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Publisher: Elsevier   (Total: 3049 journals)

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Showing 1 - 200 of 3089 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 7)
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 25, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 86, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 30, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 4)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 5, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 363, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 3)
Acta Biomaterialia     Hybrid Journal   (Followers: 25, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 1)
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 228, SJR: 3.683, h-index: 202)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.615, h-index: 21)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.442, h-index: 21)
Acta Oecologica     Hybrid Journal   (Followers: 10, SJR: 0.915, h-index: 53)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription   (Followers: 1)
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 3, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 24, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.059, h-index: 77)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 4)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 4, SJR: 0.383, h-index: 19)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 2)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 5, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 4, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 4)
Acute Pain     Full-text available via subscription   (Followers: 13)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.967, h-index: 57)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.514, h-index: 92)
Addictive Behaviors Reports     Open Access   (Followers: 6)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 21)
Advanced Cement Based Materials     Full-text available via subscription   (Followers: 3)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 132, SJR: 5.2, h-index: 222)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.265, h-index: 53)
Advanced Powder Technology     Hybrid Journal   (Followers: 17, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 9, SJR: 0.299, h-index: 15)
Advances in Agronomy     Full-text available via subscription   (Followers: 15, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 26, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 3)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 6, SJR: 1.054, h-index: 35)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 11, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, SJR: 1.286, h-index: 49)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 16, SJR: 3.31, h-index: 42)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.277, h-index: 43)
Advances in Botanical Research     Full-text available via subscription   (Followers: 3, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 25, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 0.9, h-index: 30)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 2.139, h-index: 42)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 4)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.183, h-index: 23)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.665, h-index: 29)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 9, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29, SJR: 0.938, h-index: 33)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 18, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 16, SJR: 0.223, h-index: 22)
Advances in Dermatology     Full-text available via subscription   (Followers: 12)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 7)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 22)
Advances in Ecological Research     Full-text available via subscription   (Followers: 45, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 26, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 43, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 8)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 51, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 16)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 2.558, h-index: 54)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 2.325, h-index: 20)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 22, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 0.497, h-index: 31)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.396, h-index: 27)
Advances in Immunology     Full-text available via subscription   (Followers: 36, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 3, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 16, SJR: 1.645, h-index: 45)
Advances in Mathematics     Full-text available via subscription   (Followers: 10, SJR: 3.261, h-index: 65)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6, SJR: 0.489, h-index: 25)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.44, h-index: 51)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 22)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 4)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
Advances in Organ Biology     Full-text available via subscription   (Followers: 2)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 7, SJR: 2.37, h-index: 73)
Advances in Pediatrics     Full-text available via subscription   (Followers: 24, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 13)
Advances in Pharmacology     Full-text available via subscription   (Followers: 15, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.384, h-index: 26)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.248, h-index: 11)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 4)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 17)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 62)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 5, SJR: 0.478, h-index: 32)
Advances in Radiation Oncology     Open Access  
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 2, SJR: 0.1, h-index: 2)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 360, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 8)
Advances in Surgery     Full-text available via subscription   (Followers: 7, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 30, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 16)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 44, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 5, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 330, SJR: 0.816, h-index: 49)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.318, h-index: 36)
African J. of Emergency Medicine     Open Access   (Followers: 5, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 8, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 417, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 16, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 30, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 40, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 2)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 55, SJR: 1.879, h-index: 120)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.434, h-index: 14)
Air Medical J.     Hybrid Journal   (Followers: 5, SJR: 0.234, h-index: 18)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.285, h-index: 3)
Alcohol     Hybrid Journal   (Followers: 11, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 8)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access   (Followers: 1)
Algal Research     Partially Free   (Followers: 8, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 3)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.46, h-index: 29)
Allergology Intl.     Open Access   (Followers: 4, SJR: 0.776, h-index: 35)
Alpha Omegan     Full-text available via subscription   (SJR: 0.121, h-index: 9)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 9, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 46, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 5)
American Heart J.     Hybrid Journal   (Followers: 49, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 48, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 40, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 9, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 26, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 32, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 46, SJR: 2.023, h-index: 189)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 200, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 59, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 6)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.249, h-index: 88)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 27, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 25, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 35, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 6)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 58, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 12)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 2, SJR: 0.209, h-index: 27)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription   (SJR: 0.104, h-index: 3)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 37, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 166, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 8, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 12)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 1)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 22, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  

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Journal Cover Air Medical Journal
  [SJR: 0.234]   [H-I: 18]   [5 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1067-991X
   Published by Elsevier Homepage  [3049 journals]
  • Teaching: A Newer Face
    • Authors: David J. Dries
      Pages: 282 - 286
      Abstract: Publication date: November–December 2017
      Source:Air Medical Journal, Volume 36, Issue 6
      Author(s): David J. Dries


      PubDate: 2017-11-12T00:38:26Z
      DOI: 10.1016/j.amj.2017.09.006
       
  • Reporting Abuse
    • Authors: John R. Clark
      Pages: 287 - 289
      Abstract: Publication date: November–December 2017
      Source:Air Medical Journal, Volume 36, Issue 6
      Author(s): John R. Clark


      PubDate: 2017-11-12T00:38:26Z
      DOI: 10.1016/j.amj.2017.09.001
       
  • Cuff Pressure Confusion: Solutions Are Abundant
    • Authors: Richard Branson; Dario Rodriquez
      First page: 223
      Abstract: Publication date: September–October 2017
      Source:Air Medical Journal, Volume 36, Issue 5
      Author(s): Richard Branson, Dario Rodriquez


      PubDate: 2017-09-11T15:17:52Z
      DOI: 10.1016/j.amj.2017.04.005
       
  • Pulmonary Edema After Near Hanging: An Insight
    • Authors: Subramanian Senthilkumaran; Ritesh G. Menezes; Narendra Nath Jena; Ponniah Thirumalaikolundusubramanian
      First page: 224
      Abstract: Publication date: September–October 2017
      Source:Air Medical Journal, Volume 36, Issue 5
      Author(s): Subramanian Senthilkumaran, Ritesh G. Menezes, Narendra Nath Jena, Ponniah Thirumalaikolundusubramanian


      PubDate: 2017-09-11T15:17:52Z
      DOI: 10.1016/j.amj.2017.04.006
       
  • Teaching: Tips and Costs
    • Authors: David J. Dries
      Pages: 226 - 228
      Abstract: Publication date: September–October 2017
      Source:Air Medical Journal, Volume 36, Issue 5
      Author(s): David J. Dries


      PubDate: 2017-09-11T15:17:52Z
      DOI: 10.1016/j.amj.2017.07.002
       
  • Infusion Pump in UH60L/M Flight in Afghanistan: Why Failures Occur
    • Authors: Nicholas Paul Pelletier; Andrew Fisher
      Pages: 248 - 257
      Abstract: Publication date: September–October 2017
      Source:Air Medical Journal, Volume 36, Issue 5
      Author(s): Nicholas Paul Pelletier, Andrew Fisher
      The ALARIS MSIII Infusion Pump (CareFusion, San Diego, CA) uses 3 separate alarms designed to prevent air emboli: “check air sensor,” “air in lower tubing,” and “air in line.” It is assumed that ambient pressure changes cause air emboli that lead to pump failure although evidence to support this is limited. In this small study, the MSIII proved to be highly resilient and able to maintain function even after large repetitive emboli. Although unproven, it is more likely that these alarms are usually caused by loosening of the intravenous tubing within the pump’s collar. This disjointing of the tubing and the ultrasonic sensor can be perceived as an air embolus leading to severe consequences. If the user attempts the clear air function, the pump will not resume function. Problems such as this may have been related to at least 1 reported patient death. More research is needed to determine the cause of these alarms and determine the exact cause. Patient safety can potentially be improved at all levels including manufacturer modifications and operator training. It seems reasonable that the manufacturer should design a mode (“transport mode”) that allows the pump to function even with air emboli.

      PubDate: 2017-09-11T15:17:52Z
      DOI: 10.1016/j.amj.2017.04.007
       
  • Development and Testing of a Neonatal Intubation Checklist for an Air
           Medical Transport Team
    • Authors: Lisa A. Davidson; Richard B. Utarnachitt; Andrew Mason; Taylor Sawyer
      Abstract: Publication date: Available online 7 November 2017
      Source:Air Medical Journal
      Author(s): Lisa A. Davidson, Richard B. Utarnachitt, Andrew Mason, Taylor Sawyer
      Objective We developed a Neonatal Intubation Checklist for Airlift Northwest. Our goal was to improve the preparation, technical proficiency, and safety of neonatal intubation without increasing the time required to perform the procedure. Methods The Neonatal Intubation Checklist, a “call and response” checklist for neonatal intubation, was developed. Its effectiveness was evaluated during a baseline assessment and 2 practice sessions after a checklist orientation. Intubation proficiency was evaluated using a validated assessment tool that included a proficiency score, a global rating scale (GRS) score, and time to perform the procedure. Results Significant improvements in intubation proficiency and time to intubation were noted when teams used the intubation checklist (proficiency score: 29 [7] at baseline vs. 57 [1] with checklist, P < .001; GRS 2 [2, 2.5] at baseline vs. 5 [3, 5] with checklist, P < .001; baseline intubation time 626 [93] seconds vs. 479 (44) seconds with checklist, P < .001). These changes were associated with a large effect on proficiency (ƞ2 = 0.89), GRS (ƞ2 = 0.6), and time to successful intubation (ƞ2 = 0.52). Conclusion The use of the Neonatal Intubation Checklist improved transport team performance during simulated neonatal intubations and decreased the time required to successfully perform the procedure.

      PubDate: 2017-11-12T00:38:26Z
      DOI: 10.1016/j.amj.2017.09.010
       
  • Air Transport of a Patient With Impending Cerebral Herniation From Tension
           Pneumocephalus
    • Authors: Etzer Augustin; Michael Karsy; Jim Bryan; Jian Guan; Richard H. Schmidt
      Abstract: Publication date: Available online 7 November 2017
      Source:Air Medical Journal
      Author(s): Etzer Augustin, Michael Karsy, Jim Bryan, Jian Guan, Richard H. Schmidt
      Tension pneumocephalus is a rare but dangerous complication of craniotomy, sinus surgery, and traumatic cranial injury. Compared with simple pneumocephalus, which often resolves spontaneously over the course of a few days, tension pneumocephalus tends to increase with ongoing cerebrospinal fluid leak and requires immediate neurosurgical treatment to prevent cerebral herniation. Air transport of patients with tension pneumocephalus for neurosurgical care entails a risk of neurologic worsening because of changes in ambient air pressure with altitude and cabin pressurization. We describe a case in which severe symptomatic tension pneumocephalus developed after endoscopic endonasal sinus surgery in an 81-year-old man. The patient lived in a remote area and required air transport for medical care. Pretreatment with oxygen therapy and maintaining the patient in a flat supine position rapidly improved his neurologic status, allowing transportation without incidence. A recommendation was also made to the medical transport team to fly at the lowest possible altitude. Specific precautions may enable safe transport of these critically ill patients for treatment, although further data must be obtained before these can be definitively recommended.

      PubDate: 2017-11-12T00:38:26Z
      DOI: 10.1016/j.amj.2017.09.011
       
  • Long-Distance, Nonstop Neonatal Transport From Shanghai, China, to Genoa,
           Italy
    • Authors: Carlo Bellini; Simona Serveli; Luigi A; Pietro M; Daniele S; Luca A. Ramenghi; Tiziana Cinti; Francesco Campone
      Abstract: Publication date: Available online 6 November 2017
      Source:Air Medical Journal
      Author(s): Carlo Bellini, Simona Serveli, Luigi A, Pietro M, Daniele S, Luca A. Ramenghi, Tiziana Cinti, Francesco Campone
      The purpose of this article is to describe the long-distance, nonstop intercontinental transport of a severely ill, mechanically ventilated newborn from Shanghai, China, to Genoa, Italy focusing in particular on the clinical and planning difficulties. The aircraft equipment, the assessment and preparation for transport are discussed.

      PubDate: 2017-11-12T00:38:26Z
      DOI: 10.1016/j.amj.2017.09.004
       
  • General Information
    • Abstract: Publication date: November–December 2017
      Source:Air Medical Journal, Volume 36, Issue 6


      PubDate: 2017-11-12T00:38:26Z
       
  • CAMTS–CAMTS EU
    • Authors: Eileen Frazer
      Abstract: Publication date: November–December 2017
      Source:Air Medical Journal, Volume 36, Issue 6
      Author(s): Eileen Frazer


      PubDate: 2017-11-12T00:38:26Z
       
  • Does Medical Staffing Influence Perceived Safety' An International
           Survey on Medical Crew Models in Helicopter Emergency Medical Services
    • Authors: Kristen Rasmussen; Jo Røislien; Stephen J.M. Sollid
      Abstract: Publication date: Available online 1 November 2017
      Source:Air Medical Journal
      Author(s): Kristen Rasmussen, Jo Røislien, Stephen J.M. Sollid
      Objective The competence, composition, and number of crewmembers have generally been considered to influence the degree of patient care and safety in helicopter emergency medical services (HEMS), but evidence to support the advantages of one crew concept over another is ambiguous; additionally, the benefit of physicians as crewmembers is still highly debated. Methods To compare perceived safety in different medical crew models, we surveyed international HEMS medical directors regarding the types of crew compositions their system currently used and their supportive rationales and to evaluate patient and flight safety within their services. Results Perceived patient and flight safety is higher when HEMS is staffed with a dual medical crew in the cabin. Tradition and scientific evidence are the most common reasons for the choice of medical crew. Most respondents would rather retain their current crew configuration, but some would prefer to add a physician or supplement the physician with an assistant in the cabin. Conclusion Our survey shows a wide variety of medical staffing models in HEMS and indicates that these differences are mainly related to medical competencies and the availability of an assistant in the medical cabin. The responses suggest that differences in medical staffing influence perceived flight and patient safety.

      PubDate: 2017-11-04T22:30:16Z
      DOI: 10.1016/j.amj.2017.09.008
       
  • Pediatric Extracorporeal Cardiopulmonary Resuscitation Patient with
           Traumatic Subarachnoid Hemorrhage and Takotsubo Syndrome
    • Authors: Thomas E. Pearson; Meg A. Frizzola; Marc A. Priest; Monica A. Rochman; Curtis D. Froehlich
      Abstract: Publication date: Available online 20 October 2017
      Source:Air Medical Journal
      Author(s): Thomas E. Pearson, Meg A. Frizzola, Marc A. Priest, Monica A. Rochman, Curtis D. Froehlich
      Takotsubo syndrome is rare in pediatric patients but must be considered in patients with subarachnoid hemorrhage with pulmonary edema and cardiomyopathy. A systematic, collaborative approach is needed to facilitate emergent transfer of patients where extracorporeal cardiopulmonary resuscitation (e-CPR) is used as a lifesaving measure. Extracorporeal membrane oxygenation (ECMO) use in transport requires preplanning, role delineation, resources, and research efforts to be successful. We present an unusual transport case of successful e-CPR/ECMO treatment of Takotsubo syndrome in a 12-year-old boy with an isolated traumatic intracranial injury, cardiomyopathy with pulmonary edema, and multiple cardiac arrests.

      PubDate: 2017-10-21T18:04:11Z
      DOI: 10.1016/j.amj.2017.09.002
       
  • Means for Transport in Patients after Remote Extracorporeal Membrane
           Oxygenation Implantation
    • Authors: Alex Supady; Daniel Duerschmied; Christoph Bode; Dawid L. Staudacher
      Abstract: Publication date: Available online 16 October 2017
      Source:Air Medical Journal
      Author(s): Alex Supady, Daniel Duerschmied, Christoph Bode, Dawid L. Staudacher


      PubDate: 2017-10-21T18:04:11Z
      DOI: 10.1016/j.amj.2017.09.003
       
  • Forum
    • Abstract: Publication date: Available online 2 October 2017
      Source:Air Medical Journal


      PubDate: 2017-10-08T14:27:02Z
       
  • Paramedic Clinical Ladder: Development and Implementation at 1 Institution
    • Authors: Jeffrey Haspray
      Abstract: Publication date: Available online 15 September 2017
      Source:Air Medical Journal
      Author(s): Jeffrey Haspray


      PubDate: 2017-09-18T09:37:22Z
      DOI: 10.1016/j.amj.2017.08.003
       
  • Survival from Prolonged Cardiac Arrest in the Wilderness
    • Authors: Richard B. Utarnachitt; Ryan Mason
      Abstract: Publication date: Available online 14 September 2017
      Source:Air Medical Journal
      Author(s): Richard B. Utarnachitt, Ryan Mason


      PubDate: 2017-09-18T09:37:22Z
      DOI: 10.1016/j.amj.2016.12.003
       
  • Articles That May Change Your Practice: Acute Stroke
    • Authors: Russell D. MacDonald
      Abstract: Publication date: Available online 12 September 2017
      Source:Air Medical Journal
      Author(s): Russell D. MacDonald


      PubDate: 2017-09-18T09:37:22Z
      DOI: 10.1016/j.amj.2017.08.004
       
  • A 6-Year-Old Male Cold Water Near Drowning Where You Might Least Expect It
    • Authors: Jotham Keffeler; Marshall Frank; Charlotte Derr
      Abstract: Publication date: Available online 12 September 2017
      Source:Air Medical Journal
      Author(s): Jotham Keffeler, Marshall Frank, Charlotte Derr


      PubDate: 2017-09-18T09:37:22Z
      DOI: 10.1016/j.amj.2017.08.002
       
  • Concern Network
    • Abstract: Publication date: Available online 11 September 2017
      Source:Air Medical Journal


      PubDate: 2017-09-11T15:17:52Z
       
  • General Information
    • Abstract: Publication date: September–October 2017
      Source:Air Medical Journal, Volume 36, Issue 5


      PubDate: 2017-09-11T15:17:52Z
       
  • Recognition and Treatment of Eclampsia on a Rural Scene Call: A Case Study
           of Coordinated Ground and Air Emergency Medical Services
    • Authors: Harinder S. Dhindsa; Jessica H. Burns; Beverly G. Harris; Clinton C. Schott; Lisa M. Dodd
      Abstract: Publication date: Available online 31 August 2017
      Source:Air Medical Journal
      Author(s): Harinder S. Dhindsa, Jessica H. Burns, Beverly G. Harris, Clinton C. Schott, Lisa M. Dodd


      PubDate: 2017-09-11T15:17:52Z
      DOI: 10.1016/j.amj.2017.06.001
       
  • Vehicular Manslaughter
    • Authors: John R. Clark
      Abstract: Publication date: Available online 24 August 2017
      Source:Air Medical Journal
      Author(s): John R. Clark


      PubDate: 2017-08-28T12:33:10Z
      DOI: 10.1016/j.amj.2017.07.006
       
  • Just Another Day
    • Authors: Kendra Hertzog
      Abstract: Publication date: Available online 24 August 2017
      Source:Air Medical Journal
      Author(s): Kendra Hertzog


      PubDate: 2017-08-28T12:33:10Z
       
  • CAMTS Best Practices
    • Authors: Eileen Frazer
      Abstract: Publication date: Available online 7 August 2017
      Source:Air Medical Journal
      Author(s): Eileen Frazer


      PubDate: 2017-08-28T12:33:10Z
      DOI: 10.1016/j.amj.2017.07.003
       
  • Temperature-sensitive Medications in Interfacility Transport: The Ice Pack
           Myth
    • Authors: Jason Clancy; Cassandra Karish; Meghan Roddy; Judith J. Sicilia; Michael T. Bigham
      Abstract: Publication date: Available online 29 July 2017
      Source:Air Medical Journal
      Author(s): Jason Clancy, Cassandra Karish, Meghan Roddy, Judith J. Sicilia, Michael T. Bigham
      Introduction Critical Care Transport teams use various strategies to maintain temperature sensitive drugs and equipment at optimal temperature. The purpose of this study was to examine the effectiveness of current passive refrigeration of temperature sensitive transport medications/equipment. Methods Initially, we performed a retrospective review of transport durations. Subsequently, an experimental paradigm was created using a temperature probe inside of the transport cooler packs utilizing various configurations and initial starting temperatures with high and low “in range” temperature margins of 8°C (max) and 2°C (min). Results The mean round-trip transport time was 2.5 hours and over 15% of transports last longer than 4 hours. At a starting temperature of −3.9°C, the cooler and ice pack maintained “in range” temperatures for 3 hours. When the ice pack starting temperature was −12.9°C, high temperatures excursions weren’t experienced until 6 hours 55 minutes, but initially low excursions fell below for up to 3 hours. iSTAT® cartridges remained within range between 1-4 hours at cooler and ice pack starting temperature of −3.9°C. Conclusion The current system of passive refrigeration does not appear to be sufficient for safely storing medications or point-of-care testing equipment for our transport services. This might reveal a flaw in the existing practices around medication refrigeration in transport.

      PubDate: 2017-08-03T08:02:35Z
      DOI: 10.1016/j.amj.2017.05.002
       
  • Fort Worth, the City of Cowboys and Culture, Hosts the 2017 Air Medical
           Transport Conference!
    • Authors: Natasha J. Ross
      Abstract: Publication date: Available online 28 July 2017
      Source:Air Medical Journal
      Author(s): Natasha J. Ross


      PubDate: 2017-08-03T08:02:35Z
      DOI: 10.1016/j.amj.2017.07.004
       
  • Forum
    • Abstract: Publication date: Available online 26 July 2017
      Source:Air Medical Journal


      PubDate: 2017-08-03T08:02:35Z
       
  • Concern Network
    • Abstract: Publication date: Available online 25 July 2017
      Source:Air Medical Journal


      PubDate: 2017-08-03T08:02:35Z
       
  • General Information
    • Abstract: Publication date: July–August 2017
      Source:Air Medical Journal, Volume 36, Issue 4


      PubDate: 2017-07-24T07:04:06Z
       
  • Hemodynamic Deterioration in Lateral Compression Pelvic Fracture After
           Prehospital Pelvic Circumferential Compression Device Application
    • Authors: Alan A. Garner; Jeremy Hsu; Anne McShane; Adam Sroor
      Abstract: Publication date: Available online 6 July 2017
      Source:Air Medical Journal
      Author(s): Alan A. Garner, Jeremy Hsu, Anne McShane, Adam Sroor
      Increased fracture displacement has previously been described with the application of pelvic circumferential compression devices (PCCDs) in patients with lateral compression–type pelvic fracture. We describe the first reported case of hemodynamic deterioration temporally associated with the prehospital application of a PCCD in a patient with a complex acetabular fracture with medial displacement of the femoral head. Active hemorrhage from a site adjacent to the acetabular fracture was subsequently demonstrated on angiography. Caution in the application of PCCDs to patients with lateral compression–type fractures is warranted.

      PubDate: 2017-07-12T04:51:40Z
      DOI: 10.1016/j.amj.2017.05.006
       
  • Articles That May Change Your Practice: Resuscitative Endovascular Balloon
           Occlusion of the Aorta
    • Authors: Russell D. MacDonald; Li Qi Chiu
      Abstract: Publication date: Available online 28 June 2017
      Source:Air Medical Journal
      Author(s): Russell D. MacDonald, Li Qi Chiu


      PubDate: 2017-07-03T03:34:10Z
      DOI: 10.1016/j.amj.2017.05.011
       
  • Reducing Door-in Door-out Intervals in Helicopter ST-segment Elevation
           Myocardial Infarction Interhospital Transfers
    • Authors: Michael A. Schneider; Jason T. McMullan; Christopher J. Lindsell; Kimberly W. Hart; Diana Deimling; Debra Jump; Todd Davis; William R. Hinckley
      Abstract: Publication date: Available online 24 June 2017
      Source:Air Medical Journal
      Author(s): Michael A. Schneider, Jason T. McMullan, Christopher J. Lindsell, Kimberly W. Hart, Diana Deimling, Debra Jump, Todd Davis, William R. Hinckley
      Background Many health systems rely on helicopter EMS (HEMS) to transfer ST-elevation myocardial infarction (STEMI) patients for percutaneous coronary intervention (PCI) to a hospital with a catheterization laboratory. Mortality rates increase with the time to reperfusion, so reducing delays is imperative. For interhospital STEMI transfers, the time spent in the initial hospital from arrival until departure (door-in to door-out interval or DIDO) should be minimized. Objective To evaluate the impact of a series of process improvements to reduce DIDO intervals for STEMI patients transferred via a hospital based HEMS program. Methods Changes made to the STEMI transfer protocol in March 2011 were: (a) allowing transferring facilities to request HEMS before identifying an accepting cardiologist or hospital, with one hospital serving as a default PCI center in the case of delays, (b) limiting continuous infusions to those absolutely necessary for the transfer flights and (c) training flight crews to minimize time at bedside. Trained dual abstractors conducted structured medical record reviews for all STEMI patients 18 years and older, transferred to a PCI facility by HEMS from March 2011 to December 2012. Discrepancies were adjudicated. We compared DIDO intervals to a historical control cohort from 2007. We used the Mann-Whitney U test to compare times, and calculated differences with 95% confidence intervals. Results Of 244 patients identified, six were excluded due to incomplete data. The historical cohort included 179 cases. Mean age was 59 (SD 14) years, 81% were white and 66% male. There were no differences in patient characteristics or door to EKG times between the cohorts. Median door-in to door-out interval decreased from 83 minutes (IQR 43) to 68 minutes (IQR 31) (difference 15 minutes, 95% CI 8 to 21, P <.0001). EKG to HEMS request decreased 21 minutes (95% CI 17 to 25, P <.0001), and HEMS ground time decreased 3 minutes (95% CI 2 to 4, P <.0001). There was a 32% absolute increase in the proportion of patients with EKG to helicopter request interval <35 minutes (83% vs 51%, difference 32%, 95% CI 24% to 41%, P <.0001). Conclusion HEMS-focused process improvements can significantly reduce the DIDO interval times for STEMI patients transferred for PCI.

      PubDate: 2017-07-03T03:34:10Z
      DOI: 10.1016/j.amj.2017.04.004
       
  • Air Repatriation With a Medium-sized Pneumothorax Without Thoracic Tube: A
           Special Case of a Repatriation Accompanied by an Experienced Surgeon
    • Authors: Melissa B. Blau; Michael Weinlich; Werner Lauchart; Stefan Piatek; Felix Walcher
      Abstract: Publication date: Available online 22 June 2017
      Source:Air Medical Journal
      Author(s): Melissa B. Blau, Michael Weinlich, Werner Lauchart, Stefan Piatek, Felix Walcher
      We report on the repatriation of a 28-year old female from Germany, who was involved in a serious bus accident and was transported to the nearest hospital in Oruro, Bolivia. CT scans and x-rays performed in this hospital demonstrated a complete pneumothorax right. Thorax drainage was inserted, which was removed after 5 days. Since the hospital refused to acknowledge the presence of a residual middle-sized pneumothorax on the repatriation day and did not want to insert another tube, the decision was made to repatriate the patient on commercial flight back home to Germany without a thoracic tube.

      PubDate: 2017-07-03T03:34:10Z
      DOI: 10.1016/j.amj.2017.05.004
       
  • Logistical Concerns for Prehospital Blood Product Use by Air Medical
           Services
    • Authors: Patrick Maher; Richard Utarnachitt; Max J. Louzon; Roxann Gary; Nina Sen; John R. Hess
      Abstract: Publication date: Available online 21 June 2017
      Source:Air Medical Journal
      Author(s): Patrick Maher, Richard Utarnachitt, Max J. Louzon, Roxann Gary, Nina Sen, John R. Hess
      Over the past few decades, reports have described favorable results from transfusion of blood products in helicopter EMS (HEMS). Nevertheless, the initiation of a HEMS transfusion program requires consideration of many factors, some unique to each clinical site. This paper describes our experience developing a HEMS transfusion program in an urban non-hospital based HEMS program with a history of long transport times. When considering blood use away from the hospital, major consideration must be given to safe storage and monitoring of blood products both on the ground and while in flight. PRBCs have been shown to generally be resilient to helicopter transit and have a prolonged storage duration. Transfusion of other blood products, such as plasma, involves additional challenges but has been achieved by some HEMS sites. Flight protocols should be developed addressing when and how many blood products should be transported, potentially considering patient factors, scene factors, and the regional availability of blood products during interfacility transport. Quality assurance and documentation protocols must also be developed for blood product use in flight. In our center's experience, we have so far transfused a limited number of patients with generally good results. Patient outcomes are described as below.

      PubDate: 2017-06-22T02:24:45Z
      DOI: 10.1016/j.amj.2017.05.003
       
  • Evaluation of Intensive Care Unit Ventilators at Altitude
    • Authors: Thomas Blakeman; Dario Rodriquez; Michael Petro; Richard Branson
      Abstract: Publication date: Available online 17 June 2017
      Source:Air Medical Journal
      Author(s): Thomas Blakeman, Dario Rodriquez, Michael Petro, Richard Branson
      Introduction Devices may forgo US military air worthiness and safety testing in an attempt to expedite the availability of critical assets such as mechanical ventilators with a waiver for one-time use in extenuating circumstances. Methods We evaluated two Intensive Care Unit (ICU) level ventilators: Drager Evita XL and Puritan Bennett (PB) 840 in an altitude chamber at sea level and altitudes of 8,000 and 16,000 feet. Results Altitude affected delivered tidal volumes (VTs) in volume control mode (VCV) and Pressure Regulated Volume Controlled (PRVC) mode at altitude with the Evita XL but the differences were not considered clinically important with the PB 840. Sixty-seven percent of the VTs were outside the ASTM standard of ± 10% of set VT with the Evita XL at altitude. Conclusion The PB 840 did not deliver VTs that were larger than the ASTM standard up to an altitude of 16,000 feet while the majority of the delivered VTs with the Därger XL were greater than the ASTM standard. This could present a patient safety issue. Caregivers must be aware of the capabilities and limitations of ICU ventilators when utilized in a hypobaric environment in order to provide safe care.

      PubDate: 2017-06-22T02:24:45Z
      DOI: 10.1016/j.amj.2017.05.001
       
 
 
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