Air medical journal
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Air medical journal · Jul 2013
Observational StudyLong-acting neuromuscular blocker use during prehospital transport of trauma patients.
The purpose of this study was to determine the rate of long-acting neuromuscular blocker (LA-NMB) use and evaluate the concurrent use of sedatives during prehospital care. ⋯ The use of LA-NMB is common during the prehospital transport of trauma patients. Some of these patients may not be given sedatives or may have delays in receiving sedatives after intubation.
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Air medical journal · May 2013
Clinical TrialFeasibility of bedside thoracic ultrasound in the helicopter emergency medical services setting.
Bedside thoracic ultrasound has been shown to be a valuable diagnostic tool in the emergency department. The purpose of this study was to evaluate the feasibility of bedside thoracic ultrasound in the prehospital HEMS setting. ⋯ The results of this study suggest that, with limited training, bedside thoracic ultrasound image acquisition and interpretation for the sliding lung sign in the HEMS setting is feasible.
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Air medical journal · May 2013
Helicopter transport effectiveness of patients for primary percutaneous coronary intervention.
For patients with ST-elevated myocardial infarction (STEMI), time to primary percutaneous coronary intervention (PCI) is an important factor in saving myocardium. Helicopter emergency medical service (HEMS) has become a vital component in regionalized cardiac care. The objective of this study is to assess the logistics of HEMS and ground EMS for interfacility transport of STEMI patients for primary PCI and to determine the effectiveness of HEMS transports in terms of the number of lives saved per 100 flights. ⋯ The results did not show a time savings for HEMS- versus ground EMS-transported patients. When estimates of time spent for ground EMS of actual HEMS transported patients are analyzed, HEMS provides a median savings of 41 minutes, with a savings of at least 30 minutes in 78.8% of the HEMS patients. Based on estimates used in this study, conservative calculations arrived at a time-based mortality effectiveness of HEMS of about 1.2 lives saved per 100 flights.
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Air medical journal · May 2013
Logistical concerns for helicopter emergency medical services response to the injured police officer.
Although infrequent, helicopter emergency medical services (HEMS) have been activated to transport police officers injured in the line of duty. The purpose of this study was to query current industry operating procedures in terms of law enforcement training and operations, specifically in terms of firearms restrictions and cotransport of injured officers and suspects. ⋯ HEMS will continue to play an important role in the care and transportation of injured officers. HEMS programs may have specific policies that impact law enforcement operations. Open communication of these policies and interagency training are critical to effective interaction during high-stress incidents.