Air Medical Experts LLC

Expert instructors providing FP-C and CCP-C exam preparation, training and on-site testing. We offer continuing medical education using scenario based training, cadaver labs and high-fidelity simulation both in-person, on-site and online.

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Point-of-Care Ultrasound for Pediatric Endotracheal Tube Placement Confirmation by Advanced Practice Transport Nurses

airmedicaljournal.com Critically ill, intubated pediatric patients often require transport to tertiary care facilities. Securing and maintaining a patent airway during transport is vital to patient safety because unrecognized endotracheal tube (ETT) malposition or displacement can rapidly lead to life-threatening complic...

airmedicaljournal.com

Helicopter Neonatal Transport: First Golden Hour at Birth Is Useful Tool Guiding Activation of Appropriate Resources

airmedicaljournal.com A lack of consensus exists about the appropriate criteria to activate a helicopter during neonatal transport. The aim of the present study was to explore the possible guiding criteria to justify helicopter activation for neonatal transport (NETS).

airmedicaljournal.com

Factors That Contribute to Provider Decision Between Direct and Video Laryngoscopy in a Helicopter Emergency Medical Services System: A Survey

airmedicaljournal.com In caring for critically ill patients in the prehospital setting, rapid, definitive airway management is a high-risk, crucial procedure. All helicopter emergency medical services (HEMS) providers must proficiently and safely perform this procedure. Little information is available about the prefere...

airmedicaljournal.com

Feasibility of Prehospital Rapid Sequence Intubation in the Cabin of an AW169 Helicopter

airmedicaljournal.com Prehospital emergency medical teams commonly perform advanced airway management in critically unwell patients.1 Potentially lifesaving prehospital tracheal intubation has increased significantly over recent years and is widely practiced by prehospital enhanced care teams.2,3 Meta-analysis from 2006....

airmedicaljournal.com

Mental Health Care for Rural and Remote Australians During the Coronavirus Disease 2019 Pandemic

airmedicaljournal.com The aims of this article are to comment on pre–coronavirus disease 2019 (COVID-19) mental health activity in rural and remote Australia, including related air medical retrievals; to discuss how the current pandemic is likely to impact on this vulnerable population's mental health; and to provide p...

jamanetwork.com

Intra-arrest Transport vs Continued On-Scene Resuscitation and Survival in Patients With Out-of-Hospital Cardiac Arrest

Great article on how staying on scene to do resuscitation care (providing all ALS resources are present) have a significantly higher survival rate then just working the code on transport.

https://jamanetwork.com/journals/jama/fullarticle/2770622?guestAccessKey=f2470d07-c200-406c-85a3-5149711f7388&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=etoc&utm_term=091520&fbclid=IwAR0yYiHGOj8Gff2plsoSfmogJiM6PB_SsRu-MoDyLRjeE2X9WV034y6ldgQ

jamanetwork.com This study of adult patients with out-of-hospital cardiac arrest compares rates of survival to hospital discharge for those receiving EMS transport vs continued on-scene resuscitation .

Clinical Investigation of Burn Patients Transported by Helicopter Based on the Japan Trauma Data Bank

airmedicaljournal.com We retrospectively investigated the actual conditions of burn patients evacuated by helicopter in comparison to those evacuated by ground ambulance using the Japan Trauma Data Bank.

elemental.medium.com

A Supercomputer Analyzed Covid-19 — and an Interesting New Theory Has Emerged

Great article on COVID-19 and the pathogenesis of the virus. If attacks through ACE2 receptors and causes a Bradykinin release. This increases vascular permeability and is why ARDS, along with cardiac and neuro problems result. Great article! Really explains the genotype and it’s destruction capability.

https://elemental.medium.com/a-supercomputer-analyzed-covid-19-and-an-interesting-new-theory-has-emerged-31cb8eba9d63

elemental.medium.com A closer look at the Bradykinin hypothesis

Beyond the Minimums

airmedicaljournal.com One of the most frequent comments we receive from aviation professionals is regarding Federal Aviation Administration (FAA) regulations compared with accreditation standards. The Commission on Accreditation of Medical Transport Systems (CAMTS) Board regards FAA regulations as minimal requirements th...

airmedicaljournal.com

Music and Medicine Come Together Over Pain in the Air Medical Transport Environment

airmedicaljournal.com In 2017, President Donald Trump directed the US Health and Human Services secretary to declare the opioid crisis in the United States a public health emergency. This proclamation, along with current trends in medicine, mandates that every effort be taken to limit the use of opioids in all facets of....

airmedicaljournal.com

Care Intensity During Transport to the Critical Care Resuscitation Unit: Transport Clinician's Role

airmedicaljournal.com Patients are often transferred between hospitals for a higher level of care. Critically ill patients require high-intensity care after transfer, but their care intensity during transport is unknown. We studied transport clinicians’ management for patients who had time-sensitive or critical illness...

airmedicaljournal.com

Clamshell in a Heartbeat

airmedicaljournal.com There is a restrained attitude toward the implementation and performance of resuscitative thoracotomy as a last resort procedure in patients with cardiac arrest after penetrating thoracic trauma. We present a case with a remarkable recovery and hope to boost morality in the use of this procedure in....

Prognostic Factors in Trauma Patients Transported by Physician-Staffed Helicopter in Japan: An Investigation Based on the Japan Trauma Data Bank

airmedicaljournal.com We retrospectively investigated prognostic factors for patients evacuated by the physician-staffed helicopter emergency medical service using the Japan Trauma Data Bank.

Discrimination and the Bona Fide Occupational Qualification

airmedicaljournal.com There is a conversation going on today about race that has drawn attention to the inequalities and discrimination that many people did not see or were unwilling to see. The question explored today is if the systemic racism demonstrated on the streets mirrors the US workplace. A national survey condu...

Interhospital Transfer of Critically Ill Patients due to COVID-19 Related Respiratory Failure

airmedicaljournal.com Transport of a critically ill patient requires detailed coordination to ensure the safety of both the patient and the transport team. Smaller and critical access hospitals, as well as stand-alone emergency departments, often times do not have the capacity or resources to manage critically ill patien...

Articles That May Change Your Practice: Novel Strategies for COVID-19 Respiratory Failure

airmedicaljournal.com On March 11, 2020, the World Health Organization declared coronavirus disease 2019 (COVID-19) a pandemic, with the worldwide spread of this virus representing a threat to global health. A minority of those infected with COVID-19 progress to pneumonia requiring hospitalization, with some progressing....

nature.com

A cytoskeleton regulator AVIL drives tumorigenesis in glioblastoma

Research has found the oncogene (cancer gene) responsible for the deadly brain tumor - glioblastoma!!! A huge step forward in science.

https://www.nature.com/articles/s41467-020-17279-1

nature.com Genes that modulate the cytoskeleton have been associated with increased cell proliferation and migration. Here, the authors show that AVIL, an actin regulatory protein, is overexpressed in glioblastomas and mediates oncogenic effects through regulation of FOXM1 stability and LIN28B expression.

The Virus II: Triage and Treatment

airmedicaljournal.com As coronavirus disease 2019 (COVID-19) and future respiratory viruses become a part of life, this issue of the journal will address two more topics of interest. The one obvious topic is that of treatment. We should be aware that approaches to management for COVID-19 will continue to evolve, and epis...

airmedicaljournal.com

A 69-Year-Old Woman With Traumatic Cardiac Arrest

airmedicaljournal.com A local air medical flight team was called to support local emergency medical services (EMS) in the care of a 69-year-old female patient after a high-speed motor vehicle crash. The patient was a belted passenger. In contrast to the driver, who escaped injury, the patient was trapped in the vehicle a...

youtube.com

Breakdown of the Mechanical Breath Profile

Great lecture on ARDS and the intricacies of management.

https://youtu.be/26yyOmcJ_5w

Speaker: Gary Nieman – SUNY Upstate Medical Center, Syracuse, NY

Beyond Tools: Continuous High-Fidelity Training at the Center of Successful First-Pass Intubation in Ground Emergency Medical Services

airmedicaljournal.com Increased emphasis on the use of video laryngoscopy in emergency medical services has potentially caused providers to forfeit the skills required to perform direct laryngoscopy. The purpose of this study was to determine if the introduction of a continuous high-fidelity training program improves fir...

airmedicaljournal.com

Is Helicopter Really Faster Than Ambulance? The Padua Helicopter Emergency Medical Services Station Experience

airmedicaljournal.com Helicopter emergency medical service (HEMS) was meant to be integrated within the already existing emergency medical service. It spread in Italy in the 80s, but even now the situation is not homogeneous, and an exhaustive literature search is still missing.1-4 In Italy in June 2019, according to off...

airmedicaljournal.com

Interhospital Transfer of Critically Ill Patients With Severe Acute Respiratory Syndrome Coronavirus 2: Preliminary Considerations From the Emilia-Romagna Experience

airmedicaljournal.com Emilia-Romagna was 1 of the most affected Italian regions in terms of coronavirus disease 2019 (COVID-19) cases,1 and the whole health system had to undergo profound remodeling to face the emergency.2 In particular, the city area of Piacenza was quickly shown to be the most affected zone in Emilia-R...

July/August 2020 Forum

airmedicaljournal.com March in the northeast of the United States has always been known to be unpredictable, specifically the weather, from late season snow to the blossoming of crocuses and tulips. Baseball parks are getting ready for opening day come early April, and already restless citizens are preparing for longer d...

airmedicaljournal.com

Parental Presence in Pediatric Interfacility Critical Care Transport: A Descriptive Study of Children, Parents, and Health Care Professionals’ Opinions

airmedicaljournal.com Parental accompaniment during transport is considered a core quality metrics in pediatric transport and a key measure of family-centered care in this setting. However, children's opinions on this topic have never been sought. The aim of this study was to evaluate the opinion of different actors of a...

airmedicaljournal.com

Royal Flying Doctor Service COVID-19 activity and surge modelling in Australia

airmedicaljournal.com There is a COVID-19 pandemic. We aimed to describe the characteristics of patients transported by the Royal Flying Doctor Service (RFDS) for confirmed or suspected Coronavirus disease 2019 (COVID-19), and to investigate surge capacity of, and operational implications for, the RFDS in dealing with CO...

airmedicaljournal.com

Management of Acute Aortic Dissection During Critical Care Air Medical Transport

airmedicaljournal.com Acute aortic dissection is a time-critical emergency that air medical teams must be capable of transporting. Aortic dissections can manifest a myriad of complications in which prompt recognition and tailored treatments may mitigate additional physiological burden and limit dissection flap propagatio...

Celebrating Transport Nurses during the WHO's Year of the Nurse

airmedicaljournal.com The World Health Organization has globally designated 2020 as the Year of the Nurse (YOTN) and Midwife, and the Air & Surface Transport Nurses Association (ASTNA) would like to recognize the tremendous impact that transport nursing has on the nursing industry as a whole. Commonly, as the first nurse...

emcrit.org

Guide to APRV for COVID - EMCrit Project

https://emcrit.org/ibcc/covid-aprv/

emcrit.org CONTENTS Preamble Parameters Initial settings Monitoring Troubleshooting hypoxemia & acidemia Weaning Weaning initiation Spontaneous Breathing Trial & Extubation pathways Questions & discussion Pitfalls APRV can be a bit scary for folks who aren't used to it. Everyone has slightly different ways of....

Transferring Fixed Wing Air Medical Patients with Intracranial Hemorrhages

airmedicaljournal.com Air medical transport, including by fixed wing aircraft, has become increasingly frequent as health systems become regionalized to absorb costs and enhance catchment areas. Speed of travel is perceived as one of the most notable advantages of aeromedical transport, thus improving patient access to o...

Articles That May Change Your Practice: Traumatic Brain Injury Revisited

airmedicaljournal.com Traumatic brain injury (TBI) is a burden to the health care system worldwide, with more than 60 million new cases annually. Aside from mortality attributed to TBI, those who survive often end up with permanent disabilities and mental illness that impact their quality of life. Traditionally, there ha...

airmedandrescue.com

Prone position in intensive care transport – possible or no-go?

Article about transporting severe ARDS patients prone when ECMO is not readily available.

https://www.airmedandrescue.com/latest/long-read/prone-position-intensive-care-transport-possible-or-no-go

airmedandrescue.com Simon Ilger and Helge Haberl of ADAC Air Rescue describe their experience of transporting a severely ill patient in need of ECMO to an ARDS center

airmedicaljournal.com

Helicopter Transport Has Decreased Over Time and Transport from Scene or Hospital Matters

airmedicaljournal.com In the United States, injury from trauma is the leading cause of death among persons aged 1-44 years, with one death every three minutes.1 In order to help mitigate this risk, trauma systems were established to provide timely definitive care within the “golden hour”: a crucial period after traum...

nytimes.com

Opinion | The Infection That’s Silently Killing Coronavirus Patients

Great article to explain respiratory failure pathophysiology with COVID-19 patients.

https://www.nytimes.com/2020/04/20/opinion/coronavirus-testing-pneumonia.html?smid=fb-share

nytimes.com This is what I learned during 10 days of treating Covid pneumonia at Bellevue Hospital.

May/June 2020 Forum

airmedicaljournal.com As we face these uncertain times, it's hard to think about anything other than how our critical care transport community is responding to COVID-19 and, as we write this, it's likely our lives will continue to be impacted when this is published in May. Our top priority is the safety and well-being of...

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