One of the most important criterion in emergency medical treatment is response time. With crowded streets and highways, civil unrest and the aftermath of terrorist attacks, it can become a serious challenge to transport the critically injured to hospitals. Fortunately, there are unique hospitals in the air that can circumvent roadblocks in life and death circumstances. Within minutes a medical emergency team can be on the scene, doing what they do best... saving lives.
Aeromedically speaking, we've come a long way in a short time. And as technology continues to unveil new computer assisted medical techniques, we can look forward to incredible triumphs never dreamed by our great-grandparents. Let's take a brief look at how far we've come.
The first documented air ambulance was in 1910, and helped evacuate World War I soldiers who were wounded on the front.
During World War II ten thousand casualties were transported to safety world-wide.
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In the 1990's the Combat Surgical Hospital (CSH) replaced MASH and remains the cutting-edge of aeromedical rescue. These CSH planes contain an emergency room, an operating room, ICU beds and standard beds run by surgeons, nurses, and ansthesiologists. The are so well-equipped that a patient receives almost hospital-level care while in the air, an incredible improvement from the air ambulances of the early twentieth century.
Today basic critical care transport teams in the air consist of a physician, a critical care nurse, and a respiratory therapist, and also includes an assortment of nurses and technicians, depending upon the type of crisis. In the 1990's the United States Air Force started to provide an aeromedical plane for the president when he visited third world countries where he might not receive medical care in time to avert serious injury or assassination
Ambulances, started to affect today’s modern health care after the Civil war. Ambulances are specially equipped motor vehicles. Ambulances carry sick, or injured people from the spot of their accident, to the closest hospital. Ambulances are part of the emergency medical services, EMS, which also includes helicopters, airplanes, and boats. Ambulances typically have room for one or more people. Ambulances can also hold many medical personnel and medical supplies.
Tien, Homer. “The Canadian Forces trauma care system.” Canadian Journal of Surgery 54 (2011): 112-117.
In this paper we will discuss the first documented use of helicopters for the primary purpose of Air Ambulances in World War II. During 1943, the United States, British Commonwealth and the Chinese faced the armies of Japan, Thailand and Indian National Army. The Burmese Independent Army started off on the Japanese side, but later switched sides fighting with the allied forces. Under the control of President Franklin D. Roosevelt, the United States made a decision to support the Chinese during the war with aircraft.1 With Japan controlling much of the Chinese territory, the main supply route for the Chinese was thru the Burma Road. This supply route was essential to operations in the area shaped a restructure for the way supplies would be delivered to soldiers fighting and patients being able to get the urgent care they extremely needed. The only logical and expeditious way to do all of this would be through the use of aircraft flying a supply route known as “the Hump.”2
Gerritse B. M., Advanced medical life support procedures in vitally compromised children by a helicopter emergency medical service. Emerg Med. 2010; 10: 6. Published online 2010 March 8. doi: 10.1186/1471-227X-10-6
But for the patients best interest it is vital for the paramedics to transport the patient to hospital for further investigation and continuity of care.
The SFO also maintains two medical personnel vehicles to aid in the rescue efforts during a mishap, and these vehicles are manned by a driver/emergency medical technician and a paramedic. Airport personnel must utilize the ARFF equipment during exercises that are mandated by the Airport Emergency Plan (AEP) every so many months. Only through the use of the AEP is an airport truly put to the test to see if they’re ready for an actual aircraft
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
It was during this time that doctors and nurses, through experience also demonstrated that blood could be stored and then safely transferred from patient to patient saving countless soldiers’ lives.
Disastrous events can occur in any moment throughout our lives whether involved as a victim or a provider of care for such event. The role of healthcare professionals, nurses and personnel alike is important to ensure proper patient care, especially for events that are quick and sudden. These events are categorized as Mass Casualty Events (MCE), and they are known to overwhelm local resources of surrounding facilities, consisting of injured or ill patients in need of immediate care (Smith, 2010). Recent incidents such as the Boston Marathon Bombing (2013), Hurricane Katrina (2005), and the Chatsworth Metrolink Collision (2008) are examples of such events.
The history of how Surgical Technologists began on the battlefields in World War II, when the Army used medics to work under the direct supervision of the surgeon, nurses were not allowed aboard combat ships at time, this led to a new profession within the military called Operating Room Technicians (ORTs). An accelerated nursing program was form only on operating room technology was set up as an on the job training of nursing assistants who worked in the surgery department, th...
With patient safety always being the number one priority FTR is the worst case scenario for the hospitalized patient. In an article titled “Failure to Rescue: The Nurse’s Impact” from the Medsurg Nursing Journal author Garvey explains ways FTR can occur “including organizational failure, provider lack of knowledge and failure to realize clinical injury, lack of supervision, and failure to get advice.” Nurses are problem solvers by nature, they heal the sick and help save lives. FTR is a tragic experience for everyone involved. The recent surge in this happening across the country has given FTR cases widespread media coverage. Hospitals are trying to figure out what the root cause is and how they can be prevented. Fortunately, with the advancement of technology and extensive research many hospitals have developed action plans and procedures to help prevent the early warning signs from being
The EMS system goes back to the Crusades in the 11th century. The Knights of St. John were instructed by Arab and Greek doctors for first-aid treatment. The Knights were the first medical responders of that time, treating both sides of the war. The injured were taken to tents to be treated further. In 1792, the chief physician in Napoleons Army, Baron Dominique-Jean Larrey, designed and created the “flying ambulance”, which was a special type of carriage staffed with a group of medical personnel made to access every part of the battlefield. Then, in 1797, he also instituted the first pre-hospital system designed to triage and transport the wounded in the field to proper aid stations. Larrey’s actions and groundbreaking ideas helped increase the chances for survival among wounded soldiers and ultimately benefitted Napoleon’s conquest efforts.
“Summary Report for: 29-2041.00 - Emergency Medical Technicians and Paramedic.” O*Net. 2008. Web. 18 Feb. 2010.
One of lesser-known benefits of exploring outer space is the medical breakthroughs scientists discover. It is true that space in a gold mine for much of the modern day health discoveries, yet many people don’t seem to have knowledge of this. A few major medical devices are, a laser angioplasty, an ultrasound skin damage assessment, a human tissue stimulator, and a cool suit. These are only some of the prominent discoveries made a group of intellectuals aboard the Internation Space Station (ISS). This band of people uses the unique aspects of outer space such as zero gravity to perform and uncover new information about medicine (Ferrell).
This paper will focus on the assessment and evaluation of two areas of human behavior management in which Hospital for Special Surgery Registration Physician Department needs to bring about crucial improvements.