News from the marketplace http://pipes.yahoo.com/pipes/pipe.info?_id=yosg7y4E3hGyoIK_dPQQIA Thu, 01 Oct 2015 22:03:00 +0000 http://pipes.yahoo.com/pipes/ http://www.airmedicaljournal.com/article/S1067-991X(15)00228-X/abstract?rss=yes Air Medical Journal (ISSN 1067-991X) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are January, March, May, July, September, and November. Business and Editorial Offices: 1600 John F. Kennedy Blvd., Suite 1800, Philadelphia, PA 19103-2899. Customer Service Office: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043. Periodicals postage paid at New York, NY, and additional mailing offices. http://www.airmedicaljournal.com/article/S1067-991X(15)00227-8/abstract?rss=yes http://www.airmedicaljournal.com/article/S1067-991X(15)00226-6/abstract?rss=yes EDITORS http://www.airmedicaljournal.com/article/S1067-991X(15)00195-9/abstract?rss=yes The Air Medical Transport Conference (AMTC) is going back to Cali! Join 2500 of your peers October 19-21 at the 2015 AMTC in Long Beach, a location the conference has not seen since the early 1990s. Some of you may remember that event, but let us say—a lot has changed. Long Beach is thrilled to have us back and to serve once again as host to the premiere emergency medical transport conference in the world. http://www.airmedicaljournal.com/article/S1067-991X(15)00194-7/abstract?rss=yes The Concern Network shares verified information to alert medical transport programs when an accident/incident has occurred. Both air and ground programs are encouraged to participate. The reports are shown here verbatim as they were filed. If you have questions, contact CONCERN Coordinator David Kearns at (800) 525 3712 or www.concern-network.org. http://www.airmedicaljournal.com/article/S1067-991X(15)00193-5/abstract?rss=yes The face of medical education is changing quickly. It was not very long ago that the fastest way to answer a medical question was via the index of a textbook. A trip to the library was necessary to research the latest trends. Medical student pockets were so stuffed full of reference material that the stitching would break halfway through the third year, but no longer. Now is the time of Twitter, podcasts, and FOAMed. Online references abound, and we have the world at our fingertips. http://www.airmedicaljournal.com/article/S1067-991X(15)00177-7/abstract?rss=yes Advanced airway management is one of the most controversial and debated areas of prehospital care. There is an abundance of literature outlining its relative merits and risks, and the many different care settings, scenarios, and provider types make comparisons and conclusions difficult to generalize. The controversy over tracheal intubation spawned alternative and noninvasive methods to oxygenate and ventilate patients who would otherwise require tracheal intubation. Better predictors or strategies to mitigate difficulties in securing an airway with a tracheal tube have also been studied. http://www.airmedicaljournal.com/article/S1067-991X(15)00175-3/abstract?rss=yes On your way to work today, you might have lined up for a coffee at a drive-through, stopped at your bank's ATM, and got gas in your car before pulling into the parking lot at work. Mostly likely, every 1 of those locations and many of the intersections you crossed had a camera recording the flow of traffic and activity. For the most part, most people don't consider that their every move is being recorded. In this YouTube and reality TV world, the expectation of privacy has been nearly erased. http://www.airmedicaljournal.com/article/S1067-991X(15)00174-1/abstract?rss=yes With the increasing number of people traveling by air, it is likely the physician will encounter the need to initiate anticoagulation in an air traveler. Some of the issues that must be considered in the traveling patient are reliability of follow-up, drug interactions, drug dosage, and cost. In this article, we discuss the oral anticoagulant options for these patients, with a focus on issues for the traveling patient. We then discuss 3 scenarios in which this situation could occur with a survey of the current literature and recommendations on the best anticoagulant in each scenario. http://www.airmedicaljournal.com/article/S1067-991X(15)00173-X/abstract?rss=yes The Commission on Accreditation of Air Medical Systems held its inaugural meeting on July 13, 1990, in Kansas City, MO, and we celebrate 25 years in service this year. There were 7 organizations represented at this meeting: the American College of Emergency Physicians, the Association of Air Medical Services (AAMS), the National Association of EMS Physicians, the National EMS Pilots Association, the National Association Air Medical Communication Specialists, the National Flight Nurses Association, and the National Flight Paramedics Association. http://www.airmedicaljournal.com/article/S1067-991X(15)00171-6/abstract?rss=yes These summaries reflect initial care of stroke victims and the opportunity for emergency medical services (EMS) agencies to provide essential early care, which can improve outcomes in this important patient group. The next report in this series will emphasize new interventions that are changing the approach to stroke care. http://www.airmedicaljournal.com/article/S1067-991X(15)00170-4/abstract?rss=yes A 77-year-old man with a past medical history significant for hypertension, coronary artery disease on aspirin, congestive heart failure, a remote history of deep vein thrombosis formerly on warfarin (noncurrently), and an old right-sided ischemic stroke with residual tremor in his left lower extremity for which he takes levetiracitam presented to a rural emergency department after developing acute-onset left-sided hemiplegia. Local emergency medical services was called to the patient’s home after his family noted the deficits shortly after dinner. http://www.airmedicaljournal.com/article/S1067-991X(15)00118-2/abstract?rss=yes Pediatric traumatic brain injury (TBI) guidelines should direct patient management. This retrospective study compared ventilation monitoring practices of nontrauma center (NTC) personnel and air medical crews (AMCs) in pediatric patients with severe TBI at NTCs after endotracheal intubation. http://www.airmedicaljournal.com/article/S1067-991X(15)00117-0/abstract?rss=yes A visitor to REACH Air Medical Services' northern California headquarters will quickly view the 28-year old company's history detailed along the wall of a frequently used hallway. The graphics, photos, and newspaper reproductions narrate the well-told story of Dr. John McDonald's determined efforts in the 1980s to transform emergency medicine around his Sonoma County home. As the founder of REACH, he established the foundation for the company that earlier this year exceeded 100,000 patients transported and is a key affiliate of Air Medical Group Holdings. http://www.airmedicaljournal.com/article/S1067-991X(15)00116-9/abstract?rss=yes The aim of this study was to determine if a common air medical curriculum exists among Accreditation Council for Graduate Medical Education (ACGME) emergency medicine (EM) residencies. http://www.airmedicaljournal.com/article/S1067-991X(15)00115-7/abstract?rss=yes Recently, after reading his hospital identification badge, a fellow hospital employee presented a question to the program safety officer of the St. Louis Children’s Hospital (SLCH) Transport Team. The question posed, “What is a safety officer?” At face value, it sounds like a simple question to answer, but is it? In a few short sentences, how does one define the roles and responsibilities of any position, especially as it relates to air medical transport? How does one educate an “outsider” to the commitment required of all team members of making safety the driving factor behind every decision on every mission? Finally, is it possible to accurately describe the processes and training instituted to create a true culture of safety? http://www.airmedicaljournal.com/article/S1067-991X(15)00103-0/abstract?rss=yes The following is an unusual case of a patient with hypotension and electrocardiographic changes who required air medical transport. A change in diagnosis occurred after the initial presentation. Without a short pause to further analyze patient information, this patient may have suffered serious harm. http://www.airmedicaljournal.com/article/S1067-991X(15)00098-X/abstract?rss=yes This article suggests the construct of medical simulation education in the air medical industry can integrate principles of crew resource management by training in the same environments that flight crews function. The multidisciplinary crew-centered approach to designing simulation education can improve overall crew performance and reinforce safety in daily operations. This concept is far from novel and has a proven track record in the aviation industry, but air medical medicine can benefit from this proven system as well. http://www.airmedicaljournal.com/article/S1067-991X(15)00074-7/abstract?rss=yes Air medical crewmembers work in a unique environment that includes some responsibility for the safety of air ambulance flights. Fatigue management strategies in this profession may be undermined because the relationships between preduty rest, on-duty rest, shift duration, and other factors that may affect air medical crewmember fatigue are not fully understood. This subject review summarizes information in the literature that may help the reader understand some of the variables that may affect fatigue during air medical flights.