Intraosseous Insights: Tips and Tricks
Publication date: Available online 31 October 2019Source: Air Medical JournalAuthor(s): Scott DeBoer, Jason Chancey, Michael Rushing, Lisa DeBoer, Michael Seaver (Source: Air Medical Journal)
Source: Air Medical Journal - November 2, 2019 Category: Emergency Medicine Source Type: research
The Case for Bougie Use on Every Intubation
Publication date: Available online 30 October 2019Source: Air Medical JournalAuthor(s): Andrew H. MerelmanAbstractDespite its value in emergency airway management, the endotracheal tube introducer, commonly known as the bougie, has traditionally been a point of disagreement between providers. It is typically viewed as a “rescue” device and not a primary airway tool. However, its value as a primary device during plan A has recently been recognized. Two studies have shown increased first-pass success using a bougie on the initial attempt. Additionally, bougie use on every intubation increases provider comfort with the de...
Source: Air Medical Journal - October 31, 2019 Category: Emergency Medicine Source Type: research
Cardiac Arrest Secondary to Accidental Hypothermia: The Physiology Leading to Hypothermic Arrest
This article discusses the epidemiology and pathophysiology of accidental hypothermic to explain how personnel can survive after 8 hours 40 minutes of cardiac arrest. (Source: Air Medical Journal)
Source: Air Medical Journal - October 31, 2019 Category: Emergency Medicine Source Type: research
Experience of the Usage of a Portable X-ray System
ConclusionWe reported our experience of DH staff performing X-ray studies at the scene. Further studies are required to determine the indications for using portable X-ray systems in the prehospital setting. (Source: Air Medical Journal)
Source: Air Medical Journal - October 31, 2019 Category: Emergency Medicine Source Type: research
Extracorporeal Membrane Oxygenation in Transport Part 1: Extracorporeal Membrane Oxygenation Configurations and Physiology
Publication date: Available online 31 October 2019Source: Air Medical JournalAuthor(s): Jennifer Vieira, Michael Frakes, Jason Cohen, Susan WilcoxAbstractExtracorporeal membrane oxygenation (ECMO), a term used to describe oxygenation that occurs outside of the body, is an increasingly common means of supporting the most critically ill patients. Because of the invasiveness and high probability of serious complications during ECMO, ECMO is typically indicated only when there is a high likelihood of death with conventional treatment. With continued improvements in technology and increasing clinical experience, transport clini...
Source: Air Medical Journal - October 31, 2019 Category: Emergency Medicine Source Type: research
Air Ambulance and Emergency Retrieval Services in Western Australia: Caseload Analysis Over 5 Years
ConclusionRFDSWO has 1 of the largest retrieval workloads in the world, covering a landmass comparable with Western Europe. This brings with it a variety of challenging cases and complex logistics, often in extremely harsh and remote environments. We bring a wide breadth of experience in the area of retrieval medicine, and our aim is to share these experiences with other teams. (Source: Air Medical Journal)
Source: Air Medical Journal - October 27, 2019 Category: Emergency Medicine Source Type: research
NeoSTRESS: Study of Transfer and Retrieval Environmental StressorS Upon Neonates via a Smartphone Application–Light
ConclusionRetrieved neonates can be exposed to light in excess of recommended neonatal intensive care unit levels, including extremely bright light. It is feasible, with good staff acceptability, for a calibrated smartphone application to be used in place of a light meter. (Source: Air Medical Journal)
Source: Air Medical Journal - October 27, 2019 Category: Emergency Medicine Source Type: research
A 4-Year-Old With Altered Mental Status and Bradycardia After Clonidine Overdose
Publication date: Available online 24 October 2019Source: Air Medical JournalAuthor(s): Thomas L. Pietrantonio, Doug SwansonAbstractThis case presentation describes the clinical management of a pediatric patient during transport after a single-drug overdose of clonidine. Clonidine overdose closely resembles opiate intoxication, and treatment is largely supportive; however, the patient in this case presentation had a declining altered mental status with evidence of airway compromise within 1 to 2 hours after ingestion, which warranted protective airway management. The patient was extubated the following day with a successfu...
Source: Air Medical Journal - October 24, 2019 Category: Emergency Medicine Source Type: research
Cardiac Arrest Secondary to Accidental Hypothermia: Who Should We Resuscitate?
This article systematically reviews the literature on cardiac arrest secondary to accidental hypothermia and provides recommendations in addition to a novel algorithm to aid the responding prehospital clinician in deciding if a hypothermic resuscitation standard operating procedure should be implemented. (Source: Air Medical Journal)
Source: Air Medical Journal - October 24, 2019 Category: Emergency Medicine Source Type: research
Advanced Prehospital Trauma Resuscitation With a Physician and Certified Registered Nurse Anesthetist: The Shock Trauma “Go-Team”
ConclusionThe STC Go-Team is a unique multidisciplinary specialized component of a statewide emergency medical system. (Source: Air Medical Journal)
Source: Air Medical Journal - October 24, 2019 Category: Emergency Medicine Source Type: research
Prehospital Blood Glucose Testing as a Predictor of Impending Hypotension in Adult Trauma Patients
ConclusionThe findings in this study indicate a point-of-care glucose measurement greater than 220 mg/dL should prompt prehospital clinicians to initiate aggressive balanced resuscitation before arrival at the receiving trauma center in order to prevent worsening hypotension and hemorrhagic shock. (Source: Air Medical Journal)
Source: Air Medical Journal - October 24, 2019 Category: Emergency Medicine Source Type: research
A Program Profile of Air Medical Transport in Regional Central Queensland, Australia
ConclusionAir medical transports are an integral part of the health system in Central Queensland communities with vast geographic distances. Identifying regional referral pattern rates and ratios aid in the planning of resource allocation. (Source: Air Medical Journal)
Source: Air Medical Journal - October 22, 2019 Category: Emergency Medicine Source Type: research
Mechanical Ventilation: Finer Points
Publication date: Available online 19 October 2019Source: Air Medical JournalAuthor(s): David J. Dries (Source: Air Medical Journal)
Source: Air Medical Journal - October 20, 2019 Category: Emergency Medicine Source Type: research
Forum November/December 2019
Publication date: Available online 19 October 2019Source: Air Medical JournalAuthor(s): (Source: Air Medical Journal)
Source: Air Medical Journal - October 20, 2019 Category: Emergency Medicine Source Type: research
The Neonatal Transporter's Brain
Publication date: Available online 18 October 2019Source: Air Medical JournalAuthor(s): Carlo Bellini (Source: Air Medical Journal)
Source: Air Medical Journal - October 19, 2019 Category: Emergency Medicine Source Type: research
