By William W. Hurd, John G. Jernigan, P.K.Jr. Carlton
The definitive therapy at the clinical evacuation and administration of injured sufferers in either peace- and wartime. Edited through eminent specialists within the box, this article brings jointly clinical experts from all 4 branches of the armed companies. It discusses the historical past of aeromedical evacuation, triage and staging of the injured sufferer, evacuation from website of harm to clinical facility, air-frame services, clinical services in-flight, reaction to in-flight emergencies, and mass emergency evacuation. particular health conditions are addressed intimately, together with such basic surgical casualties as belly wounds and delicate tissue, vascular, maxillofacial, head and spinal twine accidents, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and extra. Over eighty illustrations supply a overview of shipping apparatus and either clinical and surgical procedure. essential reference for all armed compelled physicians and flight surgeons, for common and trauma surgeons, internists, extensive care experts, orthopaedic surgeons, and public healthiness provider physicians.
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Extra info for Aeromedical Evacuation - Management of Acute and Stabilized Patients
If available, high-ﬂow oxygen should be administered to all casualties in shock, with respiratory distress, or otherwise seriously compromised. The ﬁnal stage of care is evacuation care, which begins once the casualty enters the formal evacuation chain. A. De Lorenzo a wheeled or helicopter ambulance at the unit level and lasts until the casualty reaches either deﬁnitive care in a combat support hospital or an aeromedical staging facility in preparation for evacuation from the theater of military operations.
It is important, both from a medicolegal and patient care standpoint, for any who wish to transport a patient by air to know what transport capabilities are available in the local area. It is also important to know the limitations and contractual agreements of both the sending and receiving medical facilities. Prior to transport, the physician must be aware of the preﬂight preparation based on the patient’s condition and disease process, especially in light of the potential impact that barometric pressure changes and exposure to the elements can have on the patient.
Rozycki GS, Ochsner MG, Jafﬁn JH, Champion HR. Prospective evaluation of surgeons’ use of ultrasound in the evaluation of trauma patients. J Trauma 1993;34:516. Sustic A, Miletic D, Fuckar Z, et al. Ultrasonography in the evaluation of hemoperitoneum in war casualties. Milit Med 1999;164:600. Lichtenstein D, Courret JP. Feasibility of ultrasound in the helicopter [letter]. Intens Care Med 1998;24:1119. Polk JD, Fallon WF. The use of focused assessment with sonography for trauma (FAST) by a prehospital air medical team in the trauma arrest patient.
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