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Well , I've seen all the responses about how to
apply your flight physiology lessons to the practice.
The noise produced by the engines have to be
blocked because after a while flying it produced with the vibration to
fatigue, and, after several years hearing losses.
The altitude physiology have to be watching because
after 10,000 ft. the air density ( less oxigen, boyles law) changes, so
administer supplementary oxigen (tanks delivered oxigen faster) , endotraqueal ,
and, foley globes have to be filled with water , no air in cavities
because of gases expantion.
Care of vision: used of UV dark glasess while you
fly without a patient is recomended to the pilots and crew that likes to fly as
co-pilots or in co-pilots place.
Glucose levels check of the patient because one of
the effects is hypoglicemia.
Warming of patient , at high altitude lower the
temperature is.
Position of the patient also is important because
fowlers position don't let all "G" forces apply to the brain ,and if your
patient is with epidural hematoma or whatever could gets worst.
Dehydration could be seen in long distances more
than and hour flying.
These could be some of the cases where flight
physiology may be applied.
Of course that no all the fixed wings are equal,
you could have the cabin control in a 421 Cessnas but in case you have to fly
without it , you better be careful of all these points.
Anyway if you could read Richard O. Reinhart,
M.D. book of Basic Flight Physiology , it's easy to read and
understand.
Saludos.
Alejandro Cabrera, M.D.
ALS air and ground ambulances.
Servicio Privado de Emergencia
Guadalajara , Jalisco , Mexico.
NAEMSP member.
Vertigo premedication of your patient avoids extra
complications.
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