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Today's Topics:
1. Re:xrays (Julielbacon@aol.com)
2. Transfer of care issue (stevelb)
3. Re: Vents (Sherri Dean)
4. xray (Akgrn@aol.com)
5. RE:PHRN (James Dinsch)
6. windows ce medical programs?? (Traumaweasel@aol.com)
7. Transfusions (BKJRN@aol.com)
8. RE:Transfusions (Pickett, Debra L.)
9. windows ce medical programs?? (ROSEMARY E. ADAM)
10. Re:Transfusions-part II (copterrn@bellsouth.net)
11. Medic to Nurse transition (DEWAYNE MILLER)
12. Re:Transfusions (john galt)
13. Re:Transfusions (BKJRN@aol.com)
14. Re: Transfusions (Cece/Fred Peterson)
Do you mind if it's a peds?
Julie Bacon
Child-Flight
Intensive Air
|
Hi All - thanks for all the great
facts/feedback/opinions regarding transferring care to a ground crew to complete
a fixed wing transfer. Personally, as many of you mentioned - I feel
strongly about giving my patients their "money's worth", protecting my patient,
my license, and continuity of care. This is an issue I will re-visit with
our medical director. It had nothing to do with the RN/Paramedic
issue! I posted this question to get answers; I'm still new to the
industry, (flying for 3 years) and it's nice to be able to find out what's
going on. Lindy Boyersmith, Flight RN
|
We have been using the LTV 1000 for about the last year and love it!! The Pulmonetics people have been great and we have been very impressed with the vent overall.
The biggest problem I had was when it got stuck in Portuguese!!
Feel free to contact me with questions.
Sherri Dean RN, CCRN
Children's Critical Care Transport
Kansas City, MO
----- Original Message -----
From: "Hal Iverson" <iversh@SLRMC.ORG>
Date: Mon, 29 Apr 2002 14:43:29 -0600
To: <flightmed@flightweb.com>
Subject: Vents
> Does anyone have experience using the Oxylog 2000 with pts. 1-8 years of age? Or the Pulmonetics LTV in the transport environment in general? Thanks for the input! Choices, choices, choices...
>
> Hal Iverson, R.N., EMT-P
> Air St. Luke's
> Boise, ID
>
>
>
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Thanks to all who responded for my request for an xray with an ETT. Your
response to my request once again shows why this list serve and our transport
community are of the highest caliber.... The chapter for the ASTNA workbook
will certainly be enhanced by your willingness to share for an educational
project!!!
Angie Golden
In Illinois, PHRN is an additional licensure held by RN's that allows
them, after a brief training program including intubation, to function
as paramedics in the field. When an RN is working as a PHRN, however,
he/she is not allowed to work as an RN. They function under one license
or the other.
James Dinsch, FF/NREMTP, CCEMTP
Condell Medical Center EMS System
Libertyville, IL
jdinsch@fireemstech.com
-----Original Message-----
From: flightmed-admin@flightweb.com
[mailto:flightmed-admin@flightweb.com] On Behalf Of Ken Lawson-Williams
Sent: Monday, April 29, 2002 10:26 AM
To: flightweb editor
Subject: PHRN
Can anyone provide me with URL to find out more about this? (Training
sites, how differs from 'normal' RN etc)? How well accepted by EMS?
Flight programs?, Hospitals?
Fly Safe.
Ken L-W CCEMT-P/WMT
"...A mind stretched with new ideas never regains its former shape"
does anyon have of know of any medical programs for windows ce??? seems like
everything is for palm-- I have a cassiopeia-- would like some drug calc or
whatever programs there are for my casio
let me know
Geoff Patty RN
Traumaweasel@aol.com
I'm just curious how many programs out there carry uncrossmatched blood on flights. Is anyone aware of any study that demonstrates the efficacy of prehospital blood transfusion? I think we all know that blood carries oxygen, therefore it's benefit is demonstrated when it's needed. I'm just curious as to whether a study exists that demonstrates this benefit in terms of length of survival in hospital or survival to discharge.
Our program carries two units of O- blood on all trauma flights (scene and interfacility) and flights in which the transfusion of blood may be necessary (GI bleeds, aortic aneurysms, etc).
Thanks,
Brian Jefferson, RN, CFRN, NREMT-P
MedCenter Air
Charlotte, NC
We do
carry O negative as well. Erlanger Medical Center is in the process of
doing a research project. My understanding is that they have 30 programs
participating with approximately equal representation of programs that
administer blood to those that exclusively use crystalloids.
Debbie Pickett, R.N., C.E.N.
Chief Flight Nurse
UT
Lifestar Aeromedical Services
Phone: (865)
544-8992
Fax: (865)
544-8868
E-mail: dpickett@mc.utmck.edu
Skyscape.com
pdamd.com
handango.com
> Subject: RE: Transfusions
To take the transfusion discussion on a tangent:
Of the NON hospital based programs, IE: hospital-owned satellite based programs, or public service run programs, how many provide blood for their pre-hospital needs?
If so, how are the standards maintained for storage, usage and stock replacement accomplished?
Play Safe.
David Summers RN, etc
Jupiter Florida
copterrn@bellsouth.net
webmaster: www.florida-air-medical.org
We do
carry O negative as well. Erlanger Medical Center is in the process of
doing a research project. My understanding is that they have 30 programs
participating with approximately equal representation of programs that
administer blood to those that exclusively use crystalloids.
Debbie Pickett, R.N., C.E.N.
Chief Flight Nurse
UT
Lifestar Aeromedical Services
Phone: (865)
544-8992
Fax: (865)
544-8868
E-mail: dpickett@mc.utmck.edu
A question for the list.........
Does anyone have a policy defining criteria required for a Flight Paramedic
to transition into a Flight Nurse position after graduation from a nursing
program?
Please respond to my private e-mail address, I would be happy to share info
if anyone sends me a request.
Thank you,
DeWayne Miller
foxtrot06@prodigy.net
these might get you started:
Dalton, AM. Use of blood transfusions by helicopter emergency medical
services. Is it safe? From: Injury vol. 24 (1993) pg. 509-510
Garner, et al. Massive prehospital transfusion in multiple blunt trauma.
(case review) From: Medical Journal of Australia vol 170:4 (1999)pg 23-25.
Ben Dengerink
Flight for Life. Denver, CO
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We do
carry O negative as well. Erlanger Medical Center is in the process of
doing a research project. My understanding is that they have 30 programs
participating with approximately equal representation of programs that
administer blood to those that exclusively use crystalloids.
Debbie Pickett, R.N., C.E.N.
Chief Flight Nurse
UT
Lifestar Aeromedical Services
Phone: (865)
544-8992
Fax: (865)
544-8868
E-mail: dpickett@mc.utmck.edu
Thanks, Ben.
Brian
|
Hi Brian,
LifeFlight in Pennsylvania carries two each of O-neg and O-pos on every
flight, whether trauma, cardiac, or PR... doesn't matter; if the nurses are in
the aircraft, so is the blood. (The O-neg goes to women of child-bearing
age; others get the O-pos.) We have so many back-to-back flights, or
instances when we're diverted from a cardiac to a scene, or the patient is
sicker than as originally billed, that it makes sense just to have it on board
every time we fly.
We have aircraft at several hospitals as well as at airports, and at each
of our five bases, we maintain blood refrigerators which are approved by our
institution's blood bank, and we must follow strict guidelines for checking the
temps, alarms etc. When blood is one week from expiration, we return it to
our institution's blood bank when we fly in and exchange it for fresh.
Hope this helps..
Cece Peterson, RN, CEN, CFRN
LifeFlight, Pittsburgh, PA
----- Original Message -----
Sent: Wednesday, May 01, 2002 12:48
PM
Subject: Transfusions
I'm just curious how
many programs out there carry uncrossmatched blood on flights. Is anyone
aware of any study that demonstrates the efficacy of prehospital blood
transfusion? I think we all know that blood carries oxygen, therefore
it's benefit is demonstrated when it's needed. I'm just curious as to
whether a study exists that demonstrates this benefit in terms of length of
survival in hospital or survival to discharge.
Our program
carries two units of O- blood on all trauma flights (scene and interfacility)
and flights in which the transfusion of blood may be necessary (GI bleeds,
aortic aneurysms, etc).
Thanks,
Brian Jefferson, RN,
CFRN, NREMT-P
MedCenter Air
Charlotte, NC
|
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