Re: question

["Thomas M. Hansen" <thomasmhansen@hotmail.com>]

The question of altitude and it's effect on patients is a basic question one 
has to consider in all transports.  From the perspective of long range, 
fixed wing transport as I do with the Air Force Reserves, this is addressed 
initially by the flight surgeon who accepts the patient into the aeromed 
world from the requesting physician, then addressed by the flight nurse 
serving in an FCC (Flight Clinical Coordinator) position, and ultimately by 
the MCD (Medical Crew Coordinator-a flight nurse position) who is in charge 
of, and flying on, the actual mission.  The affects of altitude are part of 
what all of us spend a great deal of time on during our (nurse and 
tech-can't speak for the flight surgeon course) 6 week course required 
before we can fly.  Hopefully with all these people looking at the patient 
the right questions can be asked, the right flight plan can be requested, 
ie. altitude restriction if needed, additional crew-RT's, Neo teams, Burn 
teams-and the right equipment can be brought on board. The wild card that 
I've had to deal with WAY more often than patient issues is the pax with ear 
block!  I doubt that's much of a problem in the civilian world!  I also find 
the book Flight Nursing, 2nd ed (I might not have the title correct) to be 
an excellent resource.

tom
(Fast Track/ER NP in civilian life)

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