Invasive Hemodynamic Monitoring Questions

[Wildmedic17@aol.com]

Hello all! 

       I have a few questions for everyone on the list who does invasive 
hemodynamic monitoring in flight....

       What percentage of your calls (transfers) would you say you actually 
monitor an A-line in flight? What about PA caths? What is your percentage of 
transfers as compared to scene calls? 

       For those who monitor invasive lines in flight in both rotor wing and 
fixed wing settings, would you say that you do so more often in a helicopter 
or fixed wing?

       Also, for those flight crews who place A-lines themselves, what are 
your  indications for doing so? Would you place one in anyone you deem 
hemodynamically unstable, or do you have more specific criteria? Do you 
normally consult with a med control doc first?

       I'm just looking for rough guesstimates on the percentages - nothing 
necessarily "official". Just trying to satisfy my curiosity - thanks alot.

Allan Bulkley
Flight Paramedic
Mercy Flight of WNY  

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