MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Air Medical Journal' source. Sat, 20 Mar 2010 14:11:14 +0100 http://www.medworm.com/index.php?rid=3344055&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003320%2Fabstract%3Frss%3Dyes Conclusion: Time from arrival at remote bedside and subsequent transfer to a PCI facility had the most variability. Enhancing communication times between referring agency and air medical personnel and stabilizing the patient before transport may be the most significant components in reducing transfer times and ensuring optimal outcomes. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344055 Mon, 01 Mar 2010 00:00:00 +0100 3344055 http://www.medworm.com/index.php?rid=3344054&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X10000040%2Fabstract%3Frss%3Dyes Ten years ago, Survival Flight, the University of Michigan Health Systems' medical transport team, was featured in Air Medical Journal. At that time, the entire system, including our own program, was undergoing profound changes that were dictated by economic and financial pressures. Words and phrases such as work-redesign, cost efficiency, re-engineering, transformation, downsizing, cross-training, and embracing new paradigms were used in virtually every conversation in an attempt to energize change and develop a new approach to the ills that plagued healthcare delivery. From the simple suturing of a laceration in the emergency department to the costly helicopter transport of a critically ill heart transplant patient, no level of healthcare delivery went untouched by the tsunami of rules, ... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344054 Mon, 01 Mar 2010 00:00:00 +0100 3344054 http://www.medworm.com/index.php?rid=3344053&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X10000039%2Fabstract%3Frss%3Dyes Suffering from an acute case of the winter blahs? Leave the snowbanks behind and head south to beautiful San Antonio for a shot of sunshine and fun! The Critical Care Transport Medicine Conference (CCTMC) offers a clinically driven educational opportunity second to none. Join us April 12-14, 2010, at the Sheraton Gunter Hotel, one block from the world-famous River Walk. CCTMC is presented by the Air & Surface Transport Nurses Association (ASTNA), the Air Medical Physician Association (AMPA), and the International Association of Flight Paramedics (IAFP). (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344053 Mon, 01 Mar 2010 00:00:00 +0100 3344053 http://www.medworm.com/index.php?rid=3344052&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X10000052%2Fabstract%3Frss%3Dyes Over the past few months we have witnessed the tragic loss of life and property in Haiti after the initial earthquake and the effects of the subsequent aftershocks. The initial outpouring of support and the willingness to help were worldwide, from the individual responder to the USAR teams who flew into the Dominican Republic to the Red Cross and government-sponsored airlifts that made it directly to Haiti. During the initial response, the IAFP received calls from individuals who wanted to go and help. They were directed to the Red Cross and encouraged to contact their local DMAT or USAR group. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344052 Mon, 01 Mar 2010 00:00:00 +0100 3344052 http://www.medworm.com/index.php?rid=3344051&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003769%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344051 Mon, 01 Mar 2010 00:00:00 +0100 3344051 http://www.medworm.com/index.php?rid=3344050&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900371X%2Fabstract%3Frss%3Dyes Rapid sequence intubation (RSI) carries a mystique and an aura that providers working in the prehospital and critical care arenas constantly confront. Whether one is a newly credentialed paramedic or seasoned physician, RSI is a skill that we, as healthcare providers, continually strive to refine. Rapid Sequence Intubation, RSI, written by Dr. Darren Braude, provides a straightforward approach to managing this type of critical event. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344050 Mon, 01 Mar 2010 00:00:00 +0100 3344050 http://www.medworm.com/index.php?rid=3344049&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003733%2Fabstract%3Frss%3Dyes “Little Things Mean a Lot” was the title of an old song years ago, and we can perhaps apply that lyric to how we look at safety today. Some little things can help us prevent the big things if we are paying close attention. The key is being able to sort it all out in a meaningful manner with a coherent safety management system. “Little” things can often be important clues to a program's culture of safety if they are collected, collated, and analyzed intelligently. A conservative safety manager must be savvy enough to discern which clues are meaningful and which are not. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344049 Mon, 01 Mar 2010 00:00:00 +0100 3344049 http://www.medworm.com/index.php?rid=3344048&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X10000027%2Fabstract%3Frss%3Dyes In October 2001, 13-year-old Jeremy Weyant died after falling headfirst into a window and lacerating his carotid artery. He and his fellow students were celebrating their school's undefeated football season by hurdling traffic cones when he lost his balance and fell. Local emergency medical services (EMS) requested a helicopter. Weyant was flown to a pediatric Level 1 trauma center 75 miles away instead of the closer adult Level 2 trauma center approximately 20 miles away. The state's Department of Health investigated to determine if the helicopter program, operated by a consortium of five area hospitals, violated state law by not transporting Weyant to the nearest trauma center, but instead to a sponsoring hospital. Flight time to the adult Level 2 center would have been 10 minutes; the t... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344048 Mon, 01 Mar 2010 00:00:00 +0100 3344048 http://www.medworm.com/index.php?rid=3344047&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003745%2Fabstract%3Frss%3Dyes The Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza Investigators. Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA 2009;302:1888-95White DB, Angus DC. Preparing for the sickest patients with 2009 influenza A (H1N1). JAMA 2009;302:1905-6 (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344047 Mon, 01 Mar 2010 00:00:00 +0100 3344047 http://www.medworm.com/index.php?rid=3344046&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003721%2Fabstract%3Frss%3Dyes In late October, a hospital-based flight team was activated at 9:30 pm for an approximately 30-year-old man involved in a high-speed motor vehicle crash into a tree. Per emergency medical services (EMS) documentation, flight service was requested for advanced airway management and rapid transport of the patient to a Level 1 trauma center. Ground transport was estimated at 60+ minutes, whereas actual flight time was less than 15 minutes. On the crew's arrival at the designated landing zone, they were escorted to an ambulance where a 100-kg man was immobilized on a stretcher. Because the landing area was at a remote location, the flight team did not witness the scene; however, the ground paramedic reported that the patient was the single-occupant driver of a small sedan. Given the extent... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344046 Mon, 01 Mar 2010 00:00:00 +0100 3344046 http://www.medworm.com/index.php?rid=3344045&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003757%2Fabstract%3Frss%3Dyes Occasionally, the Commission on Accreditation for Medical Transport Systems (CAMTS) office receives a phone call or an email about a patient care issue that we thought was a thing of the past. For example, a recent incident involved an accredited air medical rotor-wing program that was requested by a hospital to transport a patient to the airport for continuing transport by a fixed-wing service. The receiving facility was outside of the helicopter coverage area. The rotor-wing program did not make the contacts or arrangements for the fixed-wing transport; that was all prearranged by the requesting hospital's social service department. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344045 Mon, 01 Mar 2010 00:00:00 +0100 3344045 http://www.medworm.com/index.php?rid=3344044&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003708%2Fabstract%3Frss%3Dyes Dear Editors: I read the recent work reported by Frakes et al (“Transport nurse safety practices, perceptions, and experiences: the air and surface transport nurses association survey,” September–October 2009) with great interest. Frakes et al reported on the importance of safety practices of air transport nurses. This issue is very interesting for developing countries. Indeed, the classic “severe shortages of physicians, graduate nurses, and other trained health personnel” can be seen in rural areas of developing countries. In my setting, Thailand, there are only a few air transport nurses because of limitations of specific medical air transport facilities. Training for transport safety and other aspects for air transport nurses in developing countries that are similar to those... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344044 Mon, 01 Mar 2010 00:00:00 +0100 3344044 http://www.medworm.com/index.php?rid=3344043&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X10000118%2Fabstract%3Frss%3Dyes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043. Periodicals postage paid at New York, NY, and additional mailing offices. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344043 Mon, 01 Mar 2010 00:00:00 +0100 3344043 http://www.medworm.com/index.php?rid=3344042&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X1000009X%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, CCP-C, NREMT-P, Corresponding Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344042 Mon, 01 Mar 2010 00:00:00 +0100 3344042 http://www.medworm.com/index.php?rid=3344041&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X10000106%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3344041 Mon, 01 Mar 2010 00:00:00 +0100 3344041 http://www.medworm.com/index.php?rid=3131017&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002491%2Fabstract%3Frss%3Dyes Abstract: An increased percentage of miscarriages among coworkers at one air medical transport company in 2008 prompted a literature review of selected hazards relevant to the profession of rotor wing air medical flight crew. Because of a lack of known research specific to this population, relevant studies from 1990 to 2008 were chosen to investigate pregnancy risks associated with exposure to vibration, jet fuel, noise, altitude, and fatigue in other occupations. Findings were summarized and recommendations made for future research. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131017 Thu, 31 Dec 2009 14:07:50 +0100 3131017 http://www.medworm.com/index.php?rid=3131016&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002132%2Fabstract%3Frss%3Dyes Although medical research has a long history, emergency medical services (EMS) research is still in its infancy, with very few EMS systems having been scientifically scrutinized. Modern EMS practices have been founded on reasonable assumptions governing care. Designing EMS research can be complicated by time constraints, care priorities, limited provider research experience, and challenges of obtaining informed consent. Despite these drawbacks, consumers and healthcare providers are demanding greater use of “evidence-based” protocols and procedures. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131016 Thu, 31 Dec 2009 14:07:50 +0100 3131016 http://www.medworm.com/index.php?rid=3131015&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900248X%2Fabstract%3Frss%3Dyes The North East Air Alliance (NEAA), originally the New England Air Alliance, was formed in 1989 in collaboration between Hartford Hospital's LIFE STAR, Boston Med-Flight, and the University of Massachusetts LifeFlight air-medical transport programs as a joint venture to facilitate information exchange. Members include Hartford Hospital LIFE STAR, Boston Med-Flight, UMASS LifeFlight, LifeFlight of Maine, Dartmouth-Hitchcock Advanced Response Team, and LifeNet of New York. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131015 Thu, 31 Dec 2009 14:07:50 +0100 3131015 http://www.medworm.com/index.php?rid=3131014&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001047%2Fabstract%3Frss%3Dyes On a dreary November morning in 2008, Todd Van de Bussche awoke with a long list of things to do. He called a few coworkers, made note of errands he needed to complete, and decided he would work from home that day. As he prepared himself for the busy day ahead, Van de Bussche did not anticipate the life-changing event that would face him in the upcoming hours. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131014 Thu, 31 Dec 2009 14:07:49 +0100 3131014 http://www.medworm.com/index.php?rid=3131013&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900337X%2Fabstract%3Frss%3Dyes Having returned home from our most recent Air Medical Transport Conference (AMTC), I have had some time to reflect on a variety of my experiences and interactions. With this reflection I find myself consistently returning to a few key topics—reinvigoration, camaraderie, and involvement. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131013 Thu, 31 Dec 2009 14:07:49 +0100 3131013 http://www.medworm.com/index.php?rid=3131012&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003368%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131012 Thu, 31 Dec 2009 14:07:49 +0100 3131012 http://www.medworm.com/index.php?rid=3131011&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003101%2Fabstract%3Frss%3Dyes Almost 39 years ago, after approximately 9 months of intense helicopter pilot training that included some serious and comprehensive weather interpretation, forecasting, and planning, I ended up as a pilot testing those skills, among many others, in a hostile environment called Vietnam. Within a few months it became crystal clear to me that weather was every bit as hazardous to our survival as the enemy. Almost all of the real hazardous elements were there, from monsoon torrents, scathing winds, and pea-soup fog. On one occasion I even saw snow on some tropical peaks. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131011 Thu, 31 Dec 2009 14:07:49 +0100 3131011 http://www.medworm.com/index.php?rid=3131010&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003356%2Fabstract%3Frss%3Dyes MedEvac Foundation International recently awarded three grants for research projects. The abstracts for those projects are included here. For more information, please contact Managing Director Amber Bullington at (703) 836-8732 or ABullington@aams.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131010 Thu, 31 Dec 2009 14:07:49 +0100 3131010 http://www.medworm.com/index.php?rid=3131009&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003125%2Fabstract%3Frss%3Dyes Jabre P, Combes X, Lapostolle F, Dhaouadi M, Ricard-Hibon A, Vivien B, et al. Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet 2009;374:293–300. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131009 Thu, 31 Dec 2009 14:07:49 +0100 3131009 http://www.medworm.com/index.php?rid=3131008&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003113%2Fabstract%3Frss%3Dyes In 2009, a small committee of the Commission on Accreditation for Medical Transport Systems (CAMTS) board of directors created a new tool to measure compliance with the accreditation standards. This tool started out as a risk assessment but developed into a method to quantify a program's adherence to standards in an objective format. Throughout 2009, this standards compliance tool was trialed by site surveyors and board reviewers. In 2010, the board of directors will continue to fine-tune the categories and scoring mechanism, educate site surveyors, and begin to use the results as a quantitative analysis to reach an accreditation decision or action. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131008 Thu, 31 Dec 2009 14:07:49 +0100 3131008 http://www.medworm.com/index.php?rid=3131007&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003381%2Fabstract%3Frss%3Dyes Climbing to a higher level. According to this motto of the AIRMED 2000 conference in Stavanger, Norway, Gerhard Kugler's aim was to develop and improve the German and European helicopter emergency medical service (HEMS) system. The former director of the German Automobile Club Air Rescue (ADAC-Luftrettung GmbH) and founder and honorary president of the European HEMS and Air Rescue Committee (EHAC) had guided the initiation process and important developments of Germany's prehospital helicopter rescue for more than 40 years with passion. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131007 Thu, 31 Dec 2009 14:07:49 +0100 3131007 http://www.medworm.com/index.php?rid=3131006&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003344%2Fabstract%3Frss%3Dyes Air & Surface Transport Nurses Association Karen Wojdyla, Executive Director (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131006 Thu, 31 Dec 2009 14:07:49 +0100 3131006 http://www.medworm.com/index.php?rid=3131005&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003332%2Fabstract%3Frss%3Dyes Air Medical Journal congratulates the following 2009 association award winners! (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131005 Thu, 31 Dec 2009 14:07:49 +0100 3131005 http://www.medworm.com/index.php?rid=3131004&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003459%2Fabstract%3Frss%3Dyes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043. Periodicals postage paid at New York, NY, and additional mailing offices. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131004 Thu, 31 Dec 2009 14:07:48 +0100 3131004 http://www.medworm.com/index.php?rid=3131003&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003447%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, NREMT-P, Corresponding Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131003 Thu, 31 Dec 2009 14:07:48 +0100 3131003 http://www.medworm.com/index.php?rid=3131002&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003435%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=3131002 Thu, 31 Dec 2009 14:07:48 +0100 3131002 http://www.medworm.com/index.php?rid=2968767&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001035%2Fabstract%3Frss%3Dyes Conclusion: Literature shows a clear positive effect on survival associated with HEMS assistance. Efforts should be made to promote consistent methodology, including uniform outcome parameters, in order to provide sufficient scientific evidence to conclude the ongoing debate about the beneficial effects of HEMS. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968767 Sun, 01 Nov 2009 00:00:00 +0100 2968767 http://www.medworm.com/index.php?rid=2968766&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001436%2Fabstract%3Frss%3Dyes We report an international long-distance repatriation flight by the helicopter emergency medical service (HEMS), with a total flight time of almost 7 hours. The flight itself, the medical requirements, and aviation problems are discussed. The operation of the flight itself was almost uneventful thanks to careful preflight planning; however, it also proved challenging because of national regulations and airspace structures, which were somewhat different from those of Germany. The treatment of the patient during the flight was not affected by the extraordinarily long distance. We conclude that a combination of appropriate preflight planning, radio communication, and close cooperation with legal authorities is the key to accomplishing a successful execution of an international repatriation mi... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968766 Sun, 01 Nov 2009 00:00:00 +0100 2968766 http://www.medworm.com/index.php?rid=2968765&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001916%2Fabstract%3Frss%3Dyes The role of tourniquets in hemorrhage control remains controversial and depends on the clinical and logistic situation in which they are applied. Recent military experience of tourniquet efficacy with a low apparent complication rate has been obtained in the presence of a rapid evacuation chain for definitive care. However, in remote environments with scarce healthcare resources and long transportation times, a strategy of meticulous wound packing and compression dressing is preferred. Air medical retrieval teams in Australia operate over vast geographic areas and therefore encounter both ends of this logistic spectrum. This is exemplified by a case of exsanguinating hemorrhage from a partial amputation sustained in rural Queensland 500 km from the nearest trauma centre. In these settings,... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968765 Sun, 01 Nov 2009 00:00:00 +0100 2968765 http://www.medworm.com/index.php?rid=2968764&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001904%2Fabstract%3Frss%3Dyes Conclusions: Comfort, dexterity, tactile discrimination, and ease of use were all adversely affected by wearing a Nomex glove under a nitrile glove. Although the differences in times for most tasks may not be clinically significant, the difference in the subjective parameters may be great enough to cause helicopter emergency medical services (HEMS) practitioners to not wear Nomex gloves under nitrile gloves while performing procedures. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968764 Sun, 01 Nov 2009 00:00:00 +0100 2968764 http://www.medworm.com/index.php?rid=2968763&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002831%2Fabstract%3Frss%3Dyes AirMed International's management team has over 30 years of experience with long-range, international air ambulance transport and is well established within the transport community. The company accepted an invitation offered in 2007 to expand its operations outside the United States by permanently basing an aircraft and relocating personnel to Asia. AirMed created a subsidiary company called AirMed Asia and began preparations for opening the base in mid-2007. The first AirMed Asia transport was completed in March 2008. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968763 Sun, 01 Nov 2009 00:00:00 +0100 2968763 http://www.medworm.com/index.php?rid=2968762&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900282X%2Fabstract%3Frss%3Dyes By the time you have an opportunity to read this issue, ATMC 2009 has come and gone. Hopefully some of the energy and motivation generated there continues to command you to do more and do better! (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968762 Sun, 01 Nov 2009 00:00:00 +0100 2968762 http://www.medworm.com/index.php?rid=2968761&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002430%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800)-525-3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968761 Sun, 01 Nov 2009 00:00:00 +0100 2968761 http://www.medworm.com/index.php?rid=2968760&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002478%2Fabstract%3Frss%3Dyes According to a Princeton website, “pressure” is defined in some of the following manners: “A force that compels; “the public brought pressure to bear on the government” (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968760 Sun, 01 Nov 2009 00:00:00 +0100 2968760 http://www.medworm.com/index.php?rid=2968759&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002454%2Fabstract%3Frss%3Dyes Tekwani KL, Watts HF Rzechula KH, Sweis RT, Kulstad EB. A prospective observational study of the effect of etomidate on septic patient mortality and length of stay. Acad Emerg Med 2009;16:11-4. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968759 Sun, 01 Nov 2009 00:00:00 +0100 2968759 http://www.medworm.com/index.php?rid=2968758&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002466%2Fabstract%3Frss%3Dyes A 58-year-old man was riding his bicycle and was struck by a car. He was ejected and landed on his back on the pavement of the roadway. He complained of severe pain in his lower back and sacral area. Ground emergency medical services (EMS) arrived to find a pale, diaphoretic man who was alert but in distress. His medical history was negative, and he was taking no medications. The initial heart rate was 130 beats/minute, and the blood pressure was 70 mmHg by palpation. A helicopter air ambulance was requested from the rural scene location to transport the patient to a trauma center. The physical examination by the flight crew demonstrated the patient had not changed from the original EMS assessment, despite the administration of 1 L normal saline intravenously. There were no apparent in... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968758 Sun, 01 Nov 2009 00:00:00 +0100 2968758 http://www.medworm.com/index.php?rid=2968757&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002442%2Fabstract%3Frss%3Dyes At its July 2009 meeting, the Commission on Accreditation for Medical Transport Systems (CAMTS) board of directors decided to change the way we schedule site visits. From this point forward, unless a program has a prescheduled date from a previous certification period, all reaccreditation site visits will be conducted within a certain time frame; no specific dates will be provided. For example, if a certification period ends in July 2010, the letter of accreditation will provide notification that the site visit for reaccreditation will be in May or June 2010. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968757 Sun, 01 Nov 2009 00:00:00 +0100 2968757 http://www.medworm.com/index.php?rid=2968756&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09003095%2Fabstract%3Frss%3Dyes Dwayne Howerton, Brenda Watson Introduction: With the recent surge of emphasis on safety, we elected to look at the impact that crew duty time may have on the success of endotracheal intubation at one air medical transport company. The skill of endotracheal intubation contains great risk no matter how experienced the provider may be and requires the up most alertness. There are many factors, both patient and provider, that can affect the outcome. One of these factors is crew duty time. Each encounter is unpredictable and presents its own set of challenges. The unsuccessful outcome can have deleterious effects on the patient. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968756 Sun, 01 Nov 2009 00:00:00 +0100 2968756 http://www.medworm.com/index.php?rid=2968755&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002880%2Fabstract%3Frss%3Dyes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043. Periodicals postage paid at New York, NY, and additional mailing offices. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968755 Sun, 01 Nov 2009 00:00:00 +0100 2968755 http://www.medworm.com/index.php?rid=2968754&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002879%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, NREMT-P, Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968754 Sun, 01 Nov 2009 00:00:00 +0100 2968754 http://www.medworm.com/index.php?rid=2968753&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002867%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2968753 Sun, 01 Nov 2009 00:00:00 +0100 2968753 http://www.medworm.com/index.php?rid=2791465&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001059%2Fabstract%3Frss%3Dyes We report the results of that survey. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791465 Mon, 31 Aug 2009 23:00:00 +0100 2791465 http://www.medworm.com/index.php?rid=2791464&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001990%2Fabstract%3Frss%3Dyes D. Howerton, B. Watson Introduction: With the recent surge of emphasis on safety, we elected to look at the impact that crew duty time may have on the success of endotracheal intubation at one air medical transport company. The skill of endotracheal intubation contains great risk, no matter how experienced the provider may be, and requires the up most alertness. There are many factors, both patient and provider, that can affect the outcome. One of these factors is crew duty time. Each encounter is unpredictable and presents its own set of challenges. The unsuccessful outcome can have deleterious effects on the patient. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791464 Mon, 31 Aug 2009 23:00:00 +0100 2791464 http://www.medworm.com/index.php?rid=2791463&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001965%2Fabstract%3Frss%3Dyes This year, the Air Medical Transport Conference (AMTC) heads to the nation's 10th largest city and capital of Silicon Valley—San Jose, CA., a destination known for its historic venues and world-class museums, hip restaurants, eclectic nightlife scene, and exciting sporting events, not to mention its diverse mix of culture, art, and festivals. Join us October 26–28 as we gather in beautiful Northern California to network, learn, share, renew friendships, and gain contacts with more than 2,500 medical transport professionals. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791463 Mon, 31 Aug 2009 23:00:00 +0100 2791463 http://www.medworm.com/index.php?rid=2791462&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001977%2Fabstract%3Frss%3Dyes California Shock Trauma Air Rescue (CALSTAR) is a nonprofit community benefit organization established as a 501(c) nonprofit air ambulance service. The board of directors, which provides oversight to the organization, is composed of volunteer representatives from John Muir Health, Regional Medical Center of San Jose, and Sutter Roseville Medical Center. CALSTAR began its operation with the purpose of becoming an industry leader with its community-based business model, as opposed to being a traditional hospital-based program like many of the existing programs throughout the country at that time. CALSTAR has been caring and transporting individuals throughout central and northern California and northern Nevada in their hours of need for more than 25 years, completing more than 40,000 injury-... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791462 Mon, 31 Aug 2009 23:00:00 +0100 2791462 http://www.medworm.com/index.php?rid=2791461&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001448%2Fabstract%3Frss%3Dyes As an EMS (emergency medical service helicopter) Helicopter pilot you are often asked to stretch your skills to the limit when landing in a remote area to pick up an injured patient on a gusty windy night. With pressure to get the patient to the nearest hospital where medical doctors may save a life, it is easy to forget that the approach to the hospital landing pad may be the most challenging segment of your flight. It should be easy; you have a lighted landing pad, wind socks, wind instruments, regional ambient wind (Ambient wind is unobstructed by terrain, buildings, and vegetation such as that reported by nearby automated surface observing systems [ASOS] and automated weather observing systems [AWOS] airport weather station or properly sited on highest nearby facility.) reports, maybe ... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791461 Mon, 31 Aug 2009 23:00:00 +0100 2791461 http://www.medworm.com/index.php?rid=2791460&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000716%2Fabstract%3Frss%3Dyes Pregnant women are fascinating yet complex patients to care for. Being responsible for both mother and fetus adds additional stressors on even the most experienced transport team. Say that you are called to transport a 26-year-old pregnant woman at 29 weeks' gestation with a history of hypertension. You are transporting her from a small rural hospital to the large metro area hospital for definitive perinatology and neonatal services not available in her small town. On arriving at the patient's bedside, your already heightened anxiety goes through the roof because this pregnant patient is obviously uncomfortable. She is alert and oriented but resting with her eyes closed. Her main complaint is a 2-day history of nausea and abdominal pain now rating 8/10. She also complains of a headache and... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791460 Mon, 31 Aug 2009 23:00:00 +0100 2791460 http://www.medworm.com/index.php?rid=2791459&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002120%2Fabstract%3Frss%3Dyes It's hard to believe the 2009 AMTC is around the corner. AMTC is shaping up to be another jam-packed educational experience, along with the networking opportunities that go along with a conference of this magnitude. It will also be one of the toughest economic times many of us have experienced, with many programs facing budget cuts. All the associations have been working hard to promote the value of attending the AMTC, and hopefully this collaboration will pay off with another strong year. The preconferences sponsored by the partner associations are once again informative and timely in their content. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791459 Mon, 31 Aug 2009 23:00:00 +0100 2791459 http://www.medworm.com/index.php?rid=2791458&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002107%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791458 Mon, 31 Aug 2009 23:00:00 +0100 2791458 http://www.medworm.com/index.php?rid=2791457&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002119%2Fabstract%3Frss%3Dyes This text is a 400-plus page publication written in a question and answer format. The questions are drafted in a multiple choice design and style consistent with certification exams offered for all healthcare practitioners. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791457 Mon, 31 Aug 2009 23:00:00 +0100 2791457 http://www.medworm.com/index.php?rid=2791456&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001941%2Fabstract%3Frss%3Dyes Somewhere in my very distant childhood, I was in the process of developing a moral compass for my life. After doing something I clearly (in hindsight) should not have done, a very wise Episcopal priest answered my query about how to determine right from wrong as I went through life. He said, “Before you embark on some course of action that you are not sure is right or wrong, ask yourself what your mom would say before you do it.” That simple question served to limit my exposure to what might have been mischievous fun, yet oh so wrong. It proved to be a pretty good compass when I was teetering on bad behavior. Not that I always followed that sage advice, but most of the time it saved me future grief. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791456 Mon, 31 Aug 2009 23:00:00 +0100 2791456 http://www.medworm.com/index.php?rid=2791455&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900193X%2Fabstract%3Frss%3Dyes Ringburg AN, de Ronde G, Thomas SH, van Lieshout EM, Patka P, Schipper IB. Validity of helicopter emergency medical services dispatch criteria for traumatic injuries: a systematic review. Prehosp Emerg Care 2009;13:28-36 (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791455 Mon, 31 Aug 2009 23:00:00 +0100 2791455 http://www.medworm.com/index.php?rid=2791454&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002144%2Fabstract%3Frss%3Dyes The Foundation for Air-Medical Research and Education (FARE) has evolved over the past few years, gaining the support and confidence of medical transport organizations worldwide. This expansion of our donor base has created new opportunities for growth of our education and research initiatives. Our new name, the MedEvac Foundation International, accurately reflects our global mission, vision, and core values. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791454 Mon, 31 Aug 2009 23:00:00 +0100 2791454 http://www.medworm.com/index.php?rid=2791453&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001953%2Fabstract%3Frss%3Dyes The following column recounts an actual patient case involving a critical care transport. Minor details of the case may be changed solely to protect the privacy of the patient. The initial presentation and treatment will be described and followed by several questions in this issue. Readers are invited to submit responses to the questions and other thoughts/comments to David Ross, DO, at DRDR0682@aol.com. In the next issue, relevant reader responses will be published. We will conclude the case in the next issue with a discussion of how the patient was actually managed, the outcome, a review of the related medical literature, and interviews with medical/transport experts where appropriate. We strongly encourage reader participation. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791453 Mon, 31 Aug 2009 23:00:00 +0100 2791453 http://www.medworm.com/index.php?rid=2791452&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001928%2Fabstract%3Frss%3Dyes The current Commission on Accreditation for Medical Transport Systems (CAMTS) Accreditation Standards 7th Edition, published in 2006 and supplemented with an addendum in January 2009, will be replaced by the 8th Edition in 2010. Standards are dynamic in any professional field, but in medical transport, “motions produced by given forces,” Webster's definition of dynamic, is especially pertinent. Rotor-wing services, in particular, have been under the spotlight most recently, and changes are in process by the Federal Aviation Administration (FAA) and the National Transportation Safety Board (NTSB) that may result in the way business is conducted. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791452 Mon, 31 Aug 2009 23:00:00 +0100 2791452 http://www.medworm.com/index.php?rid=2791451&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002818%2Fabstract%3Frss%3Dyes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043. Periodicals postage paid at New York, NY, and additional mailing offices. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791451 Mon, 31 Aug 2009 23:00:00 +0100 2791451 http://www.medworm.com/index.php?rid=2791450&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09002181%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, NREMT-P, Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791450 Mon, 31 Aug 2009 23:00:00 +0100 2791450 http://www.medworm.com/index.php?rid=2791449&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900217X%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2791449 Mon, 31 Aug 2009 23:00:00 +0100 2791449 http://www.medworm.com/index.php?rid=2557891&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000406%2Fabstract%3Frss%3Dyes This case report describes air medical transport of a patient with ankylosing spondylitis (AS) who had sustained cervical spine injury as the result of an assault. It highlights important considerations regarding airway management while maintaining cervical spine immobilization and elaborates on a novel airway management technique for flight crews: videolaryngoscope-assisted nasotracheal intubation. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557891 Tue, 30 Jun 2009 23:00:00 +0100 2557891 http://www.medworm.com/index.php?rid=2557890&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000728%2Fabstract%3Frss%3Dyes Conclusions: Daily practice with standard airway mannequins by a critical care transport team did not improve intubation success on actual patients. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557890 Tue, 30 Jun 2009 23:00:00 +0100 2557890 http://www.medworm.com/index.php?rid=2557889&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000376%2Fabstract%3Frss%3Dyes We report a case in which an air medical crew used a gum-elastic bougie (endotracheal tube introducer), a common device in many airway kits, to facilitate surgical cricothyroidotomy in a 58-year-old patient with a pharyngeal mass, respiratory failure, and failed rapid sequence induction. We believe this technique may decrease the time until ventilation, minimize complications compared with other cricothyroidotomy techniques, and allow insertion of a larger-diameter endotracheal tube compared with other techniques. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557889 Tue, 30 Jun 2009 23:00:00 +0100 2557889 http://www.medworm.com/index.php?rid=2557888&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001060%2Fabstract%3Frss%3Dyes The following abstracts are from the poster presentations made at the 2009 Critical Care Transport Medicine Conference held April 6–8, 2009, at the Sheraton Gunter Hotel in San Antonio, Texas. They are supported by Golden Hour Data Systems, Inc. Contact Pat Petersen, executive director of the Air Medical Physician Association, at ppeter1111@aol.com for more information. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557888 Tue, 30 Jun 2009 23:00:00 +0100 2557888 http://www.medworm.com/index.php?rid=2557887&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900145X%2Fabstract%3Frss%3Dyes As you come off of your third straight night of a lot of flying and very little rest, all you can think about is that nice, comfortable bed waiting for you at home and the chance to catch up on some much needed sleep. Even though you worked almost 2 hours past your normal shift time this morning, you know that you should have plenty of time to get adequate sleep before returning at 1900 tonight. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557887 Tue, 30 Jun 2009 23:00:00 +0100 2557887 http://www.medworm.com/index.php?rid=2557886&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001229%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557886 Tue, 30 Jun 2009 23:00:00 +0100 2557886 http://www.medworm.com/index.php?rid=2557885&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001217%2Fabstract%3Frss%3Dyes Several weeks ago, I read an article in an online newspaper that said something along the lines of “if this aircraft and crew had night vision goggles (NVGs) and/or terrain awareness warning systems (TAWS), it would have avoided the fatal accident.” Someone can easily armchair-quarterback this and other accidents and come to a similar conclusion if he or she does not understand accident prevention basics. If one believes that technology alone would have prevented the flurry of tragic accidents that we had in 2008, then some of us have a short memory. Technology is most certainly going to be more of a risk mitigation factor in years to come, but it alone would not have prevented foolish accidents, nor will it prevent the next accident without sound decision making and improved situation... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557885 Tue, 30 Jun 2009 23:00:00 +0100 2557885 http://www.medworm.com/index.php?rid=2557884&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001199%2Fabstract%3Frss%3Dyes Warner KJ, Sharar SR, Copass MK, Bulger EM. Prehospital management of the difficult airway: a prospective cohort study. J Emerg Med 2009;36:257–65. The Seattle emergency medical services (EMS) system has been doing out-of-hospital intubations and rapid-sequence intubations (RSI) longer than any other EMS system in the United States. This paper looks at all intubations performed by the Seattle Fire Department over a 4-year period. Of 80,501 advanced life support (ALS) patient contacts, 4,091 (5.1%) patients had endotracheal intubation (ETI) attempts performed; 96.8% of these patients were intubated within four attempts, and 62.3% of the intubated patients had RSI. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557884 Tue, 30 Jun 2009 23:00:00 +0100 2557884 http://www.medworm.com/index.php?rid=2557883&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001205%2Fabstract%3Frss%3Dyes A mobile intensive care unit was dispatched to a suburban hospital for a 26-year-old woman who was 26 weeks pregnant and had been diagnosed with preeclampsia. The report from the referring facility indicated that the patient was stable without complaints but needed transported for further evaluation to a tertiary care center that specializes in high-risk obstetrics. The referring facility asked the transport crew to bring a fetal heart monitor because the fetus had demonstrated sporadic episodes of bradycardia. The history obtained indicated this patient was a gravida 1 para 0 who had developed some very mild elevations in her blood pressure (BP) accompanied by swelling of her face, feet, and hands beginning at 18 weeks' gestation She had been admitted to the obstetric unit 24 hours before... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557883 Tue, 30 Jun 2009 23:00:00 +0100 2557883 http://www.medworm.com/index.php?rid=2557882&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001187%2Fabstract%3Frss%3Dyes This article is the 15th in a multipart series designed to improve the knowledge base of readers, particularly novices, in the area of clinical research. A better understanding of these principles should help in reading and understanding the application of published studies. It should also help those involved in beginning their own research projects. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557882 Tue, 30 Jun 2009 23:00:00 +0100 2557882 http://www.medworm.com/index.php?rid=2557881&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001175%2Fabstract%3Frss%3Dyes Many medical transport services that are visited by the Commission on Accreditation of Medical Transport Systems (CAMTS) have problems understanding utilization review (UR). Some services provide us with their quality management (QM) data, interpreting QM as UR. Other services are just starting to collect data, using the suggested list from Accreditation Standard 07.03.00, but there is no evidence of trending and follow-up. So what do we mean by UR? (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557881 Tue, 30 Jun 2009 23:00:00 +0100 2557881 http://www.medworm.com/index.php?rid=2557880&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001485%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, NREMT-P, Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557880 Tue, 30 Jun 2009 23:00:00 +0100 2557880 http://www.medworm.com/index.php?rid=2557879&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09001497%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2557879 Tue, 30 Jun 2009 23:00:00 +0100 2557879 http://www.medworm.com/index.php?rid=2391795&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002964%2Fabstract%3Frss%3Dyes Abstract: A 36-year-old white man hit a home run in the seventh inning of a community baseball game. The patient ran the bases successfully and returned to home plate. As he was bending over to pick up the bat, he suddenly collapsed. Bystander cardiopulmonary resuscitation (CPR) was immediately initiated, and defibrillation occurred within 5 minutes per the local emergency medical services (EMS) service. The automated external defibrillator (AED) shocked the patient a total of three times, and he was transported to a local hospital at the basic life support level. Helicopter emergency service (HEMS) was activated by local medical control, and LifeFlight of Maine responded to transfer this patient to a tertiary care center. Case: In the local emergency department, the othe... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391795 Fri, 01 May 2009 04:00:00 +0100 2391795 http://www.medworm.com/index.php?rid=2391793&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002757%2Fabstract%3Frss%3Dyes Conclusions: We found no advantage of survival rates among patients suffering from AADA who were transferred by either HEMS or EMS in primary or secondary transport. Although HEMS traveled a distance more than twofold longer than ground-based EMS at the same mission time, HEMS was eightfold more expensive than ground-based EMS in AADA. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391793 Fri, 01 May 2009 04:00:00 +0100 2391793 http://www.medworm.com/index.php?rid=2391792&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000388%2Fabstract%3Frss%3Dyes Conclusion: We have derived and validated simple equations with easy-to-use tables to accurately predict total body weight of obese men and women using only height and arm circumference. These tables may assist air medical transport pilots and medical crews make decisions about which patients may be safely transported, how far they may be transported, how much fuel is required, and how many crewmembers and family members may accompany them. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391792 Fri, 01 May 2009 04:00:00 +0100 2391792 http://www.medworm.com/index.php?rid=2391791&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900039X%2Fabstract%3Frss%3Dyes There are 500 Joint Commission-certified primary stroke centers in the country. Of those, seven reside in Colorado and another 18 in the surrounding seven-state region. However, from our research, there has been no identified or established specialty stroke transport team dedicated to the transport of stroke patients from both interfacility and scene transfers. Despite the fact that a very large percentage of patients with the diagnosis of stroke will be transported to those aforementioned centers, there is a distinct lack in equivalent care or standards in stroke transport dictated by Commission on Accreditation of Medical Transport Services (CAMTS) or actively practiced comprehensively by any air medical transport program in the nation. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391791 Fri, 01 May 2009 04:00:00 +0100 2391791 http://www.medworm.com/index.php?rid=2391790&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000431%2Fabstract%3Frss%3Dyes Like many air medical programs in the United States, Medi-Flight of Northern California originated from the need to provide critical patient care services to the local community. Unlike most air medical programs, however, Medi-Flight is one of the original nine air medical programs in the nation. On December 1, 2008, the service celebrated its 30th anniversary of continuous operation in Modesto, Calif., and Stanislaus County. Although the program has evolved over the years, including its share of triumphs and challenges, Medi-Flight has always stayed true to its mission of providing quality health care to the community. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391790 Fri, 01 May 2009 04:00:00 +0100 2391790 http://www.medworm.com/index.php?rid=2391789&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000674%2Fabstract%3Frss%3Dyes The setting was more like a congressional hearing than a courtroom. The National Transportation Safety Board (NTSB) is not a rule-making or regulatory body, but its staff members are experts in accident investigation, analysis, and safety. The purpose of the hearings was to obtain information from experts in the air medical profession and make recommendations to mitigate risks and improve the safety record of helicopter emergency medical services. These hearings took place at the NTSB headquarters in Washington, DC, over a 4-day period, February 3–6, 2009. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391789 Fri, 01 May 2009 04:00:00 +0100 2391789 http://www.medworm.com/index.php?rid=2391788&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000698%2Fabstract%3Frss%3Dyes Professional associations struggle during economic hardships, and the IAFP will strategize to mitigate the effects the economy will have on our profession association. Professional associations typically place much emphasis on tangible items, like discounts on insurance, magazines, and perhaps car rentals. I believe the most important aspect of a professional association is providing the intangible benefits to its members. The intangible provides credibility in the marketplace through items like credentialing and political advocacy. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391788 Fri, 01 May 2009 04:00:00 +0100 2391788 http://www.medworm.com/index.php?rid=2391787&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000704%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391787 Fri, 01 May 2009 04:00:00 +0100 2391787 http://www.medworm.com/index.php?rid=2391786&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000455%2Fabstract%3Frss%3Dyes Pediatric submersion injuries continue to be a significant cause of pediatric death and morbidity. In 2000, more than 1,400 pediatric deaths were attributed to submersion injuries. Pediatric emergency care providers must be aware of the epidemiology, demographics, initial injury patterns, and complications from submersion injuries to provide effective care. Equally important for emergency care providers is the development of prevention strategies to decrease the injury and death rates associated with this common pediatric injury. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391786 Fri, 01 May 2009 04:00:00 +0100 2391786 http://www.medworm.com/index.php?rid=2391785&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900042X%2Fabstract%3Frss%3Dyes Grocott MPW, Martin DS, Levett DZH, McMorrow R, Windsor J, Montgomery HE, et al. Arterial blood gases and oxygen content in climbers on Mount Everest. N Engl J Med 2009;360:140-9. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391785 Fri, 01 May 2009 04:00:00 +0100 2391785 http://www.medworm.com/index.php?rid=2391784&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000443%2Fabstract%3Frss%3Dyes The following is a recounting of an actual patient case involving a critical care transport. Minor details of the case may be changed solely to protect the privacy of the patient. The initial presentation and treatment are described and followed by several questions in this issue. Readers are invited to submit responses to the questions and other thoughts/comments to David Ross, DO, at DRDR0682@aol.com. In the next issue, relevant reader responses will be published. We will conclude the case in the next issue with a discussion of how the patient was actually managed, the outcome, a review of the related medical literature, and interviews with medical/transport experts where appropriate. We strongly encourage reader participation. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391784 Fri, 01 May 2009 04:00:00 +0100 2391784 http://www.medworm.com/index.php?rid=2391783&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000686%2Fabstract%3Frss%3Dyes This article is the 14th in a multipart series designed to improve the knowledge base of readers, particularly novices, in the area of clinical research. A better understanding of these principles should help in reading and understanding the application of published studies. It should also help those involved in beginning their own research projects. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391783 Fri, 01 May 2009 04:00:00 +0100 2391783 http://www.medworm.com/index.php?rid=2391782&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000418%2Fabstract%3Frss%3Dyes As we at the Commission on Accreditation of Medical Transport Systems (CAMTS) visit programs, we see a real need for initial and continuing education opportunities. Last year, together with Flight for Life in Milwaukee, Wisc., and a grant from the Foundation for Air Medical Research and Education, we were able to produce a 15-minute DVD called Hazards of Helicopter Shopping. This presentation describes helicopter shopping through a real situation that resulted in a fatal accident and describes the communication steps necessary to avoid tragic results. The DVD has been widely distributed at no charge to prehospital and emergency department personnel through state emergency medical services offices and flight programs. It is also available for free download from the www.faasafety.gov website... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391782 Fri, 01 May 2009 04:00:00 +0100 2391782 http://www.medworm.com/index.php?rid=2391781&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000777%2Fabstract%3Frss%3Dyes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: 11830 Westline Industrial Drive, St. Louis, MO 63146. Periodicals postage paid at New York, NY, and additional mailing offices. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391781 Fri, 01 May 2009 04:00:00 +0100 2391781 http://www.medworm.com/index.php?rid=2391780&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000753%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, NREMT-P, Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391780 Fri, 01 May 2009 04:00:00 +0100 2391780 http://www.medworm.com/index.php?rid=2391779&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000765%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2391779 Fri, 01 May 2009 04:00:00 +0100 2391779 http://www.medworm.com/index.php?rid=2343393&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002708%2Fabstract%3Frss%3Dyes Conclusion: This AMPA survey was useful in prioritizing membership services. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343393 Sun, 01 Mar 2009 05:00:00 +0100 2343393 http://www.medworm.com/index.php?rid=2343392&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0800271X%2Fabstract%3Frss%3Dyes Conclusions: Music therapy is a simple adjunct for use during CCT that may increase patient comfort and alleviate anxiety. The small number of patients in this preliminary report limits the strength of any conclusions. Larger studies are needed. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343392 Sun, 01 Mar 2009 05:00:00 +0100 2343392 http://www.medworm.com/index.php?rid=2343391&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002162%2Fabstract%3Frss%3Dyes Being exposed to human suffering on a frequent basis can take its toll on air medical program staff, resulting in “burnout,” a feeling of being overwhelmed, or loss of empathy and compassion. Puchalski noted that, over time, “our exposure to suffering and the existential questions that arise from suffering may lead to a spiritual or philosophical growth, or it may result in ‘gradual wearing down of the spirit.’” To avoid losing valued staff to burnout and frustration, the program implemented a flight chaplaincy program. The initial goal, which was expanded later, was “to reduce staff emotional stress by providing crewmembers an opportunity to express their emotions to a nonjudgmental chaplain experienced in working with people in distress.” (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343391 Sun, 01 Mar 2009 05:00:00 +0100 2343391 http://www.medworm.com/index.php?rid=2343390&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002721%2Fabstract%3Frss%3Dyes Following the rapid expansion of the air ambulance industry in recent years, many state and local agencies have increased their efforts to regulate air ambulances. At the same time, faced with increasing and often conflicting regulations, legally sophisticated air ambulance providers commonly are raising the question of whether state and local agencies have regulatory authority over issues that are already heavily regulated by federal agencies. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343390 Sun, 01 Mar 2009 05:00:00 +0100 2343390 http://www.medworm.com/index.php?rid=2343389&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000029%2Fabstract%3Frss%3Dyes The end of 2008 and the beginning of 2009 have passed. Often this time of year causes us to pause, reflect, and perhaps make resolutions. Gifts, cards, and pithy emails that encourage all to do these things seem to abound. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343389 Sun, 01 Mar 2009 05:00:00 +0100 2343389 http://www.medworm.com/index.php?rid=2343388&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002988%2Fabstract%3Frss%3Dyes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. If you have questions, contact CONCERN Coordinator David Kearns at (800)-525-3712 or www.concern-network.org. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343388 Sun, 01 Mar 2009 05:00:00 +0100 2343388 http://www.medworm.com/index.php?rid=2343387&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08003027%2Fabstract%3Frss%3Dyes Several years ago, I developed a debilitating illness that came on suddenly and had the potential for a lifelong complete disability. When first realizing that my future was going to change and that everything I planned could change dramatically, I had to deal with that change, fear, and uncertainty. In the midst of this change, a flight nurse friend sent me a card with a quote from an unknown author who said, “A bend in the road is not the end of the road unless you fail to make the turn.” Clearly I was facing a big potential change that I had better adjust to. There really was no sane alternative. Much of what we do in our air medical community is now facing a time of change. We really need to take a hard look at how and why we do what we do. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343387 Sun, 01 Mar 2009 05:00:00 +0100 2343387 http://www.medworm.com/index.php?rid=2343386&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08003015%2Fabstract%3Frss%3Dyes MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med 2008;15:923–31. This interesting paper from the busiest air medical service in North America details the occurrences of adverse events within their service over a 3.5-year period. During this period, there were 58,956 flights with 103,632 flight hours; 680 events with complete records were found in their mandatory reporting system database. There were 11.53 adverse events per 1,000 flights (6.56 per 1,000 hours flown). Communication events were most common (33.7%), followed by transport vehicle events (21.0%), medical equipment events (12.9%), patient management events (11.4%), clinical performance events (10.0%), weather events (4.4%), unclassified events (3.5%), and patient fact... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343386 Sun, 01 Mar 2009 05:00:00 +0100 2343386 http://www.medworm.com/index.php?rid=2343385&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08003003%2Fabstract%3Frss%3Dyes A transport request was received from a free-standing emergency facility to transport a morbidly obese man with a ruptured abdominal aortic aneurysm (AAA). Weather conditions at the time prohibited rotor-wing transfer, so ground transport was arranged. The patient was a 58-year-old man being worked up for a possible back injury. During the evaluation, the patient had an episode of supraventricular tachycardia (SVT) with associated hemodynamic instability. Although the SVT corrected without intervention, the patient remained hemodynamically unstable. An abdominal computed tomographic (CT) scan with intravenous (IV) contrast demonstrated a 10-cm leaking abdominal aortic aneurysm. The patient complained of severe heartburn and abdominal pain. He had a significant medical history, includin... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343385 Sun, 01 Mar 2009 05:00:00 +0100 2343385 http://www.medworm.com/index.php?rid=2343384&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X08002976%2Fabstract%3Frss%3Dyes This 13th article of the Basics of Research series is first in a short series on statistical analysis. These articles will discuss creating your statistical analysis plan, levels of measurement, descriptive statistics, probability theory, inferential statistics, and general considerations for interpretation of the results of a statistical analysis. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343384 Sun, 01 Mar 2009 05:00:00 +0100 2343384 http://www.medworm.com/index.php?rid=2343383&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0800299X%2Fabstract%3Frss%3Dyes Many readers have responded to my editorial (“A Change in Culture Is Required”) in the September/October 2008 issue. Some responders think that the Commission on Accreditation for Medical Transport Systems (CAMTS) is trying to punish pilots by requiring that beds be removed from bases. Some 24-hour shift medical crews tell us they get much more rest at work than if they had to go home after 12 hours and return the next day or night for another 12 hours. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343383 Sun, 01 Mar 2009 05:00:00 +0100 2343383 http://www.medworm.com/index.php?rid=2343382&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X0900025X%2Fabstract%3Frss%3Dyes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: 11830 Westline Industrial Drive, St. Louis, MO 63146. Periodicals postage paid at New York, NY, and additional mailing offices. (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343382 Sun, 01 Mar 2009 05:00:00 +0100 2343382 http://www.medworm.com/index.php?rid=2343381&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000054%2Fabstract%3Frss%3Dyes Jacqueline C. Stocking, RN, MSN, MBA, CMTE, CEN, CFRN, FP-C, NREMT-P, Editor Air Methods Corporation (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343381 Sun, 01 Mar 2009 05:00:00 +0100 2343381 http://www.medworm.com/index.php?rid=2343380&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.airmedicaljournal.com%2Farticle%2FPIIS1067991X09000066%2Fabstract%3Frss%3Dyes (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2343380 Sun, 01 Mar 2009 05:00:00 +0100 2343380 http://www.medworm.com/index.php?rid=2251384&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272566%26dopt%3DAbstract Authors: Frazer E PMID: 19272566 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251384 Sun, 01 Mar 2009 05:00:00 +0100 2251384 http://www.medworm.com/index.php?rid=2251382&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272567%26dopt%3DAbstract Authors: Thompson CB This 13th article of the Basics of Research series is first in a short series on statistical analysis. These articles will discuss creating your statistical analysis plan, levels of measurement, descriptive statistics, probability theory, inferential statistics, and general considerations for interpretation of the results of a statistical analysis. PMID: 19272567 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251382 Sun, 01 Mar 2009 05:00:00 +0100 2251382 http://www.medworm.com/index.php?rid=2251380&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272568%26dopt%3DAbstract Authors: Glassman ES A transport request was received from a free-standing emergency facility to transport a morbidly obese man with a ruptured abdominal aortic aneurysm (AAA). Weather conditions at the time prohibited rotor-wing transfer, so ground transport was arranged. The patient was a 58-year-old man being worked up for a possible back injury. During the evaluation, the patient had an episode of supraventricular tachycardia (SVT) with associated hemodynamic instability. Although the SVT corrected without intervention, the patient remained hemodynamically unstable. An abdominal computed tomographic (CT) scan with intravenous (IV) contrast demonstrated a 10-cm leaking abdominal aortic aneurysm. The patient complained of severe heartburn and abdominal pain. He had a significant medi... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251380 Sun, 01 Mar 2009 05:00:00 +0100 2251380 http://www.medworm.com/index.php?rid=2251379&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272569%26dopt%3DAbstract Authors: Hankins D PMID: 19272569 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251379 Sun, 01 Mar 2009 05:00:00 +0100 2251379 http://www.medworm.com/index.php?rid=2251378&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272570%26dopt%3DAbstract Authors: Macdonald E PMID: 19272570 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251378 Sun, 01 Mar 2009 05:00:00 +0100 2251378 http://www.medworm.com/index.php?rid=2251377&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272571%26dopt%3DAbstract Authors: Scarano RM, Bryant B PMID: 19272571 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251377 Sun, 01 Mar 2009 05:00:00 +0100 2251377 http://www.medworm.com/index.php?rid=2251376&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272572%26dopt%3DAbstract Authors: Mayer KM, Buchanan AA, Brunko M PMID: 19272572 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251376 Sun, 01 Mar 2009 05:00:00 +0100 2251376 http://www.medworm.com/index.php?rid=2251375&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272573%26dopt%3DAbstract CONCLUSIONS: Music therapy is a simple adjunct for use during CCT that may increase patient comfort and alleviate anxiety. The small number of patients in this preliminary report limits the strength of any conclusions. Larger studies are needed. PMID: 19272573 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251375 Sun, 01 Mar 2009 05:00:00 +0100 2251375 http://www.medworm.com/index.php?rid=2251374&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19272574%26dopt%3DAbstract CONCLUSION: This AMPA survey was useful in prioritizing membership services. PMID: 19272574 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2251374 Sun, 01 Mar 2009 05:00:00 +0100 2251374 http://www.medworm.com/index.php?rid=2094679&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131017%26dopt%3DAbstract Authors: Frazer E PMID: 19131017 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094679 Thu, 01 Jan 2009 05:00:00 +0100 2094679 http://www.medworm.com/index.php?rid=2094678&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131018%26dopt%3DAbstract Authors: Glassman ES The following is recounting of an actual patient case involving air transport. Minor details of the case may be changed to protect the privacy of the patient. The initial presentation and treatment are described, followed by several questions, in this issue. Readers are invited to submit responses to the questions and other thoughts/comments to David Ross atDRDR0682@aol.com. In the next issue, relevant reader responses will be published. We will conclude the case in the next issue with a discussion of how the patient was actually managed, the outcome, a review of the related medical literature, and interviews with medical/transport experts when appropriate. We strongly encourage reader participation. PMID: 19131018 [PubMed - in process] (Source: Air Medical Jou... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094678 Thu, 01 Jan 2009 05:00:00 +0100 2094678 http://www.medworm.com/index.php?rid=2094677&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131019%26dopt%3DAbstract Authors: Hankins D PMID: 19131019 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094677 Thu, 01 Jan 2009 05:00:00 +0100 2094677 http://www.medworm.com/index.php?rid=2094676&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131020%26dopt%3DAbstract Authors: Macdonald E PMID: 19131020 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094676 Thu, 01 Jan 2009 05:00:00 +0100 2094676 http://www.medworm.com/index.php?rid=2094675&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131021%26dopt%3DAbstract Authors: Judge T PMID: 19131021 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094675 Thu, 01 Jan 2009 05:00:00 +0100 2094675 http://www.medworm.com/index.php?rid=2094674&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131022%26dopt%3DAbstract Authors: Cockerill R, Hickman G, Thomas F PMID: 19131022 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094674 Thu, 01 Jan 2009 05:00:00 +0100 2094674 http://www.medworm.com/index.php?rid=2094673&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131023%26dopt%3DAbstract Authors: Funk RN, Farber JS PMID: 19131023 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094673 Thu, 01 Jan 2009 05:00:00 +0100 2094673 http://www.medworm.com/index.php?rid=2094672&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131024%26dopt%3DAbstract Authors: Smith K, Deimling DL, Hinckley WR PMID: 19131024 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094672 Thu, 01 Jan 2009 05:00:00 +0100 2094672 http://www.medworm.com/index.php?rid=2094671&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19131025%26dopt%3DAbstract CONCLUSION: IABP transports can be safely performed by a nurse/paramedic critical care transport team with perfusionist consultation. Few patients require significant intervention before transport. Attention must be paid to balloon inflation and deflation timing despite the existence of timing algorithms. Significant complications during transport were not seen. Future studies should explore the overall outcome of IABP-dependent patients and the role of transport mode on outcome. PMID: 19131025 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=2094671 Thu, 01 Jan 2009 05:00:00 +0100 2094671 http://www.medworm.com/index.php?rid=1951621&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992680%26dopt%3DAbstract Authors: Fitzpatrick P PMID: 18992680 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951621 Sat, 01 Nov 2008 04:00:00 +0100 1951621 http://www.medworm.com/index.php?rid=1951620&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992681%26dopt%3DAbstract Authors: Frazer E PMID: 18992681 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951620 Sat, 01 Nov 2008 04:00:00 +0100 1951620 http://www.medworm.com/index.php?rid=1951619&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992682%26dopt%3DAbstract Authors: Frazer E PMID: 18992682 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951619 Sat, 01 Nov 2008 04:00:00 +0100 1951619 http://www.medworm.com/index.php?rid=1951618&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992683%26dopt%3DAbstract Authors: Miskol JM A 17-year-old girl presented to a fire station complaining of severe abdominal pain one afternoon. The patient appeared acutely ill and had an initial blood pressure of 62 mmHg by palpation and a heart rate of 110 beats per minute. A flight crew was summoned to the scene. History obtained only through a Spanish-speaking interpreter revealed the patient to be approximately 6 months pregnant and without any prenatal care. Physical assessment revealed the patient to be alert and oriented but weak, pale, and diaphoretic. The abdomen examination demonstrated diffuse, severe tenderness and guarding to palpation. There was no evidence of vaginal bleeding or signs of imminent delivery. A repeat blood pressure by the flight crew was 82 mmHg by palpation. PMID: 18992683 [P... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951618 Sat, 01 Nov 2008 04:00:00 +0100 1951618 http://www.medworm.com/index.php?rid=1951617&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992684%26dopt%3DAbstract Authors: Hankins D PMID: 18992684 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951617 Sat, 01 Nov 2008 04:00:00 +0100 1951617 http://www.medworm.com/index.php?rid=1951616&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992685%26dopt%3DAbstract Authors: Macdonald E PMID: 18992685 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951616 Sat, 01 Nov 2008 04:00:00 +0100 1951616 http://www.medworm.com/index.php?rid=1951615&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992686%26dopt%3DAbstract Authors: Demmons LL PMID: 18992686 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951615 Sat, 01 Nov 2008 04:00:00 +0100 1951615 http://www.medworm.com/index.php?rid=1951614&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992687%26dopt%3DAbstract Authors: Mills GH, Mills CN PMID: 18992687 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951614 Sat, 01 Nov 2008 04:00:00 +0100 1951614 http://www.medworm.com/index.php?rid=1951613&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992688%26dopt%3DAbstract This article describes the pioneering era of Italian air medical transport during the period between World War I and early World War II. PMID: 18992688 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951613 Sat, 01 Nov 2008 04:00:00 +0100 1951613 http://www.medworm.com/index.php?rid=1951612&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992689%26dopt%3DAbstract Authors: Björnsson HM, Kristjánsson M, Möller AD After a tsunami in the Indian Ocean in December 2004, thousands of injured tourists were stranded far away from home. To transport injured Scandinavians and their relatives back to Sweden, a standard Icelandic charter plane was altered for the mission in 2 days. Orthopedic injuries and aspirations were the predominant injuries among patients transported, but all had received advanced care in Thailand. The transport to Sweden was uneventful. The possibility of including charter planes in plans for mass transport of injured patients in disaster preparedness is stressed. For a given incident, a detailed checklist can facilitate gathering vital information to ensure adequate equipment and patient care. The lessons from the pre... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951612 Sat, 01 Nov 2008 04:00:00 +0100 1951612 http://www.medworm.com/index.php?rid=1951611&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18992690%26dopt%3DAbstract CONCLUSION: Hantavirus infection commonly progresses to a cardiopulmonary syndrome, in which mortality is high. Optimal management includes: early suspicion/recognition based on characteristic clinical course and history; provision of oxygen and comprehensive ventilatory support; judicious fluid replacement; early and intensive inotropic therapy; prompt referral to an appropriate level of care; skillful interfacility transport. Definitive care can involve ECMO. PMID: 18992690 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1951611 Sat, 01 Nov 2008 04:00:00 +0100 1951611 http://www.medworm.com/index.php?rid=1779013&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775378%26dopt%3DAbstract Authors: Frazer E PMID: 18775378 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779013 Mon, 01 Sep 2008 04:00:00 +0100 1779013 http://www.medworm.com/index.php?rid=1779012&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775379%26dopt%3DAbstract Authors: Frazer E PMID: 18775379 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779012 Mon, 01 Sep 2008 04:00:00 +0100 1779012 http://www.medworm.com/index.php?rid=1779011&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775380%26dopt%3DAbstract Authors: Miskol JM The following recounts an actual patient case involving air transport. Minor details of the case may be altered to protect the privacy of the patient. The initial presentation and treatment will be described, followed by several questions. Readers are invited to submit responses to the question and other comments to David Ross, DO, at DRDR0682@aol.com. In the next issue, relevant reader responses will be published. We will conclude the case in the next issue with a discussion of how the patient was actually managed, the outcome, a review of the related medical literature, as well as interviews with medical/transport experts where appropriate. We strongly encourage reader participation. If you have a suitable subject for Case Review, please submit the details to David... Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779011 Mon, 01 Sep 2008 04:00:00 +0100 1779011 http://www.medworm.com/index.php?rid=1779010&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775381%26dopt%3DAbstract Authors: Hankins D PMID: 18775381 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779010 Mon, 01 Sep 2008 04:00:00 +0100 1779010 http://www.medworm.com/index.php?rid=1779009&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775382%26dopt%3DAbstract Authors: Macdonald E PMID: 18775382 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779009 Mon, 01 Sep 2008 04:00:00 +0100 1779009 http://www.medworm.com/index.php?rid=1779008&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775383%26dopt%3DAbstract Authors: Robinson H, Newman-Hill B PMID: 18775383 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779008 Mon, 01 Sep 2008 04:00:00 +0100 1779008 http://www.medworm.com/index.php?rid=1779007&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775384%26dopt%3DAbstract Authors: Kratko B PMID: 18775384 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779007 Mon, 01 Sep 2008 04:00:00 +0100 1779007 http://www.medworm.com/index.php?rid=1779006&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775385%26dopt%3DAbstract Authors: Brand K PMID: 18775385 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779006 Mon, 01 Sep 2008 04:00:00 +0100 1779006 http://www.medworm.com/index.php?rid=1779005&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18775386%26dopt%3DAbstract Authors: Bjoernsen LP, Parquette BT, Lindsay MB PMID: 18775386 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1779005 Mon, 01 Sep 2008 04:00:00 +0100 1779005 http://www.medworm.com/index.php?rid=1671405&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18603208%26dopt%3DAbstract Authors: Knobloch K PMID: 18603208 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1671405 Tue, 01 Jul 2008 04:00:00 +0100 1671405 http://www.medworm.com/index.php?rid=1602793&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18603208%26dopt%3DAbstract Authors: Knobloch K PMID: 18603208 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1602793 Tue, 01 Jul 2008 04:00:00 +0100 1602793 http://www.medworm.com/index.php?rid=1602792&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18603209%26dopt%3DAbstract Authors: Frazer E PMID: 18603209 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1602792 Tue, 01 Jul 2008 04:00:00 +0100 1602792 http://www.medworm.com/index.php?rid=1602791&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18603210%26dopt%3DAbstract Authors: Thompson CB, Panacek EA PMID: 18603210 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1602791 Tue, 01 Jul 2008 04:00:00 +0100 1602791 http://www.medworm.com/index.php?rid=1602790&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18603211%26dopt%3DAbstract Authors: Knight WA, Gunderman M, Hinckley WR A 37-year-old man was severely burned while trying to fill a lighter with fuel while smoking. He sustained full-thickness (third-degree) burns over 60% to 70% of his body, including the oropharynx. A ground-based paramedic was unable to orotracheally intubate the patient after the administration of morphine and diazepam. The flight crew's assessment found an awake, alert man who was unable to speak because of his oral injuries. The Glasgow Coma Scale was estimated to be 10. In addition, the patient was wheelchair-bound from an undefined neuromuscular disease. The patient was successfully intubated by the flight team as in the following description. PMID: 18603211 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1602790 Tue, 01 Jul 2008 04:00:00 +0100 1602790 http://www.medworm.com/index.php?rid=1602789&cid=s_34431_14_f&fid=34431&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18603212%26dopt%3DAbstract Authors: Hankins D PMID: 18603212 [PubMed - in process] (Source: Air Medical Journal) Air Medical Journal journals http://www.medworm.com/rss/comments.php?id=1602789 Tue, 01 Jul 2008 04:00:00 +0100 1602789