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10/19/2022

A Framework for Case-Based Learning in Prehospital Medicine: The London's Air Ambulance Experience

A Framework for Case-Based Learning in Prehospital Medicine: The London's Air Ambulance Experience Clinical governance is the framework around which health care organizations can maintain a higher standard of safety and care. One of the central aspects of clinical governance is continuous professional education, including case-based review and case-based learning. In this article, we present the....

10/12/2022

Editorial Board

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10/05/2022

Articles That May Change Your Practice: Balanced Crystalloids Revisited

Articles That May Change Your Practice: Balanced Crystalloids Revisited Intravenous fluids are commonly administered in the critical care setting; yet, the question of which fluid is associated with the best clinical outcome remains unclear. Historically, 0.9% sodium chloride (“normal saline”) is the most frequently used resuscitation fluid, but several studies have...

The Prehospital Emergency Anaesthetic in 2022 09/28/2022

The Prehospital Emergency Anaesthetic in 2022

The Prehospital Emergency Anaesthetic in 2022 Prehospital emergency anesthesia (PHEA) is a commonly performed prehospital procedure with inherent risks. The processes and drug regimens behind PHEA are continually updated by prehospital teams across the country as part of their governance structure. Essex & Herts Air Ambulance has recently updat...

Neonatal Vital Sign Trajectories and Risk Factors During Transport Within a Regional Care Network 09/21/2022

Neonatal Vital Sign Trajectories and Risk Factors During Transport Within a Regional Care Network

Neonatal Vital Sign Trajectories and Risk Factors During Transport Within a Regional Care Network The aim of this study was to characterize vital sign abnormalities, trajectories, and related risk factors during neonatal transport.

09/14/2022

CAMTS Quality Management Process

CAMTS Quality Management Process The section on quality management (QM) in the Accreditation Standards (02.00.00) is 1 of the most cited areas of weakness for many accredited services, especially when loop closure and resolution of issues that are tracked and trended are not evident.

09/07/2022

A Psychological Resilience Briefing Intervention for Helicopter Emergency Medical Service Observers

A Psychological Resilience Briefing Intervention for Helicopter Emergency Medical Service Observers Helicopter emergency medical services (HEMS) observers may be at risk of negative psychological effects associated with exposure to traumatic events during shifts. This article describes a quality improvement project for HEMS observers at Essex & Herts Air Ambulance.

FINGER: A Novel Approach to Teaching Simple Thoracostomy 08/31/2022

FINGER: A Novel Approach to Teaching Simple Thoracostomy

FINGER: A Novel Approach to Teaching Simple Thoracostomy For decades, most prehospital clinicians have only been armed with needle thoracostomy to treat a tension pneumothorax, which has a significant failure rate. Following recent changes by the US military, more ground and air transport agencies are adopting simple thoracostomy, also commonly referred t...

Helicopter Emergency Medical Services Ultrasound Use in the Diagnosis of Pericardial Effusion Due to Aortic Dissection 08/24/2022

Helicopter Emergency Medical Services Ultrasound Use in the Diagnosis of Pericardial Effusion Due to Aortic Dissection

Helicopter Emergency Medical Services Ultrasound Use in the Diagnosis of Pericardial Effusion Due to Aortic Dissection Ultrasound has historically been limited to in-hospital use for the diagnosis and management of various conditions. However, with the advent of smaller and more portable devices, this technology can be used outside the hospital. This report describes a patient with chest pain and hypotension for who...

08/17/2022

Mechanical Cardiopulmonary Resuscitation's Role in Helicopter Air Ambulances: A Narrative Review

Mechanical Cardiopulmonary Resuscitation's Role in Helicopter Air Ambulances: A Narrative Review Helicopter emergency medical services (HEMS) frequently respond to out-of-hospital cardiac arrest (OHCA) situations. Some have speculated mechanical cardiopulmonary resuscitation (mCPR) may be able to rectify the inadequacy of human performance of cardiopulmonary resuscitation (CPR) during transport...

Canceled Air Ambulance Trauma Scene Calls: A Prospective Observational Study of Causes and Outcomes of Trauma Auto-launch Cancellations 08/10/2022

Canceled Air Ambulance Trauma Scene Calls: A Prospective Observational Study of Causes and Outcomes of Trauma Auto-launch Cancellations

Canceled Air Ambulance Trauma Scene Calls: A Prospective Observational Study of Causes and Outcomes of Trauma Auto-launch Cancellations Timely access to a lead trauma hospital (LTH) is a critical component of modern trauma systems, and delays to access are associated with increased morbidity and mortality.1,2 Although costly and labor-intensive, helicopter emergency medical services (HEMS) facilitate expedited transport.3 In Ontario...

08/08/2022

Take your paramedic knowledge to the next level with our Fall Hybrid Critical Care Flight Paramedic Course.

Few seats left, direct billing to department options, and payment plans available. Email [email protected] to hold your seat in class!!

An Integrative Review Regarding Knowledge and Self-Competency of Pediatric and Neonatal Critical Care Transport Nurses 08/03/2022

An Integrative Review Regarding Knowledge and Self-Competency of Pediatric and Neonatal Critical Care Transport Nurses

An Integrative Review Regarding Knowledge and Self-Competency of Pediatric and Neonatal Critical Care Transport Nurses In recent decades, the care of critically ill neonates and pediatric patients has become more centralized in tertiary centers.1 These tertiary centers often have more resources, equipment, and monitoring capabilities than other centers, ultimately leading to improved care and patient outcomes.1 Unfo...

07/27/2022

Editorial Board

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Prolonged Use of an Extraglottic Airway During Air Medical Transport From a Remote Alaskan Island 07/20/2022

Prolonged Use of an Extraglottic Airway During Air Medical Transport From a Remote Alaskan Island

Prolonged Use of an Extraglottic Airway During Air Medical Transport From a Remote Alaskan Island Extraglottic devices (EGDs) are important tools for airway management in the prehospital and transport medicine environment. EGDs may be used as either a primary airway or rescue device depending on the provider skill level or patient circumstances. Although EGDs do not provide a definitive airway,....

07/13/2022

Prehospital Administration of Cefazolin in Trauma Patients

Prehospital Administration of Cefazolin in Trauma Patients Early cefazolin administration has been shown to reduce open fracture infection rates (IRs)1 and is also recommended to reduce infection risk for deep soft tissue injuries.2 Open fracture IRs have been shown to range from 15% to 32% and vary based on complexity.3-5 Soft tissue injury without fractur...

Prehospital Ultrasound Use to Guide Resuscitative Thoracotomy in Blunt Traumatic Cardiac Arrest 07/06/2022

Prehospital Ultrasound Use to Guide Resuscitative Thoracotomy in Blunt Traumatic Cardiac Arrest

Prehospital Ultrasound Use to Guide Resuscitative Thoracotomy in Blunt Traumatic Cardiac Arrest Traumatic cardiac arrest is frequently encountered in the air medical transport environment, and resuscitative thoracotomy is a procedure that is sometimes performed in an attempt to salvage these critically injured patients. Focused assessment with sonography for trauma (FAST) is a point-of-care ul...

06/29/2022

General Information

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06/22/2022

July/August 2022 Forum

July/August 2022 Forum AMPA

The Use of Nitric Oxide as a Rescue Modality for Severe Adult ARDS Patients, Including COVID-19, in Critical Care Rotor Transport: A Retrospective Community Outcome Study 06/15/2022

The Use of Nitric Oxide as a Rescue Modality for Severe Adult ARDS Patients, Including COVID-19, in Critical Care Rotor Transport: A Retrospective Community Outcome Study

The Use of Nitric Oxide as a Rescue Modality for Severe Adult ARDS Patients, Including COVID-19, in Critical Care Rotor Transport: A Retrospective Community Outcome Study Acute Respiratory Distress Syndrome (ARDS) is a severe inflammatory response in the lungs due to multiple inciting injuries. These “injuries” can vary from different types of pneumonia (bacterial, viral, aspiration), to trauma, to a severe sepsis reaction. The mortality of ARDS prior to COVID ra...

06/10/2022

Level of Onboard Care for Critical Patients: Analysis of the French Armed Forces Air Medical Evacuations From the Sahel Since 2013

Level of Onboard Care for Critical Patients: Analysis of the French Armed Forces Air Medical Evacuations From the Sahel Since 2013 Since 2013, the French Armed Forces have been engaged in the Sahel. In this vast desert, military operations are based on a doctrine of “further, lighter, longer.” To ensure their medical support, the French military health service (FMHS) has deployed an adapted chain of care.1 It is based on a ...

05/30/2022
A Statistical Overview of Fixed Wing Air Medical Transportation Operations in the United States (2019-2020) 05/25/2022

A Statistical Overview of Fixed Wing Air Medical Transportation Operations in the United States (2019-2020)

A Statistical Overview of Fixed Wing Air Medical Transportation Operations in the United States (2019-2020) Air medical transportation (AMT) services provide the transportation of patients, medical teams, and organs for the US health care system. Interfacility transfers account for 54% of air medical transports, and delivering specialty care and organs accounts for 13% of air medical transports. Interfaci...

A Cohort Comparison Study on Women in Threatened Preterm Labor Given Nifedipine or Nifedipine and Salbutamol Tocolysis in Air Medical Retrieval 05/18/2022

A Cohort Comparison Study on Women in Threatened Preterm Labor Given Nifedipine or Nifedipine and Salbutamol Tocolysis in Air Medical Retrieval

A Cohort Comparison Study on Women in Threatened Preterm Labor Given Nifedipine or Nifedipine and Salbutamol Tocolysis in Air Medical Retrieval Women with threatened preterm labor in remote Australia often require tocolysis in the prevention of in-flight birth during air medical retrieval. However, debate exists over the tocolytic choice.

05/11/2022

Low Utilization of Synchronous Telemedicine in Pediatric Critical Care Interfacility Transport: Barriers and Lessons

Low Utilization of Synchronous Telemedicine in Pediatric Critical Care Interfacility Transport: Barriers and Lessons The use of telemedicine has increased and may enhance the care of children during medical transport. We aimed to evaluate the feasibility of synchronous telemedicine connectivity before interfacility transport of critically ill children by a pediatric transport team.

Comparison of Changes in Vital Signs During Ground and Helicopter Emergency Medical Services and Hospital Interventions 05/04/2022

Comparison of Changes in Vital Signs During Ground and Helicopter Emergency Medical Services and Hospital Interventions

Comparison of Changes in Vital Signs During Ground and Helicopter Emergency Medical Services and Hospital Interventions Few studies have evaluated the effects of helicopter emergency medical services (HEMS) alone. This single-center study compared the changes in vital signs during ground emergency medical services (GEMS), HEMS, and hospital interventions to assess the impact of HEMS interventions.

National EMS Memorial Service: Honoring the Emergency Medical Services and Air Medical Fallen 04/27/2022

National EMS Memorial Service: Honoring the Emergency Medical Services and Air Medical Fallen

National EMS Memorial Service: Honoring the Emergency Medical Services and Air Medical Fallen It was 30 years ago that Emergency Medical Technician (EMT) Kevin Dillard and a group from the Virginia Association of Volunteer Rescue Squads who founded the volunteer-based National EMS Memorial Service (NEMSMS) to honor and recognize emergency medical services (EMS) and air medical providers who....

04/21/2022

Happy birthday to our AMAZING Medical Director, Dr. Meagan Cooper!!!!!! She not only does exceptional work as a physician, she is always available for a 2am phone call and guidance, strives to always have the latest evidence based medicine at her fingertips, and frankly is just a badass lady!!! Meagan we love you and appreciate all that you do for the company! Go enjoy today and let people pamper you!!!!

04/20/2022

May/June 2022 Forum

May/June 2022 Forum In the pre-COVID days of 2019, a time that now seems an eternity ago, the Board of AMPA created a fellowship program to recognize those who have made the greatest contributions to advance the academic, research, and leadership mission of the Air Medical Physician Association. These Fellows of AMPA,....

04/13/2022

Expanding Our Reach: Development of a Civilian Helicopter Air Ambulance K9 Response Program

Expanding Our Reach: Development of a Civilian Helicopter Air Ambulance K9 Response Program This short communication highlights the development and implementation of the first civilian helicopter air ambulance canine response program in the United States.

04/06/2022

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Nattering on Neonatal Transport With a Dear Old Friend, Air Medical Journal 03/30/2022

Nattering on Neonatal Transport With a Dear Old Friend, Air Medical Journal

Nattering on Neonatal Transport With a Dear Old Friend, Air Medical Journal It was the time of dreams and adventure. It was the time when everything was imaginable, and, even more than that, everything was possible. It was the summer of the rite of passage, the overcoming of adolescence that the “maturity examination” at the end of liceo certified, delivering the passpo...

Protocol for Transfusion of Packed Red Blood Cells in the Brazilian Air Medical Service 03/23/2022

Protocol for Transfusion of Packed Red Blood Cells in the Brazilian Air Medical Service

Protocol for Transfusion of Packed Red Blood Cells in the Brazilian Air Medical Service Hemorrhage is the leading cause of potentially preventable mortality. Patients with major blood loss, such as hypovolemic shock class III and IV, are in a condition of inadequate tissue perfusion and poor oxygen delivery and distribution, with consequent onset of metabolic acidosis.1 Thus, they requ...

03/16/2022

Change in Direction

Change in Direction Since the 11th Edition Accreditation Standards were published in 2018, the Commission on Accreditation of Medical Transport Systems (CAMTS) Standards Committee has been working on developing a new set of criteria for intensive critical care, and the board was developing a process to apply for that s...

03/09/2022

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03/02/2022

March/April 2022 Forum

March/April 2022 Forum I am René Borghese and I am honored to serve as the 2022-2023 Board Chair for the Association of Air Medical Services (AAMS). I accepted my first job in the air medical industry in 1993 and currently serve as the administrative director of Duke LifeFlight in Durham, NC. As many of you know, I have ...

Improving Mobilization Times of a Specialized Neonatal and Pediatric Critical Care Transport Team 02/23/2022

Improving Mobilization Times of a Specialized Neonatal and Pediatric Critical Care Transport Team

Improving Mobilization Times of a Specialized Neonatal and Pediatric Critical Care Transport Team The Ground and Air Medical Quality Transport database identifies the average mobilization time (AMT) of the transport team as a metric for benchmarking. Our specific aim was to decrease our AMT to < 25 minutes for our expanded role, ground, nonsimultaneous transports by the end of quarter 4 of 2018.

02/16/2022

Treatment of Malignant Hyperthermia During Interfacility Transport of a Patient With Methamphetamine Toxicity

Treatment of Malignant Hyperthermia During Interfacility Transport of a Patient With Methamphetamine Toxicity Malignant hyperthermia (MH) is a rare disorder that leads to a hypermetabolic response; if unrecognized, it can quickly lead to serious morbidity and mortality. It is imperative that critical care transport providers are able to recognize and initiate treatment for MH. A 33-year-old man presented to...

Helicopter Emergency Medical Services Performed Extended Focused Assessment With Sonography: Training, Workflow, and Sustainable Quality 02/09/2022

Helicopter Emergency Medical Services Performed Extended Focused Assessment With Sonography: Training, Workflow, and Sustainable Quality

Helicopter Emergency Medical Services Performed Extended Focused Assessment With Sonography: Training, Workflow, and Sustainable Quality The extended focused assessment of trauma (EFAST) examination is an invaluable tool for the initial evaluation of the trauma patient. Miniaturization of ultrasound has enabled helicopter emergency medical services (HEMS) to use point-of-care ultrasound to care for trauma patients on scene. Our study...

02/02/2022

The Roles and Contributions of Certified Transport Registered Nurses in Critical Care Ground Transport Today

The Roles and Contributions of Certified Transport Registered Nurses in Critical Care Ground Transport Today Registered nurses are core members of critical care ground transport teams because of their education, experience, and scope of practice. Advances in medicine, technology, and equipment, combined with regionalization of specialized care and, most recently, the coronavirus disease 2019 pandemic, nece...

01/26/2022

Delta and the Variants

Delta and the Variants This update features the chronology and physiology of Delta, currently the most prominent variant of coronavirus disease 2019 (COVID-19). We offer a template for further appreciation of the ongoing evolution of the COVID-19 variants.

01/19/2022

Introducing Mobile Integrated Health Care

Introducing Mobile Integrated Health Care Since 2020, Associate Executive Director Dudley Smith has been working with a committee to develop standards for mobile integrated health care (MIH), known in some areas as community paramedicine. MIH is a relatively new and expanding field of health care focused on providing primary and preventive....

SARS COV-2 Pandemic. Chilean Air Force experience in the air transport of critical ill patients. The first 100 cases 01/12/2022

SARS COV-2 Pandemic. Chilean Air Force experience in the air transport of critical ill patients. The first 100 cases

SARS COV-2 Pandemic. Chilean Air Force experience in the air transport of critical ill patients. The first 100 cases Critical Care air transport has played an important role during the COVID-19 Pandemic. The goal of this manuscript is to analyze results and lessons learned from the evacuation of the first 100 COVID-19 patients transported between medical facilities in Chile.

'Miracle Landing': 4 People, Including Infant, Survive Medical Helicopter Crash In Drexel Hill, Officials Tell CBS3 01/11/2022

'Miracle Landing': 4 People, Including Infant, Survive Medical Helicopter Crash In Drexel Hill, Officials Tell CBS3

Our hearts and prayers go out to the medical crews and their families, and the patient’s family during this difficult time. Wishing everyone a speedy recovery.

https://philadelphia.cbslocal.com/2022/01/11/drexel-hill-medical-helicopter-crash-delaware-county/?fbclid=IwAR0YkDkBcAV73xoppgIkJ95KjMtj9eQN5wpbrIpwxeVXRWizCVuox5-06ho

'Miracle Landing': 4 People, Including Infant, Survive Medical Helicopter Crash In Drexel Hill, Officials Tell CBS3 Four people, including an infant, were on a medical helicopter when it crashed in Delaware County.

01/10/2022
Air Medical Transportation Provided by Norte Novo Regional Urgency Mobile Service: What Is the Current Scenario? 01/05/2022

Air Medical Transportation Provided by Norte Novo Regional Urgency Mobile Service: What Is the Current Scenario?

Air Medical Transportation Provided by Norte Novo Regional Urgency Mobile Service: What Is the Current Scenario? The aim of this study was to investigate, describe, and analyze the Norte Novo regional air medical service provided by the Brazilian Emergency Medical Rescue Service.

12/29/2021

Core Components of a Pediatric Critical Care Transport Communication Curriculum: A Modified Delphi Approach

Core Components of a Pediatric Critical Care Transport Communication Curriculum: A Modified Delphi Approach Interfacility transport of critically ill infants and children is an essential part of the care of children in the United States. However, there is tremendous variation in how transports are coordinated and performed. Pediatric critical care medicine (PCCM) fellows have differing experiences in thei...

Operational Policies and Procedures for Critical Care Transport During a Respiratory Pandemic 12/22/2021

Operational Policies and Procedures for Critical Care Transport During a Respiratory Pandemic

Operational Policies and Procedures for Critical Care Transport During a Respiratory Pandemic The severe acute respiratory syndrome coronavirus 2 pandemic of 2020 to 2021 created unprecedented challenges for health care organizations, including those in the critical care transport sector. Critical care transport services had to rapidly adjust to changing patient demographics, distribution of...

12/15/2021

January/February 2022 Forum

January/February 2022 Forum What is “safe”? When is it good enough? Are you content to say such words as “we are safe”? I hope that your answer is “no” or at least “no, considering there could be more.” The question lies within the perception. With every discussion about safety, you can encounter a unique perce...

Outcomes From Long-Distance Interfacility Transport of Adult Patients on Acute Mechanical Circulatory Support 12/08/2021

Outcomes From Long-Distance Interfacility Transport of Adult Patients on Acute Mechanical Circulatory Support

Outcomes From Long-Distance Interfacility Transport of Adult Patients on Acute Mechanical Circulatory Support Mechanical circulatory support (MCS) can be a lifesaving rescue therapy for patients suffering from acute refractory cardiogenic shock or respiratory failure. Unfortunately, this type of therapy has typically been available only to patients at tertiary care centers equipped to offer comprehensive cr...

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42395 Ryan Rd Suite 112-211
Ashburn, VA
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