Air medical journal
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Air medical journal · Oct 1995
The effectiveness of esophageal stethoscopy in a simulated in-flight setting.
Previous research has confirmed the inability of flight nurses in an airborne BO-105 helicopter to hear breath sounds using normal or amplified transthoracic stethoscopy. The purpose of this study was to determine whether esophageal stethoscopy enabled effective auscultation of breath sounds in a simulated in-flight environment. ⋯ In the simulated environment tested, esophageal stethoscopy enabled 100% accuracy in identification of breath sounds, as compared with previously reported 0% efficacy for standard transthoracic auscultation. Study in the actual patient-care environment is indicated to confirm the usefulness of esophageal stethoscopy in the in-flight setting.
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The purpose of this study was to describe the roles, levels of responsibility and backgrounds of flight nurses employed in flight programs across the country and to determine if the role of the flight nurse varied as a function of crew configuration or size of program. ⋯ Flight nurses practice in advanced autonomous roles, performing duties and skills consistent with critical care and emergency medicine in air medical transport.
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Air medical journal · Oct 1995
Air medical transport for the trauma patient requiring cardiopulmonary resuscitation: a 10-year experience.
Air medical response and transport for the injured patient in cardiopulmonary arrest remain controversial. This study is a large, single-program experience. ⋯ Air medical transport for the injured patient without signs of life following prehospital intervention appears futile.