Air medical journal
-
Air medical journal · Mar 2002
A phenomenologic study of flight nurses' clinical decision-making in emergency situations.
This article describes a phenomenologic study of Western Australian flight nurses' clinical decision-making in emergency situations in which they were the sole health professional. ⋯ The findings address the paucity of knowledge of the phenomenon of clinical decision-making in this context of flight nursing practice.
-
Detecting end-tidal pressure of carbon dioxide (PetCO2) is becoming increasingly common in the emergency transport setting. Several CO2 detection devices are suitable for emergency transport, including colorimetry, capnometry, and capnography. ⋯ End-tidal PCO2 is best used for verifying endotracheal and nasal gastric tube placement and assessing the effectiveness of CPR. The use of capnography as a means of guiding manual or mechanical ventilatory therapy is unreliable in unstable, critically ill, or injured patients.
-
Air medical journal · Jan 2002
Comparative Study Clinical Trial Controlled Clinical TrialPrehospital tracheal intubating conditions during rapid sequence intubation: rocuronium versus vecuronium.
The study purpose was to evaluate tracheal intubating conditions and cardiovascular effects of rocuronium (roc) and vecuronium (vec) in the transport setting. ⋯ Tracheal intubating conditions and clinical evidence of complete neuromuscular blockade tended to be better after roc than after vec.
-
Air medical journal · Jan 2002
Comparative StudyParamedic versus nurse crews in the helicopter transport of trauma patients.
A wide variety of opinions exist about using paramedics on flight teams, most of which have not been substantiated by research findings. This study was conducted to explore the outcomes of patients transported by helicopter crews that consisted of either two nurses or a nurse and a paramedic. ⋯ No significant difference existed in patient outcomes between N/P and N/N crews.
-
Air medical journal · Jan 2002
Intubated pediatric patients requiring transport: a review of patients, indications, and standards.
We could not find any studies of nontertiary care facilities performing intubation for patients requiring transport to definitive pediatric care. The purpose of our study was to determine the current practices of pediatric airway management in the prehospital and transport environments. ⋯ Variability exists in the application of pediatric airway management techniques, including pharmacologic modes and intubation indications.