Showing papers in "Air Medical Journal in 2021"

TL;DR: In this article, the authors analyzed the characteristics of the missions and the medical conditions of COVID-19 patients transported during an air medical evacuation on fixed wing aircraft in March and April 2020.

TL;DR: Fifty percent of HEMS patients may benefit from PoCUS to evaluate for hypotension in flight, and how commonly the extended focused assessment with sonography in trauma or the rapid ultrasound in shock for medical patients could be used by HEMS is determined.

TL;DR: These interventions are the first of their kind to be implemented during the COVID-19 pandemic and offer a framework for other organizations and future disease outbreaks.

TL;DR: In this small series, hemostatic resuscitation during air medical transport was associated with less crystalloid administration and better support of coagulation indices.

TL;DR: The military SAR helicopters were most commonly activated for civilian emergency medical service mission assistance due to poor weather conditions, and the most frequent medical condition was acute coronary syndrome.

TL;DR: Helmet-based noninvasive ventilation (NIV) is a viable option for the safe transport of potential or known coronavirus disease 2019 patients as mentioned in this paper, where a sealed and closed space that completely isolates the patient's airway and breathing, provides a very high degree of protection from exposure to pathogens transmitted through droplets or aerosols.

TL;DR: The proposed weight-based formula (the "Genoa formula") may help in predicting optimal insertion depths for nasal intubation in ELBW neonates, especially when a prompt radiologic confirmation of the tube position is not available, as during neonatal critical care transport.

TL;DR: In this paper, the authors provide epidemiologic data and highlight the clinical skill set and decision making needed to transport critically ill COVID-19 patients, including vasopressors, paralytic medications, inhaled vasodilators, prone positioning, and ventilator management.

TL;DR: A survey of the American College of Emergency Physicians Air Medical Section was conducted between May 13, 2020, and August 1, 2020 as discussed by the authors to determine changes in flight operations during the early stages of the pandemic.

TL;DR: The Impella (Abiomed Inc, Danvers, MA) device, a percutaneous ventricular support, is most often indicated for classic, deteriorating, and extremis Society for Coronary Angiography and Intervention stages of Cardiogenic shock (CS) which describe CS that is not responsive to optimal medical management and conventional treatment measures as mentioned in this paper.

TL;DR: Data suggest that air ambulances - both fixed-wing and rotor-wing - mostly respond to patients that providers determine to be medium-acuity or high-acute, while a majority of calls ground ambulances respond to involve patients determined to be low-ACuity.

TL;DR: It is suggested that HEMS had an advantage in reducing the time to angiography in AMI cases of non-CPA, and HEMS increased the return of spontaneous circulation without improving the prognosis.

TL;DR: The forensic report stated that a glassy foreign body led to penetrating chest wall injury and left lung perforation, possibly causing the tension pneumothorax, cardiopulmonary arrest, and death.

TL;DR: A case demonstrating the interfacility collaboration of care for a patient with COVID-19 infection and the lessons learned from the air transport is presented.

TL;DR: POC laboratory testing performed during critical care transport guides providers in performing essential emergent interventions in a timelier manner that may benefit critically ill patients.

TL;DR: The results provide a baseline for further investigation into methods to protect aircrew during the coronavirus pandemic and the use of physical barriers in fixed wing and rotary wing aeromedical aircraft provides some protection to aircrew.

TL;DR: In this article, the authors evaluated the degree of implementation, the barriers to completing simulation training, and the crew's attitude toward this form of training using in situ simulation, and found that conditions related to the local facilitator are important for the successful implementation of simulation-based training in helicopter emergency services.

TL;DR: The US Air Force's recent success with having their aeromedical evacuation crews use the Transportation Isolation System for the first time operationally to transport patients positive for coronavirus disease 2019 is highlighted.

TL;DR: In this article, the authors evaluated the predictive variables that determine stroke outcomes depending on the patient transportation destination and found that a shorter driving distance between the patient's home and CSC, absence of diabetes, lower National Institutes of Health Stroke Scale score, and shorter onset to hospital arrival time positively impacted the outcomes of endovascularly treated AIS patients.

TL;DR: VL improved glottic visualization compared with DL, and provided reliable, high-quality video despite demanding prehospital conditions, in a prospective observational study with a convenience sample of 49 adult patients.

TL;DR: Evaluating the introduction of prehospital transfusion into a paramedic-led CCT program in Canada found packed red blood cells were associated with a significant increase in systolic blood pressure.

TL;DR: The use of handheld ultrasound is highlighted in the identification of right heart dilation in an unstable patient with respiratory failure in a rural emergency department, concerning for massive pulmonary embolism.

TL;DR: Ketamine at higher doses was associated with increased odds of adverse events and studies assessing adverse events of ketamine at lower than standard doses in shock patients are needed.

TL;DR: In this paper, the authors conducted a retrospective chart review of all patient transfers using high-flow nasal cannula (HFNC) between January 2018 and June 2019, and provided evidence that HFNC is feasible and tolerated by patients.

TL;DR: Cardiac arrest during air medical transport is a rare event that requires a high level of critical care to treat refractory cardiac arrests, hemodynamic instability, and airway compromise.

TL;DR: This small study suggests that intubation might be 1 option for airway management by an experienced nonanesthesiologist in Lapland and suggests the use of a rigid standard operating procedure for paramedic rapid sequence induction, paralytics, a video laryngoscope, and a gum elastic bougie might positively affect the ETI first-pass success rate.

TL;DR: Direct HEMS for AMI in rural areas shortens the time from the EMS call to reperfusion when the transport distance is expected to exceed 30 km, which may result in a better patient prognosis.

TL;DR: HFS in a dedicated HEMS scenario during the orientation period has contributed to enhanced technical competencies and NTS, increasing comfort and situational awareness for new entrant flight nurses.

TL;DR: An experienced and heterogeneous expert panel suggested and reached a consensus on which quality indicators should be applied for HEMS coordination and flight following, and a Delphi process method was applied.

TL;DR: No hemodynamic differences occurred between patients who received ketamine versus etomidate for prehospital RSI, and neither drug was associated with an increased need for additional sedatives or an increased first-pass intubation success rate.