Re: Transport of a patient with pneumocephalus

["Alejandro Cabrera, M.D." <spe@prodigy.net.mx>]

Rollie:
I think the best controled the best results, so if you have the choice I
could use the controled cabin.
The problem in the uncontroled cabin , is that the patients not always are
going to be 200 or 6000 feet high and as you know everything above 5000 ft.
will increase the air expansion as "BOYLES LAW" says , and , is not that
bellow doesn't have the effect but at least in my country the most of the
times in some  point of the flight the pilot have to go to 9000 ft. and it
has a deleterious effect in the patient.
My experience is based in 20 years (1984) and most of my flights are been in
Cessnas with uncontroled cabin.
Alejandro Cabrera, M.D.
ALS ambulances.
Servicio Privado de Emergencia.
Guadalajara, Jalisco, MX

----- Original Message -----
From: "Rollie Parrish" <rparrish@flightweb.com>
To: <flightmed@flightweb.com>
Sent: Thursday, December 18, 2003 6:06 PM
Subject: Transport of a patient with pneumocephalus


> Here's a question for the group, especially those in the Mountain states.
>
> I'm trying to determine a "standard of care" for the transport of a
> patient with documented pneumocephalus.  The main issue is whether or
> not transport in a pressurized aircraft is warranted, required,
> preferrable, or just not clinically significant.
>
> Supposedly this topic was raised at an AMTC presentation in Reno which
> lead to a heated debate by the attendees. I don't want to get into a
> specific scenario, but for the sake of discussion, let's just assume
> that the patient must be transported 100 miles over a mountain range.
> The start and ending altitude is 2000 and the max is 6,000.
>
> So, what do you think? If you have a patient with a known
> pneumocephalus, how should they be transported? If it depends on various
> factors, such as volume, concomittant injuries, vital signs, level of
> consciousness, please explain. If your program happens to be able to
choose
> between pressurized and non-pressurized aircraft, would this diagnosis
> help influence the mode of transport? Or is this not a
> clinically significant issue for the most part?
>
> Thanks in advance
> --
> -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
> Rollie Parrish
> FlightWeb: For Air Medical Professionals
> http://www.flightweb.com
>
>
>
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