Air medical journal
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Air medical journal · Nov 2011
Case ReportsHelicopter scene response for a STEMI patient transported directly to the cardiac catheterization laboratory.
At 2:10 pm, a 40-year-old Caucasian woman with no known medical history called 911 complaining of substernal, crushing chest pain that had started 2 to 3 hours before she called emergency medical services (EMS). EMS arrived at 2:24 pm and obtained a 12-lead electrocardiogram (ECG) diagnostic of ST-segment elevation myocardial infarction (STEMI) at 2:36 pm. ⋯ The closest PCI-capable facility was approximately 35 minutes away by ground or 13 minutes by air. The closest non-PCI hospital was approximately 20 minutes away by ground (Fig. 1).
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Air medical journal · Nov 2011
Severity of cardiovascular disease patients transported by air ambulance.
Although helicopters have been used in an air ambulance system for the past decade in Japan, the appropriate selection of patients for this transport mode has not been investigated. The present study investigates which patients could potentially benefit the most from helicopter emergency medical service (HEMS). ⋯ Disease was more clinically severe and the outcome was poorer among patients with cardiovascular diseases transported by HEMS than by other means.
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Critical care transport (CCT) leaders from 260 organizations were invited to participate in an online, hosted survey of industry compensation and workplace practices. Approximately 150 questions were presented to participants, soliciting a broad base of information on CCT organizations, personnel, compensation, and workplace practices, notably alertness and fatigue management. CCT organizational salaries are represented by common job class and reported by summary with minimum, middle, and maximum hourly rates in a national aggregate and by Association of Air Medical Services region.
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Air medical journal · Jul 2011
Case ReportsA tracheal disruption in an 89-year-old female after a fall.
A crew from a northeastern flight program was activated in early February for a scene call in rural New York for an elderly female patient with multisystem trauma after a fall. The weather was marginal in the area that evening, necessitating an extensive weather check by the pilot to ensure appropriate flying conditions. ⋯ Ground emergency medical services (EMS) reported that her husband found the patient at the bottom of the cellar stairs. He had immediately called 9-1-1 for emergency response.