=30578cd639cd9b735d0f0a960a474c34&pid=1-s2.0-S1067991X2400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424634","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}

{"title":"Informal Peer Support and Intentional Acts of Kindness May Attenuate the Impact of Work-Related Stressors on Compassion Satisfaction, Secondary Traumatic Stress, and Burnout of Emergency Medical Services Clinicians","authors":"Lauren M. Maloney MD, NRP, FP-C, NCEE, FACEP, FAEMS,&nbsp;Jason Hoffman BS, NRP, CCEMT-P,&nbsp;Edder Peralta MA, NRP, NCEE,&nbsp;Rudolph Princi MA, EMT-P, NCEE,&nbsp;Henry C. Thode Jr PhD,&nbsp;Christopher DiDonato EMT-P, NASM-CPT,&nbsp;Anthony LaBarbera BS, NRP, FP-C, C-NPT,&nbsp;Sarah Williams RN, MSN-Ed, CEN","doi":"10.1016/j.amj.2024.03.005","DOIUrl":"https://doi.org/10.1016/j.amj.2024.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>Emergency medical services (EMS) Code Lavender was developed to support EMS clinicians after stressful events via consistent recognition of events, informal peer support, and intentional acts of kindness. This study evaluated changes in burnout screening tool responses of EMS clinicians in response to program implementation and the coincidental start of coronavirus disease 2019.</p></div><div><h3>Methods</h3><p>Anonymous surveys with demographic questions and 2 burnout screening tools were distributed before program implementation (spring 2020) and 20 months later (fall 2021). Analysis included <em>t</em>-tests, Fisher exact tests, and multivariable linear regression.</p></div><div><h3>Results</h3><p>Seventy-seven preprogram (59% response rate) and 108 intraprogram (88% response rate) survey responses were included. No changes existed between preprogram and intraprogram responses across all subscale scores. Sex was associated with depersonalization subscale scores, with men having scores 1.53 (95% confidence interval [CI] 0.11-2.95) higher than women. Compared with emergency medical technicians, paramedics had higher compassion satisfaction (OR 3.50; 95% CI 1.79-5.70) and personal accomplishment scores (OR 2.40; 95% CI 1.08-3.71). Transport nurses had higher personal accomplishment (OR 3.29; 95% CI 1.18-5.40), depersonalization (OR 3.73; 95% CI 1.19-6.26), and rates of burnout symptoms (OR 0.54; 95% CI 0.09-0.98) than emergency medical technicians.</p></div><div><h3>Conclusion</h3><p>The organizational commitment, peer support, and authentic leadership of EMS Code Lavender may attenuate work-related stressors among EMS clinicians.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 333-339"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424637","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":"Neuromuscular Blocking Agent Use in Critical Care Transport Not Associated With Intubation","authors":"Alyson M. Esteves PharmD, BCPS, BCCCP ,&nbsp;Kalle J. Fjeld MD ,&nbsp;Andre S. Yonan PharmD ,&nbsp;Matthew A. Roginski MD, MPH","doi":"10.1016/j.amj.2024.03.003","DOIUrl":"10.1016/j.amj.2024.03.003","url":null,"abstract":"<div><h3>Objective</h3><p>Variable indications exist for neuromuscular blocking agents (NMBAs) in the critical care transport setting beyond facilitation of intubation.</p></div><div><h3>Methods</h3><p>This retrospective cohort study included adult patients (≥ 18 years) who underwent critical care transport from July 1, 2020, to May 2, 2023, and received NMBAs during transport that was not associated with intubation. The primary outcome was the indication for NMBA administration. Secondary outcomes included the characterization of NMBA use, mean Richmond Agitation Sedation Scale score before NMBA administration, sedation strategy used, and continuation of NMBAs within 48 hours of hospital admission.</p></div><div><h3>Results</h3><p>One hundred twenty-six patients met the inclusion criteria. The most common indication for NMBA administration was ventilator dyssynchrony (n = 71, 56.4%). The majority of patients received rocuronium during transport (n = 113, 89.7%). The mean pre-NMBA Richmond Agitation Sedation Scale score was −3.7 ± 2.4. The most common sedation strategy was a combination of continuous infusion and bolus sedatives (76.2%). One hundred (79.4%) patients had sedation changes in response to NMBA administration. Seventy-two (57.1%) received NMBAs during the first 48 hours of their intensive care unit admission.</p></div><div><h3>Conclusion</h3><p>NMBAs were frequently administered for ventilator dyssynchrony and continuation of prior therapy. Optimization opportunities exist to ensure adequate deep sedation and reassessment of NMBA indication.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 328-332"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401843","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":"Supporting Emergency Medical Services Clinicians Through Acute and Sustained Crises With Informal Peer Support and Intentional Acts of Kindness: The Emergency Medical Services Code Lavender Program","authors":"Lauren M. Maloney MD, NRP, FP-C, NCEE, FACEP, FAEMS,&nbsp;Jason Hoffman BS, NRP,&nbsp;Edder Peralta MA, NRP, NCEE,&nbsp;Rudolph Princi MA, EMT-P, NCEE,&nbsp;Henry C. Thode Jr PhD,&nbsp;Mark Tomlin EMT-P,&nbsp;Christopher DiDonato EMT-P, NASM-CPT,&nbsp;Anthony LaBarbera BS, NRP, FP-C, C-NPT,&nbsp;Erin Lambert EMT-P,&nbsp;James King EMT-B,&nbsp;Daniel G. Johnson BS, EMT-P,&nbsp;Shawn Edouard MBA, EMT-P,&nbsp;Sarah Williams RN, MSN-Ed, CEN","doi":"10.1016/j.amj.2024.02.003","DOIUrl":"10.1016/j.amj.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>Given the recommendations against the use of critical incident stress debriefing, the emergency medical services (EMS) Code Lavender program was created as a mechanism to consistently recognize and reach out to EMS clinicians after acute crisis events, offer nonintrusive informal peer support and acts of kindness, and provide stepwise support via mental health professionals as needed. The study aimed to assess program utilization and evaluate the program's impact on EMS clinicians’ perceptions of support and resources available to them after an acute crisis event.</p></div><div><h3>Methods</h3><p>Anonymous surveys were distributed before program implementation and 18 months later. Program utilization was tracked using REDCap (Vanderbilt University, Nashville, TN). Fisher exact tests and logistic regression were used to analyze the survey results.</p></div><div><h3>Results</h3><p>Within 30 months, 87 referrals were made. Seventy-seven preprogram (59% response rate) and 104 intraprogram (88% response rate) surveys were collected. There were no differences between respondents by sex or role. There were significant improvements in knowing where to go for help (from 40% to 85%, <em>P</em> &lt; .001) and willingness to seek help if needed (from 40% to 59%, <em>P</em> = .02).</p></div><div><h3>Conclusion</h3><p>The implementation of an EMS Code Lavender program led to significant increases in EMS clinician self-reported knowledge of where to go and willingness to seek help after acute crisis events.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 313-320"},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269852","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":"Pediatric Intubations in a Semiurban Helicopter Emergency Medicine Service: A Retrospective Review","authors":"Sarah Morton FRCA, FFICM ,&nbsp;Sinead Keane MSc ,&nbsp;Matt O'Meara FRCA","doi":"10.1016/j.amj.2023.10.007","DOIUrl":"10.1016/j.amj.2023.10.007","url":null,"abstract":"<div><h3>Objective</h3><p><span>Although a small proportion of helicopter emergency medical service<span> (HEMS) missions are for pediatric patients, it is recognized that children do present unique challenges. This case series aims to evaluate the </span></span>intubation first-pass success rate in HEMS pediatric patients for both medical and trauma patients in a UK semiurban environment.</p></div><div><h3>Methods</h3><p>A retrospective review of the computerized records system was performed from January 1, 2015, to July 31, 2022, at 1 UK HEMS. Anonymous data relating to advanced airway interventions in patients<span> &lt; 16 years of age were extracted. Primary analysis related to the first-pass success rate was performed; secondary analysis relating to the initial Glasgow Coma Scale (GCS) of the pediatric patients requiring prehospital anesthesia (rapid sequence induction with drugs) and first-pass success rates by clinician group was also performed.</span></p></div><div><h3>Results</h3><p>Of the pediatric patients, 15.8% required intubation. The overall first-pass success rate for intubation (including in cardiac arrest) was 83.5%; for prehospital anesthesia (drugs administered), it was 98.4%. First-pass success rates were lowest for those under 2 years of age (45.2% without drugs and 87.5% with drugs). There was no difference between physician background in the first-pass success rate. The median GCS for pediatric prehospital anesthesia was 7 versus 5 for adults (<em>P</em> = .012). No children with an initial GCS of 15 had prehospital anesthesia.</p></div><div><h3>Conclusion</h3><p>The overall intubation first-pass success rates for pediatric patients is high at 83.5% and higher still for prehospital anesthesia (98.4%). However, it remains a rare intervention for clinicians, and children under 2 years of age require special consideration.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 2","pages":"Pages 106-110"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135371609","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":"Seizure, A Shocking Effect of a Lightning Strike on Aerodrome: A Case Report","authors":"Abdellatif Chlouchi ,&nbsp;Ilyass Hmadate ,&nbsp;Khalil Chafi ,&nbsp;Mustapha Rafai ,&nbsp;Oussama Outaghyame ,&nbsp;Abdellatif Benabbouha ,&nbsp;Aziz Bazine ,&nbsp;Abderrahman Elhjouji","doi":"10.1016/j.amj.2023.11.003","DOIUrl":"10.1016/j.amj.2023.11.003","url":null,"abstract":"<div><p><span>Lightning injuries have a high morbidity and mortality because of the electrical effects on the circulatory, respiratory, and central nervous systems. Most lightning-related deaths occur immediately after </span>injury<span><span><span> due to fatal arrhythmias<span><span> or respiratory failure. We describe the case of a patient who experienced a seizure and respiratory distress secondary to a lightning strike and how our team was able to stabilize and transport the patient. Ultimately, in this particular case study, the patient survived with minimal residual neurologic and </span>hemodynamic effects. Based on this clinical vignette, we review the </span></span>pathophysiology of lightning injuries and the </span>predictive factors of positive outcomes in such unusual accidents.</span></p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 2","pages":"Pages 168-170"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019251","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":"Prehospital Blood Transfusion in Helicopter Emergency Medical Services: An Italian Survey","authors":"Gianluca Facchetti MD ,&nbsp;Marilisa Facchetti MD ,&nbsp;Mariette Schmal MD ,&nbsp;Ronan Lee MD ,&nbsp;Silvia Fiorelli MD ,&nbsp;Tommaso Fabrizio Marzano MD ,&nbsp;Cristian Lupi MD ,&nbsp;Francesco Daminelli MD ,&nbsp;Giovanni Sbrana MD ,&nbsp;Domenico Massullo MD ,&nbsp;Franco Marinangeli MD","doi":"10.1016/j.amj.2023.11.007","DOIUrl":"10.1016/j.amj.2023.11.007","url":null,"abstract":"<div><h3>Objective</h3><p>Hemorrhage remains the most common cause of preventable death after trauma. Prehospital blood product (PHBP) administration may improve outcomes. No data are available about PHBP use in Italian helicopter emergency medical services (HEMS). The primary aim of this survey was to establish the degree of PHBP used throughout Italy. The secondary aims were to evaluate the main indications for their use, the opinions about PHBPs, and users’ experience.</p></div><div><h3>Methods</h3><p>The study group performed a telephone/e-mail survey of all 56 Italian HEMS bases. The questions concerned whether PHBPs were used in their HEMS bases, the frequency of transfusions, the PHBP used, and the perceived benefits.</p></div><div><h3>Results</h3><p>Four of 56 HEMS bases use PHBPs. Overall, 7% have prehospital access to packed red cells and only 1 to fresh plasma. In addition to blood product administration, 4 of 4 use tranexamic acid<span>, and 3 of 4 also use fibrinogen. Seventy-five percent use PHBPs once a month and 25% once a week. The users’ experience was that PHBPs are beneficial and lifesaving.</span></p></div><div><h3>Conclusion</h3><p>Only 4 of 56 HEMS in Italy use PHBPs. There is an absolute consensus among providers on the benefit of PHBPs despite the lack of evidence on PHBP use.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 2","pages":"Pages 140-145"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138616199","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":"Nurse Practitioners in Critical Care Transport","authors":"David M. Kaniecki DNP, APRN-CNP, ACNP-BC, RN, CCRN ,&nbsp;Robert L. Grabowski DNP, MBA, APRN-CNP, AGACNP-BC, CPNP-AC, CEN, CCRN, CFRN, CMTE, EMT-P ,&nbsp;David Holloway MSN, APRN-CNP, CCRN, CFRN ,&nbsp;Abigail Brown DNP, MBA, APRN-CNP, ACNP-C ,&nbsp;Lisa A. Lorenz MSN, APRN-CNP, APRN-BC, RN","doi":"10.1016/j.amj.2024.01.005","DOIUrl":"10.1016/j.amj.2024.01.005","url":null,"abstract":"<div><p>The inclusion of nurse practitioners (NPs) in critical care transport teams has the potential to enhance patient care and improve team operations. NPs can manage complex clinical situations during transport and excel in various roles such as leadership, education, mentoring, research, quality improvement, and clinical expertise. As we navigate the evolving landscape of critical care transport, it is crucial to explore the potential benefits offered by NPs. Their distinct skills and experiences effectively position them to improve patient outcomes, enhance team performance, and contribute to health care's financial sustainability. This article discusses the role of NPs in critical care transport, providing insight into their current uses, and recommendations for optimal use.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 2","pages":"Pages 163-167"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1067991X24000051/pdfft?md5=1954cbcd9c502f19b19a09aa48b5d58e&pid=1-s2.0-S1067991X24000051-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139819926","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}