Air medical journal
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Air medical journal · Sep 2017
ReviewDevelopment of a New Infusion Protocol for Austere Trauma Resuscitations.
Intravenous fluid therapy for hemorrhagic shock has undergone enormous changes since it was first conducted almost 200 years ago. In the past 40 years especially, practices have dramatically changed with regards to fluid resuscitation. ⋯ This article follows a prior article published in July 2014. It highlights the development of new cutting edge intravenous therapy regimens that maximize hemodynamic outcomes that can be effected by those providers that care for injured patients without the benefit of ample resources.
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Air medical journal · Sep 2017
Reducing Door-in Door-out Intervals in Helicopter ST-segment Elevation Myocardial Infarction Interhospital Transfers.
Many health systems rely on helicopter EMS (HEMS) to transfer ST-elevation myocardial infarction (STEMI) patients for percutaneous coronary intervention (PCI) to a hospital with a catheterization laboratory. Mortality rates increase with the time to reperfusion, so reducing delays is imperative. For interhospital STEMI transfers, the time spent in the initial hospital from arrival until departure (door-in to door-out interval or DIDO) should be minimized. ⋯ HEMS-focused process improvements can significantly reduce the DIDO interval times for STEMI patients transferred for PCI.
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Air medical journal · Jul 2017
ReviewThe 5 T's: Applying Cognitive Science to Improve Prehospital Medical Education.
Although research on effective teaching methods exists, the application of this information in prehospital medical education is limited. Applying lessons from the realms of cognitive psychology and neuroscience, prehospital educators can enhance their ability to teach. One such concept is the theory of cognitive load. ⋯ Thus, we propose 5 concise strategies gleaned from cognitive science literature: Tell a story, Time, Technical elements, Think novelly, and Testing and recall (referred to as the "5 T's"). Each strategy is grounded in research and applicable to medical education. Increased educator awareness and use of these strategies garners the potential to transform prehospital medical education.
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Air medical journal · Jul 2017
HEAVEN Criteria: Derivation of a New Difficult Airway Prediction Tool.
Airway management is vitally important in the management of critically ill and injured patients. Current tools to predict the difficult airway have limited application in the emergency airway situation. The aim of this study was to derive a novel difficult airway prediction tool for emergency intubation. ⋯ The HEAVEN criteria represent a set of difficult airway predictors that may be applied prospectively by emergency airway personnel, facilitating airway decision making. These criteria should be validated prospectively.
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The French Military Health Service (FMHS) has developed a training program for medical evacuation (MEDEVAC) of critical care patients on fixed wing aircraft. ⋯ The FMHS has developed specific courses for the MEDEVAC of critical care patients, allowing the training of numerous MEDEVAC teams.