Flightmed Digest, Vol 1, Issue 12

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Today's Topics:

   1. Re:landing safety of BK117 (RNBK117@aol.com)
   2. RE:Articles Supporting Air Medical Transport (Laurie A. Romig, MD)
   3. ASTNA education topic.................. (mvojtko@juno.com)
   4. Re:Articles Supporting Air Medical Transport (Uncferret@aol.com)
   5. Re:Articles Supporting Air Medical Transport (Uncferret@aol.com)
   6. Re:Articles Supporting Air Medical Transport (Uncferret@aol.com)
   7. Re:Articles Supporting Air Medical Transport (Jeff Brosius)


----------------------------------------------------------------------

Message: 1
Date: Tue, 21 Oct 2003 14:18:55 EDT
From: RNBK117@aol.com
Subject: Re: landing safety of BK117
To: flightmed@flightweb.com
Message-ID: <1e5.11ec1345.2cc6d28f@aol.com>
Content-Type: text/plain; charset="US-ASCII"

Hi Loyd,
We utilize  3 BK117's and do quite a bit of scene work.  The RN and PARA sit 
in the aft facing cabin seats to and from the scene (or hospital), we open 
doors each time we land once  we reach a speed below 60 knots and secure the 
cabin, and then clear on our respective sides for obstacles and hazards.  We open 
doors for scenes, hospital pads, and refueling landings, neither crew member 
sits copilot at any time.   Having both doors open and both crew looking and 
clearing the tail and main rotors has prevented several potential incidences and 
property damage on landing as well as identifying crowd control problems.  
This system works well for us, hope this helps some. 
Lori Ortiz RN, BSN, LP 
Memorial Hermann Life Flight

------------------------------

Message: 2
Date: Tue, 21 Oct 2003 18:10:07 -0400
From: "Laurie A. Romig, MD" <laurie.romig@verizon.net>
Subject: RE: Articles Supporting Air Medical Transport
To: "Flightmed" <flightmed@flightweb.com>
Message-ID: <MDEIIHGLHLMBFBCGJCGIAEMACKAA.laurie.romig@verizon.net>
Content-Type: text/plain;	charset="US-ASCII"

Tracy and all:

Part of the work of the Do Bee group for the Air Medical Leadership Congress
was a thorough literature review on as many aspects of the industry as we
could find. Dr. Frank Thomas or anyone else who attended the Congress should
be able to hook you up. You can contact Frank at ldfthoma@ihc.com.

Laurie Romig, MD
AMLC Survey Do Bee

-----Original Message-----
From: flightmed-bounces@flightweb.com
[mailto:flightmed-bounces@flightweb.com]On Behalf Of Uncferret@aol.com
Sent: Tuesday, October 21, 2003 9:57 AM
To: flightmed@flightweb.com
Subject: Articles Supporting Air Medical Transport


Hi All,

I am trying to find valid journal articles that support the use of air
medical transport (fixed wing and rotor wing).  If any one knows of an
article,
please email me back off the Archive.

Thanks,

Uncferret@aol.com


Tracey Stover-Wall
Nurse, Medic, Brian's Wife
Columbia, MO
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To unsubscribe or change your email address, go to
http://www.pairlist.net/mailman/listinfo/flightmed




------------------------------

Message: 3
Date: Wed, 22 Oct 2003 17:43:22 -0400
From: mvojtko@juno.com
Subject: ASTNA education topic..................
To: flightmed@flightweb.com
Message-ID: <20031022.180110.3792.0.mvojtko@juno.com>
Content-Type: text/plain

All,

I've been tasked with writing a continuing education article the ASTNA
education committee.  The topic I've been given is "pharmacology".
In a effort to keep things interesting, I really hate to spend the time
reviewing
the basics such as ACLS/PALS drugs, RSI drugs, Inotropes, and
vasopressors
(although important, consensus is that the participation may be limited)

It has been suggested that I venture into some more "esoteric" drugs that
may
be encountered (or have been encountered) in/ on a given ground, rotor,
or fixed 
wing situation.  Some that have been suggested are:  Xigris, Refludan,
Phenylephrine 
IV push vs. gtt, ephedrine, lidocaine via ETT's for suctioning TBI
patients, 3% saline, 
primacor vs. dobutamine,  Vasopressin for sepsis, nesiritide,
..................................

I could end up writing a book on transport pharmacology, but that is not
the 
immediate goal:  I want to produce something meaningful.  I will do all
the research
regarding indications, pitfalls, contraindications, and "what if" things
to think about.

All I need is a scenario, a "this happened to me" story, or "hey, look
this up and tell
me what I need to know".  If anyone would be willing to assist me with
the direction 
of this activity, It would be greatly appreciated, as well as an
acknowledgment for 
your assistance

And, to reduce clogging up everyone's in-box, please respond to my
personal
email address  mvojtko@juno.com  I'll try to send out a summary of what
to expect
once I've compiled the information.

Thanks in advance.

Mark Vojtko, RN,BSN,CCRN,CFRN
Transport Nurse
Dartmouth-Hitchcock Advanced Response Team (DHART)

------------------------------

Message: 4
Date: Tue, 21 Oct 2003 23:18:11 EDT
From: Uncferret@aol.com
Subject: Re: Articles Supporting Air Medical Transport
To: flightmed@flightweb.com
Message-ID: <c8.3f136a5b.2cc750f3@aol.com>
Content-Type: text/plain; charset="US-ASCII"

Susan,

Thanks for all of the info!

Tracey Stover-Wall
Nurse, Medic, Brian's Wife
Columbia, MO

------------------------------

Message: 5
Date: Tue, 21 Oct 2003 23:19:03 EDT
From: Uncferret@aol.com
Subject: Re: Articles Supporting Air Medical Transport
To: flightmed@flightweb.com
Message-ID: <16b.254d23dd.2cc75127@aol.com>
Content-Type: text/plain; charset="US-ASCII"

Thanks Micheal

Tracey Stover-Wall
Nurse, Medic, Brian's Wife
Columbia, MO

------------------------------

Message: 6
Date: Tue, 21 Oct 2003 23:20:38 EDT
From: Uncferret@aol.com
Subject: Re: Articles Supporting Air Medical Transport
To: flightmed@flightweb.com
Message-ID: <51.362d6eca.2cc75186@aol.com>
Content-Type: text/plain; charset="US-ASCII"

Thanks Laurie,

I knew when I began this search that the FlightWeb folks would be very 
helpful!

Tracey Stover-Wall
Nurse, Medic, Brian's Wife
Columbia, MO

------------------------------

Message: 7
Date: Tue, 21 Oct 2003 23:37:40 -0400
From: "Jeff Brosius" <reno316@hotmail.com>
Subject: Re: Articles Supporting Air Medical Transport
To: flightmed@flightweb.com
Message-ID: <BAY2-F29qPg33I6NNSq00005960@hotmail.com>
Content-Type: text/plain; format=flowed

If you're looking to make a valid argument supporting Air Transport to 
someone who does not belive in it, I'd suggest staying away from anything 
printed in Air Medical Journal.  While I enjoy the literature they print, we 
must admit there is a bias, and therefore the data presented is suspect 
(Please... I mean no offense to my colleagues at AMJ, but the immediate 
argument from the opponents of air transport would be "Of course that 
journal publishes supporting data... they've got an agenda.")

My suggestions, assuming you've already done a PubMed/MedLine search 
(keywords:

Flight, Helicopter, Air Medical, and Prehosptial,) would be:

****
Baxt WG, Moody P: The impact of a rotorcraft aeromedical emergency care 
service on
trauma mortality. JAMA 1983 Jun 10; 249(22): 3047-51.

Baxt WG, Moody P, Cleveland HC, et al: Hospital-based rotorcraft aeromedical
emergency care services and trauma mortality: a multicenter study.
Ann Emerg Med 1985 Sep; 14(9): 859-64.

Black RE, Mayer T, Walker ML, et al: Special report. Air transport of 
pediatric
emergency cases. N Engl J Med 1982 Dec 2; 307(23): 1465-8.

Boyd CR, Corse KM, Campbell RC: Emergency interhospital transport of the 
major
trauma patient: air versus ground. J Trauma 1989 Jun; 29(6): 789-93; 
discussion 793-4.

Kaplan L, Walsh D, Burney RE: Emergency aeromedical transport of patients 
with
acute myocardial infarction. Ann Emerg Med 1987 Jan; 16(1): 55-7.

Low RB, Martin D, Brown C: Emergency air transport of pregnant patients:
the national experience. J Emerg Med 1988 Jan-Feb; 6(1): 41-8.

Moylan JA, Fitzpatrick KT, Beyer AJ 3d, Georgiade GS: Factors improving 
survival
in multisystem trauma patients. Ann Surg 1988 Jun; 207(6): 679-85.

Suominen P, Silfvast T, Korpela R, Erosuo J: Pediatric prehospital care 
provided by
a physician-staffed emergency medical helicopter unit in Finland. Pediatr
Emerg Care 1996 Jun; 12(3): 169-72.

Thomson DP, Thomas SH: Guidelines for air medical dispatch. Prehosp Emerg 
Care
2003 Apr-Jun; 7(2): 265-71.

Others that provide interesting reading:

Davis DP, Ochs M, Hoyt DB, Bailey D, Marshall LK, Rosen P.  
Paramedic-administered
neuromuscular blockade improves prehospital intubation success in severely
head-injured patients.  J Trauma. 2003 Oct;55(4):713-9.

Bredmose PP, Hoybjor S, Sjoborg KA, Wisborg T.  Prehospital thrombolysis
in acute myocardial infarction in a very sparsely inhabited area in northern 
Norway.
Eur J Emerg Med. 2003 Sep;10(3):176-9.

Silbergleit R, Scott PA, Lowell MJ, Silbergleit R. Cost-effectiveness of 
helicopter
transport of stroke patients for thrombolysis.  Acad Emerg Med. 2003 
Sep;10(9):966-72.

Porter KM. The utility of helicopter transport of trauma patients from the
injury scene in an urban trauma system.  J Trauma. 2003 Jul;55(1):184.
****

These should provide plenty of bathroom reading, unless you've got a diet 
high in fiber or some chronic intestinal disease.

------------
JRB

Jeff Brosius,
Paramedic, etc.
"Here we go again, my friend...
here's to you and me and our stupidity."  -- T. Bradley





>From: Uncferret@aol.com
>Reply-To: Flightmed <flightmed@flightweb.com>
>To: flightmed@flightweb.com
>Subject: Articles Supporting Air Medical Transport
>Date: Tue, 21 Oct 2003 09:56:34 EDT
>
>Hi All,
>
>I am trying to find valid journal articles that support the use of air
>medical transport (fixed wing and rotor wing).  If any one knows of an 
>article,
>please email me back off the Archive.
>
>Thanks,
>
>Uncferret@aol.com
>
>
>Tracey Stover-Wall
>Nurse, Medic, Brian's Wife
>Columbia, MO
>_______________________________________________
>Flightmed mailing list
>To unsubscribe or change your email address, go to 
>http://www.pairlist.net/mailman/listinfo/flightmed
>

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End of Flightmed Digest, Vol 1, Issue 12
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