Air medical journal
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Air medical journal · Mar 2012
Case ReportsBag valve mask failure during HEMS intubated stretcher winch.
An intubated prehospital trauma patient was undergoing bag valve mask (BVM) ventilation during a stretcher winch in an AW 139 helicopter. On approach to approximately 50 feet under the rotor disc, the bag valve mask failed, with no adverse outcome. ⋯ The stiffer, less compliant BVM did not fail. This has led to a change in the type of BVM used for helicopter emergency medical services (HEMS) in our service.
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Air medical journal · Jan 2012
Case ReportsPropofol infusion for the retrieval of the acutely psychotic patient.
Transporting acutely psychotic patients is hazardous because of the risks they present to themselves, escorting staff, and aircraft. Various strategies have been proposed, usually involving combinations of sedating drugs and physical restraint. ⋯ An infusion facilitated the uneventful and safe retrieval of a patient who had demonstrated resistance and tolerance to other drugs. Discussion is also presented on the potential utility of propofol for the retrieval of acutely psychotic patients.