Aeromedical Evacuation - Management of Acute and Stabilized by William W. Hurd, John G. Jernigan, P.K.Jr. Carlton

By William W. Hurd, John G. Jernigan, P.K.Jr. Carlton

The definitive therapy at the scientific evacuation and administration of injured sufferers in either peace- and wartime. Edited through eminent specialists within the box, this article brings jointly clinical experts from all 4 branches of the armed prone. It discusses the historical past of aeromedical evacuation, triage and staging of the injured sufferer, evacuation from website of damage to scientific facility, air-frame features, scientific services in-flight, reaction to in-flight emergencies, and mass emergency evacuation. particular health conditions are addressed intimately, together with such normal surgical casualties as stomach wounds and gentle tissue, vascular, maxillofacial, head and spinal twine accidents, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and extra. Over eighty illustrations supply a evaluate of delivery apparatus and either clinical and surgical operation. vital reference for all armed compelled physicians and flight surgeons, for basic and trauma surgeons, internists, in depth care experts, orthopaedic surgeons, and public future health carrier physicians.

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Patients requiring air medical transport. 3 20 rescue angioplasty may be life-saving for this type of patient, they are often candidates for AE to a tertiary center with cardiac catheterization and angioplasty capabilities. 3–7 Myocardial Infarction Myocardial infarction (MI) is a common malady requiring transport. The usual reasons for transport of a patient with an MI is either the need for advanced invasive capabilities, including emergent angioplasty, coronary artery bypass graft, intra-aortic balloon counterpulsation, or for cardiac intensive care.

Conclusion The sickest of patients can be transported by AE under the right circumstances with the right crew capabilities. The civilian aeromedical industry has a wide variety of aircraft, medical configurations, pilot configurations, and capabilities. It is important, both from a medicolegal and patient care standpoint, for any who wish to transport a patient by air to know what transport capabilities are available in the local area. It is also important to know the limitations and contractual agreements of both the sending and receiving medical facilities.

The aeromedical crew should be prepared to provide an emergency airway should the patient’s condition deteriorate. Seizures should be anticipated and prepared for by having appropriate amounts of anticonvulsants available for use. 9,10 The aeromedical crew should ensure that the patient has a patent airway and an adequate gag reflex, and be prepared to provide emergent airway intervention if the patient deteriorates in-route. A worsening neurological exam during flight is important information to the surgeon because it may indicate the need for expedient surgical intervention.

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