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Publisher: Elsevier   (Total: 3031 journals)

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Showing 1 - 200 of 3031 Journals sorted alphabetically
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 20, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 16, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 79, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 22, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 27, 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: 302, 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  
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: 195, 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: 9, 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: 2)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 21, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 5, 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: 3, 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)
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: 5)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 20)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 119, 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: 16, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 8, 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: 24, 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: 10, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 21, 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: 26, 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 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: 24, 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: 8, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 28, 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 Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 4)
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: 39, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 25, 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: 38, 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: 41, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 14)
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: 18, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.497, h-index: 31)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 22)
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: 33, 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: 4)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 7, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 8)
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: 5, 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: 21)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 6, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 3)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
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: 20, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 14)
Advances in Pharmacology     Full-text available via subscription   (Followers: 13, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 7, 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: 18)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 17, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 56)
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: 1, SJR: 0.1, h-index: 2)
Advances in Space Research     Full-text available via subscription   (Followers: 332, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 7)
Advances in Surgery     Full-text available via subscription   (Followers: 6, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 28, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 14)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 12)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 42, 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: 303, 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: 4, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 7, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 389, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 15, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 29, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 36, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 1)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 48, 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: 3, 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: 9, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 5)
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  
Algal Research     Partially Free   (Followers: 7, 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: 5, SJR: 0.776, h-index: 35)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 6, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 45, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 5)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 3)
American Heart J.     Hybrid Journal   (Followers: 45, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 47, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 34, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 6, 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: 25, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 31, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 48, 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: 173, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 51, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 2)
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: 22, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 23, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 21, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 32, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 13, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 5)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 52, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 3)
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: 2, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 38, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 152, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 7, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 10)
Anesthésie & Réanimation     Full-text available via subscription  
Anesthesiology Clinics     Full-text available via subscription   (Followers: 21, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  
Animal Behaviour     Hybrid Journal   (Followers: 141, SJR: 1.907, h-index: 126)
Animal Feed Science and Technology     Hybrid Journal   (Followers: 5, SJR: 1.151, h-index: 83)
Animal Reproduction Science     Hybrid Journal   (Followers: 5, SJR: 0.711, h-index: 78)
Annales d'Endocrinologie     Full-text available via subscription   (SJR: 0.394, h-index: 30)
Annales d'Urologie     Full-text available via subscription  
Annales de Cardiologie et d'Angéiologie     Full-text available via subscription   (SJR: 0.177, h-index: 13)
Annales de Chirurgie de la Main et du Membre Supérieur     Full-text available via subscription  
Annales de Chirurgie Plastique Esthétique     Full-text available via subscription   (Followers: 2, SJR: 0.354, h-index: 22)
Annales de Chirurgie Vasculaire     Full-text available via subscription   (Followers: 1)

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Journal Cover Air Medical Journal
  [SJR: 0.234]   [H-I: 18]   [3 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1067-991X
   Published by Elsevier Homepage  [3031 journals]
  • Conditional Accreditation
    • Authors: Eileen Frazer
      First page: 44
      Abstract: Publication date: March–April 2017
      Source:Air Medical Journal, Volume 36, Issue 2
      Author(s): Eileen Frazer


      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2016.12.005
       
  • Review of Issues and Challenges of Practicing Emergency Medicine Above
           30,000-Feet Altitude: 2 Anonymized Cases
    • Authors: Kam Lun Hon; Karen Ka Yan Leung
      Pages: 67 - 70
      Abstract: Publication date: March–April 2017
      Source:Air Medical Journal, Volume 36, Issue 2
      Author(s): Kam Lun Hon, Karen Ka Yan Leung
      We present 2 anonymized cases to identify issues and challenges associated with long-haul in-flight medical emergencies. The first case involved a middle-aged man with a history of carditis on a systemic steroid who developed vomiting and rigor. Four physicians, including a pediatric intensivist, responded to the emergency call. In the second case, a pediatric trainee who was the only onboard medical personnel was summoned for help when a middle-aged man developed acute shortness of breath while traveling on a commercial flight. The cases illustrate the challenges and issues on the critical decisions of diagnosis, resuscitation, and whether the flight had to be returned or diverted. An extensive literature search is made to summarize the evidence available for these decisions and challenges. Epidemiology and outcomes associated with these medical emergencies are reviewed. In-flight medical emergencies are not rare. Physicians of all disciplines should be prepared to deal with these emergencies and make sensible decisions when equipment and resources are likely to be limited.

      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2016.12.006
       
  • Weather Webcam System for the Safety of Helicopter Emergency Medical
           Services in Miyazaki, Japan
    • Authors: Katsuhiro Kanemaru; Robert Katzer; Syu Hanato; Koji Nakamura; Hiroshi Matsuoka; Hidenobu Ochiai
      Pages: 71 - 76
      Abstract: Publication date: March–April 2017
      Source:Air Medical Journal, Volume 36, Issue 2
      Author(s): Katsuhiro Kanemaru, Robert Katzer, Syu Hanato, Koji Nakamura, Hiroshi Matsuoka, Hidenobu Ochiai
      Objective In Japan, the helicopter emergency medical services (HEMS) system was initiated in 2001 and introduced to Miyazaki Prefecture in 2012. Mountainous areas occupy 88% of Miyazaki’s land area, and HEMS flights can be subject to the effects of weather. Therefore, ensuring safety in changing weather conditions is a necessity for HEMS. Methods The weather webcam system (WWS) was established to observe the meteorological conditions in 29 locations. Assessments of the probability of a flight based on conventional data including a weather chart provided by the Japan Meteorological Agency and meteorological reports provided by the Miyazaki Airport were compared with the assessment based on the combination of the information obtained from the WWS and the conventional data. Results The results showed that the probability of a flight by HEMS increased when using the WSS, leading to an increased transportation opportunity for patients in the mountains who rely on HEMS. In addition, the results indicate that the WWS may prevent flights in unfavorable weather conditions. Conclusion The WWS used in conjunction with conventional weather data within Miyazaki HEMS increased the pilot’s awareness of current weather conditions throughout the Prefecture, increasing the probability of accepting a flight.

      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2017.01.008
       
  • Air Medical Transport Residency Program for Flight Nurses
           and Paramedics
    • Authors: Jeff Phillips; Chad Kuhlman; Chris Evanson
      Pages: 77 - 80
      Abstract: Publication date: March–April 2017
      Source:Air Medical Journal, Volume 36, Issue 2
      Author(s): Jeff Phillips, Chad Kuhlman, Chris Evanson


      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2017.01.005
       
  • Articles That May Change Your Practice: Spinal Immobilization
    • Abstract: Publication date: Available online 23 April 2017
      Source:Air Medical Journal
      Author(s): Russell D. MacDonald


      PubDate: 2017-04-26T09:45:30Z
       
  • Saving Lives for 35 Years: Sentara Nightingale Looks Forward
    • Abstract: Publication date: Available online 23 April 2017
      Source:Air Medical Journal
      Author(s): Dale Gauding
      The Nightingale Regional air Ambulance program, operated by Norfolk, VA-based not-for-profit Sentara Healthcare, is marking its 35th year of operation in 2017, having surpassed 20,000 safe flights. Looking ahead, the program is adding VFR capabilities, designated landing zones to rendezvous with EMS partners and clinical training in a simulation lab, and collaborating with cardiac and neurology services to provide quicker interventions for STEMI and stroke patients at Sentara Norfolk General Hospital.

      PubDate: 2017-04-26T09:45:30Z
       
  • Helicopter Emergency Medical Service Simulation Training in the Extreme:
           Simulation-based Training in a Mountain Weather Chamber
    • Abstract: Publication date: Available online 21 April 2017
      Source:Air Medical Journal
      Author(s): Urs Pietsch, Ludwig Ney, Oliver Kreuzer, Armin Berner, Volker Lischke
      Mountain rescue operations often confront crews with extreme weather conditions. Extremely cold temperatures make standard treatment sometimes difficult or even impossible. It is well-known that most manual tasks, including those involved in mountain rescue operations, are slowed by extremely cold weather. To lessen and improve the decrement in performance of emergency medical treatment caused by cold-induced manual impairment and inadequate medical equipment and supplies, simulation training in a weather chamber, which can produce wind and temperatures up to −22°C, was developed. It provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal human and technical errors and increasing the safety for both the patient and the mountain emergency medical service crew.

      PubDate: 2017-04-26T09:45:30Z
       
  • Hospital Mortality Based on the Mode of Emergency Medical Services
           Transportation
    • Abstract: Publication date: Available online 20 April 2017
      Source:Air Medical Journal
      Author(s): Hassan Al-Thani, Ayman El-Menyar, Yugan Pillay, Monira Mollazehi, Ahammed Mekkodathil, Rafael Consunji
      Objective We assessed the presentations and outcomes of trauma patients transported by helicopter emergency medical services (HEMS) versus ground emergency medical services (GEMS). Methods A retrospective analysis of trauma registry data at a level I trauma center was conducted for patients transported by GEMS and HEMS between 2011 and 2013. Data were analyzed and categorized based on the mode of transportation. Results A total of 4,596 trauma patients were admitted to the hospital with a mean age of 31 ± 15 years. Injured patients were transported to the trauma center by GEMS (93.3%) and HEMS (6.7%). The common mechanisms of injury were motor vehicle crash (37%) and falls (25%). Compared with GEMS, patients transported by HEMS were characterized by having a greater injury severity, more proportion of traumatic brain injury, on-scene intubation, and a 2.5-fold higher mortality. However, the impact of mode of transportation on the hospital mortality among severely injured patients has disappeared after adjusting for potential confounders. Conclusion Patients transported by HEMS may have different characteristic features and outcomes when compared with GEMS. However, further work is needed to identify the subgroups of trauma patients who clearly benefit from the use of HEMS.

      PubDate: 2017-04-26T09:45:30Z
       
  • Certification in Transport Nursing: Adding Power to the Privilege
    • Abstract: Publication date: Available online 19 April 2017
      Source:Air Medical Journal
      Author(s): Kristen Ponichtera


      PubDate: 2017-04-26T09:45:30Z
       
  • Characteristics of Fixed Wing Air Ambulance Transports in Victoria,
           Australia
    • Abstract: Publication date: Available online 19 April 2017
      Source:Air Medical Journal
      Author(s): Ashleigh J. Delorenzo, Jeremy W. Abetz, Emily Andrew, Anthony de Wit, Brett Williams, Karen Smith
      Objective Air medical transport is important for the transfer of patients in the prehospital and interhospital environment. Few studies have described the services provided by fixed wing ambulances or the broader clinical profiles of patients they transport. Such information may be useful for the planning and allocation of resources, assistance with training, and refining clinical protocols. We sought to describe the characteristics of patients transported by fixed wing aircraft at Air Ambulance Victoria (AAV) and the service AAV provides in Victoria, Australia. Methods A retrospective data review of patients transported by AAV fixed wing aircraft between January 1, 2011, and June 30, 2015, was performed. Data were sourced from the Ambulance Victoria data warehouse. Retrievals involving physicians were excluded. Results A total of 16,579 patients were transported during the study period, with a median age of 66 years. Most patients were male (58.7%), and cardiovascular/hematologic conditions (27.2%) were most common. Overall, 51.7% of cases were prebooked routine transfers, 47.4% were interhospital routine transfers, and 0.9% were primary responses. Caseloads were largest in the regions furthest from the capital city. Conclusion The AAV fixed wing service in Victoria enables regional and remote patients to be transported to definitive care without major disruption to ground ambulances.

      PubDate: 2017-04-26T09:45:30Z
       
  • Evaluation of Situation, Background, Assessment, Recommendation Tool
           During Neonatal and Pediatric Interfacility Transport
    • Authors: Diane Wilson; Anuradha Kochar; Andrew Whyte-Lewis; Hilary Whyte; Kyong-Soon Lee
      Abstract: Publication date: Available online 18 April 2017
      Source:Air Medical Journal
      Author(s): Diane Wilson, Anuradha Kochar, Andrew Whyte-Lewis, Hilary Whyte, Kyong-Soon Lee
      Objective We aimed to determine if the implementation of Situation, Background, Assessment, Recommendation (SBAR) training improved the quality of real-life telephone communication. We evaluated interfacility neonatal and pediatric transports performed by registered nurses, respiratory therapists, and physicians (MDs). Methods This was a quality improvement study performed to evaluate telephone communication before and after SBAR training. Training consisted of lectures, review of audio files, and simulated role-playing. Recorded audio files of real-life transports were evaluated for clarity and content by 3 raters using a standardized scoring tool. Results Ninety-four and ninety-three calls were evaluated before and after the intervention, respectively. The total item scores were higher posttraining (mean ± standard deviation [pre: 15.06 ± 2.60, post: 17.60 ± 2.61], P < .001). Global rating scores ≥ 4 were higher in the posttraining group (pre: 50.0% vs. post: 66.7%; P = .02; odds ratio = 1.43; 95% confidence interval, 1.04-1.97). There was no significant difference in the duration of calls (mean ± SD [pre: 9.29 ± 4.59 minutes, post: 9.70 ± 4.65 minutes). In subgroup analysis, the total item score was significantly improved posttraining for registered nurses and respiratory therapists but not MDs. Conclusion Standardized SBAR training was effective in improving telephone communication by RNs and RTs. The inclusion of SBAR training routinely within the educational curriculum of transport programs can enhance communication.

      PubDate: 2017-04-19T08:50:08Z
      DOI: 10.1016/j.amj.2017.02.013
       
  • Management of Mass Casualties Using Doctor Helicopters and Doctor Cars
    • Authors: Hiromichi Ohsaka; Kouhei Ishikawa; Kazuhiko Omori; Kei Jitsuiki; Toshihiko Yoshizawa; Youichi Yanagawa
      Abstract: Publication date: Available online 6 April 2017
      Source:Air Medical Journal
      Author(s): Hiromichi Ohsaka, Kouhei Ishikawa, Kazuhiko Omori, Kei Jitsuiki, Toshihiko Yoshizawa, Youichi Yanagawa
      At approximately 10 o'clock in September 2015, a minibus carrying 18 people accidentally slid backwards because of a malfunctioning brake system while climbing a steep incline on Togasayama Mountain, colliding with a van (Toyota HiAce wagon) carrying 11 people that was situated behind the minibus. Togasayama Mountain is located 1 hour by car and 10 minutes by helicopter from our hospital. The minibus slid off a roadside cliff at a height of 0.5 m and rolled over after colliding with the van. There were 7 victims with yellow tags and 22 with green tags. Two Doctor Helicopters and 1 Doctor Car cooperated with the fire departments by providing medical treatments, selection of medical facilities, and dispersion transportation. In this mass casualty event, there were no mortalities, and all of the victims recovered without sequelae. The coordinated and combined use of Doctor Helicopters and Doctor Cars in addition to the activities of the fire department in response to a mass casualty event resulted in appropriate triage, medical treatments, selection of medical facilities, and dispersion transportation.

      PubDate: 2017-04-12T07:38:09Z
      DOI: 10.1016/j.amj.2017.02.014
       
  • Acute Coronary Syndrome Evacuated by a Helicopter From the Scene
    • Authors: Hiromichi Ohsaka; Kazuhio Omori; Ikuto Takeuchi; Kei Jitsuiki; Toshihiko Yoshizawa; Kouhei Ishikawa; Kikuo Isoda; Satoru Suwa; Youichi Yanagawa
      Abstract: Publication date: Available online 5 April 2017
      Source:Air Medical Journal
      Author(s): Hiromichi Ohsaka, Kazuhio Omori, Ikuto Takeuchi, Kei Jitsuiki, Toshihiko Yoshizawa, Kouhei Ishikawa, Kikuo Isoda, Satoru Suwa, Youichi Yanagawa
      Objective The purpose of this study was to investigate the safety of evacuating patients using a physician-staffed helicopter (Dr. Heli). Methods We retrospectively investigated all of the patients with acute coronary syndrome (ACS) who were transported by a Dr. Heli between April 2004 and March 2016. The scene group included subjects evacuated from the scene by the Dr. Heli. The interhospital group included subjects transported to a nearby medical facility by a ground ambulance and then transported to our hospital by a Dr. Heli. Results The scene and interhospital groups included 170 subjects and 592 subjects, respectively. There were no significant differences between the 2 groups with regard to sex and survival ratios. However, the patients in the scene group were significantly younger than those in the interhospital group. The ratio of prehospital cardiopulmonary arrest in the scene group was significantly higher than in the interhospital group. After excluding subjects who were over 80 years of age, there were no significant differences between the 2 groups with regard to age. However, the same tendencies remained. Conclusion This result indirectly suggests the safety of using the Dr. Heli to evacuate ACS patients from the scene.

      PubDate: 2017-04-12T07:38:09Z
      DOI: 10.1016/j.amj.2017.02.010
       
  • The 5 T’s: Applying Cognitive Science to Improve Prehospital Medical
           Education
    • Authors: Michael J. Lauria; Mackenzie R. Bronson; Patricia L. Lanter; Thomas W. Trimarco
      Abstract: Publication date: Available online 5 April 2017
      Source:Air Medical Journal
      Author(s): Michael J. Lauria, Mackenzie R. Bronson, Patricia L. Lanter, Thomas W. Trimarco
      Although research on effective teaching methods exists, the application of this information in prehospital medical education is limited. Applying lessons from the realms of cognitive psychology and neuroscience, prehospital educators can enhance their ability to teach. One such concept is the theory of cognitive load. Understanding this theory can reduce the mental strain placed on learners and allow educators to best accomplish long-term learning success, defined as “far transfer” of material to novel contexts. Thus, we propose 5 concise strategies gleaned from cognitive science literature: Tell a story, Time, Technical elements, Think novelly, and Testing and recall (referred to as the “5 T’s”). Each strategy is grounded in research and applicable to medical education. Increased educator awareness and use of these strategies garners the potential to transform prehospital medical education.

      PubDate: 2017-04-12T07:38:09Z
      DOI: 10.1016/j.amj.2017.02.012
       
  • An Unusual Case of Shortness of Breath
    • Authors: Richard J. Moody; Sarah E. Fabiano
      Abstract: Publication date: Available online 31 March 2017
      Source:Air Medical Journal
      Author(s): Richard J. Moody, Sarah E. Fabiano


      PubDate: 2017-04-05T06:16:38Z
      DOI: 10.1016/j.amj.2017.02.007
       
  • Response of Flight Nurses in a Simulated Helicopter Environment
    • Authors: David M. Kaniecki; Ronald L. Hickman; Celeste M. Alfes; Andrew P. Reimer
      Abstract: Publication date: Available online 31 March 2017
      Source:Air Medical Journal
      Author(s): David M. Kaniecki, Ronald L. Hickman, Celeste M. Alfes, Andrew P. Reimer
      Objective The purpose of this study was to determine if a helicopter flight simulator could provide a useful educational platform by creating experiences similar to those encountered by actual flight nurses. Methods Flight nurse (FN) and non-FN participants completed a simulated emergency scenario in a flight simulator. Physiologic and psychological stress during the simulation was measured using heart rate and perceived stress scores. A questionnaire was then administered to assess the realism of the flight simulator. Results Subjects reported that the overall experience in the flight simulator was comparable with a real helicopter. Sounds, communications, vibrations, and movements in the simulator most approximated those of a real-life helicopter environment. Perceived stress levels of all participants increased significantly from 27 (on a 0-100 scale) before simulation to 51 at the peak of the simulation and declined thereafter to 28 (P < .001). Perceived stress levels of FNs increased significantly from 25 before simulation to 54 at the peak of the simulation and declined thereafter to 30 (P < .001). Perceived stress levels of non-FNs increased significantly from 31 before simulation to 49 at the peak of the simulation and declined thereafter to 25 (P < .001). There were no significant differences in perceived stress levels between FNs and non-FNs before (P = .58), during (P = .63), or after (P = .55) simulation. FNs' heart rates increased significantly from 77 before simulation to 100 at the peak of the simulation and declined thereafter to 72 (P < .001). Conclusion The results of this study suggest that simulation of a critical care scenario in a high-fidelity helicopter flight simulator can provide a realistic helicopter transport experience and create physiologic and psychological stress for participants.

      PubDate: 2017-04-05T06:16:38Z
      DOI: 10.1016/j.amj.2017.02.005
       
  • Aeromedical Ultrasound: The Evaluation of Point-of-care Ultrasound During
           Helicopter Transport
    • Authors: Jeffrey G. Yates; Denise Baylous
      Abstract: Publication date: Available online 31 March 2017
      Source:Air Medical Journal
      Author(s): Jeffrey G. Yates, Denise Baylous
      Introduction This study correlated the eFAST findings performed in-flight by the flight crew with the findings obtained by the trauma team upon initial evaluation at a level 1 trauma center and with the subsequent CT scans that were performed or the surgeon's operative note. We hypothesize that aeromedical eFAST examinations are highly correlated with the trauma teams findings. Methods This prospective, observational study evaluated 190 traumatically injured patients from June 2014 to December 2015 in Southeast Virginia and Northeast North Carolina. Results For 190 trauma patients the Flight Crew POCUS examinations obtained a Positive Predictive Value (PPV) of 100% and a Negative Predictive Value (NPV) of 98.3% for the identification of pneumothorax, hemothorax, and free abdominal fluid, which is equivalent to that of the Trauma Team's POCUS studies on the same group of patients. Discussion Because the early recognition of potentially life-threatening conditions is critical to providing appropriate care to the traumatically injured patient this study provides solid statistical data that flight crews can adequately perform and interpret POCUS results as well as out trauma team colleagues. This study could lead to a reduction of iatrogenic injuries from unnecessary invasive prehospital procedures, allow for early initiation of Massive Transfusion Protocols (MTP) prior to the patient's arrival at the Trauma Center, and potentially develop a change in trauma systems notification and transportation directly to the operating room. Conclusion Despite this study developing a very positive outlook on performing aeromedical POCUS for the evaluation and care of trauma patients additional research will be required to better understand the potential impact on trauma activation protocols and activation of in-hospital resources.

      PubDate: 2017-04-05T06:16:38Z
      DOI: 10.1016/j.amj.2017.02.001
       
  • Erratum to ‘Air Medical Evacuations From the German North Sea Wind Farm
           Bard Offshore 1: Traumatic Injuries, Acute Diseases, and Rescue Process
           Times (2011-2013)’ [Air Medical Journal 35 (2016) 216-226]
    • Abstract: Publication date: Available online 31 March 2017
      Source:Air Medical Journal


      PubDate: 2017-04-05T06:16:38Z
       
  • Flying Lessons for Clinicians: Developing System 2 Practice
    • Authors: Jerome N. Gregoire; Celeste M. Alfes; Andrew P. Reimer; Mary F. Terhaar
      Abstract: Publication date: Available online 27 March 2017
      Source:Air Medical Journal
      Author(s): Jerome N. Gregoire, Celeste M. Alfes, Andrew P. Reimer, Mary F. Terhaar
      There is a long history of adopting lessons learned from aviation to improve health care practice. Two of the major practices that have successfully transferred include using a checklist and simulation. Training and simulation technology is currently underdeveloped for nurses and health care providers entering critical care transport. This article describes a pedagogical approach adopted from aviation to develop a new simulation platform and program of research to develop the science of critical care transport nursing education.

      PubDate: 2017-03-29T05:33:57Z
      DOI: 10.1016/j.amj.2017.02.003
       
  • Ultrasound in the Royal Danish Air Force Search and Rescue Helicopter: 2
           Case Reports
    • Authors: René Christian Bleeg
      Abstract: Publication date: Available online 25 March 2017
      Source:Air Medical Journal
      Author(s): René Christian Bleeg


      PubDate: 2017-03-29T05:33:57Z
      DOI: 10.1016/j.amj.2017.02.004
       
  • A Systematic Review of the Prevalence and Types of Adverse Events
           in Interfacility Critical Care Transfers by Paramedics
    • Authors: Abdullah Alabdali; Joanne D. Fisher; Chetan Trivedy; Richard J. Lilford
      Abstract: Publication date: Available online 22 March 2017
      Source:Air Medical Journal
      Author(s): Abdullah Alabdali, Joanne D. Fisher, Chetan Trivedy, Richard J. Lilford
      Objective The aim of this study was to investigate if paramedics can safely transfer interfacility critically ill adult patients and to determine the prevalence and types of adverse events when paramedics lead interfacility critical care transfers. Methods MEDLINE, Web of Science, Embase, and CINAHL databases were searched from 1990 up to February 2016. Eligibility criteria were adult patients (16 years and over), interfacility transfer (between two health care facilities), quantitative or qualitative description of adverse events, and a paramedic as the primary care provider or the sole health care provider. Results Seven publications had paramedics as the sole health care provider conducting interfacility critical care transfers. All seven studies were observational studies published in the English language. The study duration ranged from 14 months to 10 years. The frequency of adverse events seen by paramedics in interfacility transfers ranges from 5.1% to 18%. Conclusion There is a gap in literature on the safety and adverse events in interfacility transfers by paramedics. The prevalence of in-transit adverse events is well established; however, because the published literature is lacking longitudinal monitoring of patients and only reporting in-transit events, we believe that further research in this area might provide the basis of paramedics safety in interfacility transfers.

      PubDate: 2017-03-29T05:33:57Z
      DOI: 10.1016/j.amj.2017.01.011
       
  • Good People Don’t Smoke Marijuana1
    • Authors: John R. Clark
      Abstract: Publication date: Available online 22 March 2017
      Source:Air Medical Journal
      Author(s): John R. Clark


      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2017.02.002
       
  • Articles That May Change Your Practice: Chemical Restraint
           of Agitated Patients
    • Authors: Russell D. MacDonald; Suad Albulushi
      Abstract: Publication date: Available online 18 March 2017
      Source:Air Medical Journal
      Author(s): Russell D. MacDonald, Suad Albulushi


      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2017.01.007
       
  • Is Nifedipine as a Tocolytic Effective in Facilitating In Utero
           Transfer?
    • Authors: Jodie Martin; Jodie Mills; David Stanley
      Abstract: Publication date: Available online 18 March 2017
      Source:Air Medical Journal
      Author(s): Jodie Martin, Jodie Mills, David Stanley
      Objective Previous studies have reported that air medical transfer of women in preterm labor can be safely accomplished, without preterm birth occurring; in fact, many women were later discharged without preterm birth occurring. The purpose of this study was to determine if nifedipine, when used as a tocolytic, is effective at facilitating in utero transfer of women in preterm labor in the Top End of the Northern Territory of Australia. Methods This was a retrospective descriptive study over a 3-year period of all women transported in preterm labor between 23 + 6 to 36 + 6 weeks’ gestation of pregnancy (N = 325). Results The average gestation period was 32 + 2 weeks. The mean retrieval time was 6 hours. The mean time of birth from referral was 33 hours. A number of women gave birth to a preterm newborn in a remote health center (17%). There were 3 in-flight preterm births, and 49% of women were discharged without a preterm birth occurring. All women transported by air medical retrieval were admitted to the tertiary hospital for at least 24 hours. Conclusion In this study, nifedipine was used successfully to facilitate in utero transfer in many cases. Nearly half of the women referred were discharged without preterm birth occurring. Findings compare favorably with other published studies.

      PubDate: 2017-03-22T05:02:46Z
      DOI: 10.1016/j.amj.2017.01.010
       
  • General Information
    • Abstract: Publication date: March–April 2017
      Source:Air Medical Journal, Volume 36, Issue 2


      PubDate: 2017-03-22T05:02:46Z
       
  • An Analysis of the Temperature Change in Warmed Intravenous Fluids During
           Administration in Cold Environments
    • Authors: Warren Singleton; Michelle McLean; Michael Smale; Mohammed Alkhalifah; Ahmad Kosahk; Neli Ragina; Chin-I. Cheng; Bethany J. Figg
      Abstract: Publication date: Available online 11 March 2017
      Source:Air Medical Journal
      Author(s): Warren Singleton, Michelle McLean, Michael Smale, Mohammed Alkhalifah, Ahmad Kosahk, Neli Ragina, Chin-I. Cheng, Bethany J. Figg
      This nonhuman simulation study was conducted to determine the decrease in temperature that occurred to 1-L bags of normal saline in a cold environment. The bags were warmed to 39°C and administered through intravenous (IV) tubing at a set flow rate while in a cold environment. The goal was to determine if there was a significant decrease in fluid temperature from the bag to the catheter site. Three trials were completed at temperatures of 0°C, −7°C, −12°C, and 22°C (control). Each bag of normal saline was warmed to 39°C using the SoftSack IV Fluid Warmer (Smithworks Med Inc, Lindale, TX). Fluid was collected and temperatures recorded at 5-minute intervals. The results showed a statistically significant (P = .003) change in temperature between the IV bag and the administration site. The most rapid change occurred within the first 5 minutes. The temperature change was more significant with colder ambient temperatures, with an average of a 28.7°C difference at −7°C and −12°C after 30 minutes. It appears that the most significant heat loss occurs through the IV tubing itself. Therefore, it may be beneficial to insulate the tubing on a trauma patient receiving warmed IV fluids in a cold environment to help prevent hypothermia.

      PubDate: 2017-03-13T03:59:20Z
      DOI: 10.1016/j.amj.2016.07.032
       
  • Endotracheal Cuff Pressure Changes During Helicopter Transport: A
           Systematic Review
    • Authors: Ashleigh J. Delorenzo; Matthew Shepherd; Paul A. Jennings
      Abstract: Publication date: Available online 1 March 2017
      Source:Air Medical Journal
      Author(s): Ashleigh J. Delorenzo, Matthew Shepherd, Paul A. Jennings
      Objective Cuff pressures are important in ventilated patients undergoing helicopter transport. An altitude-related increase in endotracheal tube (ETT) intracuff pressure has been shown in simulated hypobaric environments, model tracheas, and animal studies and may not accurately reflect in vivo pressures. The aim of this study was to determine if ETT intracuff pressure increases above the critical perfusion pressure of the trachea in ventilated patients during helicopter transport. Methods Ovid Medline, CINAHL, Embase, Scopus, and the Cochrane Library were searched from their commencement to January 29, 2016. Google Scholar was searched, and reference lists of relevant articles were examined to identify additional studies. Articles were included if they reported on ETT intracuff pressure in ventilated patients during helicopter emergency medical service transport. Results A total of 330 articles were identified; only 2 prospective observational studies met the inclusion criteria. The studies reported a mean cuff pressure increase of 23 cm H2O and 33.9 cm H2O. Both studies reported ETT intracuff pressure to frequently exceed the critical perfusion pressure of the tracheal mucosa during helicopter transport. Conclusion Further research with longitudinal follow-up is required to confirm these findings to determine if the effects of transient increased ETT intracuff pressure are clinically significant.

      PubDate: 2017-03-04T01:26:22Z
      DOI: 10.1016/j.amj.2017.01.003
       
  • Articles That May Change Your Practice: Low-dose Ketamine for Acute Pain
    • Authors: Russell D. MacDonald; Selma Alqattan
      Abstract: Publication date: Available online 28 February 2017
      Source:Air Medical Journal
      Author(s): Russell D. MacDonald, Selma Alqattan


      PubDate: 2017-03-04T01:26:22Z
      DOI: 10.1016/j.amj.2016.12.001
       
  • Winner, Winner, Chicken Dinner
    • Authors: John R. Clark
      Abstract: Publication date: Available online 28 February 2017
      Source:Air Medical Journal
      Author(s): John R. Clark


      PubDate: 2017-03-04T01:26:22Z
      DOI: 10.1016/j.amj.2017.01.006
       
  • Ten Years of En Route Critical Care Training
    • Authors: Mathieu Boutonnet; Pierre Pasquier; Laurent Raynaud; Laurent Vitiello; Jérôme Bancarel; Sébastien Coste; Guillaume Pelée de Saint Maurice; Sylvain Ausset
      Abstract: Publication date: Available online 24 February 2017
      Source:Air Medical Journal
      Author(s): Mathieu Boutonnet, Pierre Pasquier, Laurent Raynaud, Laurent Vitiello, Jérôme Bancarel, Sébastien Coste, Guillaume Pelée de Saint Maurice, Sylvain Ausset
      Objective The French Military Health Service (FMHS) has developed a training program for medical evacuation (MEDEVAC) of critical care patients on fixed wing aircraft. Methods We conducted a 10-year retrospective analysis (2006-2015) of the data from the FMHS Academy. The number of trainees was listed according to the different courses and medical specialties. The number of MEDEVACs recorded during the period was described. Results Since 2006, the FMHS has developed training courses designed for MEDEVAC of critical care patients. Forty-five collective strategic MEDEVAC courses were delivered to 91 intensivists, 130 anesthetic nurses, 79 flight surgeons, 55 flight nurses, and 89 nurses. Five sessions of tactical MEDEVAC courses were performed for 14 flight surgeons, 6 flight nurses, and 17 other nurses. Ten sessions of individual strategic MEDEVAC courses were delivered to 17 intensivists, 10 flight surgeons, 21 flight nurses, and 7 other nurses. Between 2006 and 2015, 818 (± 68) individual strategic MEDEVACs were performed per year. Thirty-three (± 19) concerned critical care patients. Five missions of collective strategic MEDEVAC were performed for 56 patients. Conclusion The FMHS has developed specific courses for the MEDEVAC of critical care patients, allowing the training of numerous MEDEVAC teams.

      PubDate: 2017-03-04T01:26:22Z
      DOI: 10.1016/j.amj.2016.12.004
       
  • Looking Forward
    • Authors: David J. Dries
      Abstract: Publication date: Available online 10 February 2017
      Source:Air Medical Journal
      Author(s): David J. Dries


      PubDate: 2017-02-12T21:59:27Z
      DOI: 10.1016/j.amj.2017.01.001
       
  • Clinical Significance of Fibrinogen Degradation Product Among Traumatized
           Patients
    • Authors: Kouhei Ishikawa; Kazuhiko Omori; Kei Jitsuiki; Hiromichi Ohsaka; Hiroshi Ito; Katsuhito Shimoyama; Toru Fukunaga; Norikazu Urabe; Souichirou Kitamura; Youichi Yanagawa
      Abstract: Publication date: Available online 2 February 2017
      Source:Air Medical Journal
      Author(s): Kouhei Ishikawa, Kazuhiko Omori, Kei Jitsuiki, Hiromichi Ohsaka, Hiroshi Ito, Katsuhito Shimoyama, Toru Fukunaga, Norikazu Urabe, Souichirou Kitamura, Youichi Yanagawa
      Objective We retrospectively analyzed trauma patients who were transported by a physician-staffed helicopter (doctor helicopter) to investigate the clinical significance of the fibrinogen degradation product (FDP) level on arrival. Methods From February 2011 to July 2016, a medical chart review was retrospectively performed for all patients with trauma who were transported by the doctor helicopter. The subjects were divided into 2 groups: a survival group and a fatal group. Results There were 135 patients in the survival group and 16 in the fatal group. The ratio of head injury, value of Injury Severity Score (ISS), and level of FDP in the fatal group were significantly greater than in the survival group. The average Glasgow Coma Scale and systolic blood pressure in the fatal group were significantly smaller than in the survival group. The FDP level at arrival was positively associated with the ISS (R = 0.74, P < .0001). After excluding subjects with shock, unconsciousness, and head injury, the FDP level was still positively associated with the ISS (R = 0.60, P < .0001). Conclusion Therefore, the FDP level may be a useful biochemical parameter for the initial evaluation of the severity of trauma, even in blunt trauma patients without head injury or with stable vital signs.

      PubDate: 2017-02-05T20:57:06Z
      DOI: 10.1016/j.amj.2016.12.009
       
  • Case Study in Critical Care Transport: A 51-Year-Old Male With Ludwig
           Angina
    • Authors: Brittney Bernardoni; Riley Grosso; Elizabeth Powell; Peter V.R. Tilney
      Abstract: Publication date: Available online 1 February 2017
      Source:Air Medical Journal
      Author(s): Brittney Bernardoni, Riley Grosso, Elizabeth Powell, Peter V.R. Tilney


      PubDate: 2017-02-05T20:57:06Z
      DOI: 10.1016/j.amj.2016.12.007
       
  • Concern Network
    • Abstract: Publication date: Available online 19 January 2017
      Source:Air Medical Journal


      PubDate: 2017-01-22T19:10:54Z
       
  • General Information
    • Abstract: Publication date: January–February 2017
      Source:Air Medical Journal, Volume 36, Issue 1


      PubDate: 2017-01-22T19:10:54Z
       
  • Streamlining the Accreditation Process
    • Authors: Eileen Frazer
      Abstract: Publication date: Available online 3 January 2017
      Source:Air Medical Journal
      Author(s): Eileen Frazer


      PubDate: 2017-01-06T16:30:40Z
      DOI: 10.1016/j.amj.2016.11.004
       
  • 25th Critical Care Transport Medicine Conference
    • Authors: Monica Newman; Pat Petersen; Nikole Good
      Abstract: Publication date: Available online 29 December 2016
      Source:Air Medical Journal
      Author(s): Monica Newman, Pat Petersen, Nikole Good


      PubDate: 2017-01-06T16:30:40Z
      DOI: 10.1016/j.amj.2016.11.001
       
  • The Perfect Resume
    • Authors: John R. Clark
      Abstract: Publication date: Available online 24 December 2016
      Source:Air Medical Journal
      Author(s): John R. Clark


      PubDate: 2016-12-27T13:57:34Z
      DOI: 10.1016/j.amj.2016.10.005
       
  • Toward Zero Preventable Deaths
    • Authors: Kelsey S. Berndt; David J. Dries
      Abstract: Publication date: Available online 24 December 2016
      Source:Air Medical Journal
      Author(s): Kelsey S. Berndt, David J. Dries


      PubDate: 2016-12-27T13:57:34Z
      DOI: 10.1016/j.amj.2016.11.003
       
  • 2016 Community Award Winners
    • Abstract: Publication date: Available online 21 December 2016
      Source:Air Medical Journal


      PubDate: 2016-12-27T13:57:34Z
       
  • Concern Network
    • Abstract: Publication date: Available online 21 December 2016
      Source:Air Medical Journal


      PubDate: 2016-12-27T13:57:34Z
       
  • 16-Year-Old Female Near Hanging With Negative Pressure Pulmonary Edema
    • Authors: Lucia Derks; Walker Plash; Elizabeth Powell; Peter V.R. Tilney
      Abstract: Publication date: Available online 18 December 2016
      Source:Air Medical Journal
      Author(s): Lucia Derks, Walker Plash, Elizabeth Powell, Peter V.R. Tilney


      PubDate: 2016-12-19T13:16:38Z
      DOI: 10.1016/j.amj.2016.11.002
       
  • Articles That May Change Your Practice: Prehospital Ultrasound
    • Authors: Russell D. MacDonald; Selma Alqattan
      Abstract: Publication date: Available online 28 October 2016
      Source:Air Medical Journal
      Author(s): Russell D. MacDonald, Selma Alqattan


      PubDate: 2016-10-31T09:39:43Z
      DOI: 10.1016/j.amj.2016.10.002
       
 
 
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