23rd Critical Care Transport Medicine Conference Preview (original) (raw)
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25(th) Critical Care Transport Medicine Conference
Air medical journal
We're heading back to San Antoniodhistoric, romantic and vibrant. Come discover it for yourself! You won't want to miss the 2017 Critical Care Transport Medicine Conference (CCTMC) April 10-12 at the Wyndham San Antonio Riverwalk in San Antonio, Texas. CCTMC is presented by the Air & Surface Transport Nurses Association (ASTNA), the Air Medical Physician Association (AMPA), and the International Association of Flight and Critical Care Paramedics (IAFCCP). Join us and experience one of the country's most vibrant and colorful meeting destinations. A picturesque city in the heart of Texas and home to the legendary Alamo and world famous River Walk, San Antonio hosts a vibrant mix of culture, cuisine, legendary architecture and moving history. The city's heritage and traditions are rich, as are its modern pleasures. With a cosmopolitan blend of top-notch golf courses, remarkable dining and nightlife options, art galleries, spas, theme parks and shopping, there's no shortage of authentic experiences.
26th Critical Care Transport Medicine Conference
Air Medical Journal, 2018
Join us in San Antonio and experience 1 of the country's most vibrant and colorful meeting destinations. A picturesque city in the heart of Texas, San Antonio, home to the legendary Alamo and world famous River Walk, hosts a vibrant mix of culture, cuisine, legendary architecture, and moving history. Celebrating its Tricentennial in 2018, this once remote settlement is now 1 of the country's top tourism destinations. The city's heritage and traditions are rich, as are its modern pleasures. With a cosmopolitan blend of top-notch golf courses, remarkable dining and nightlife options, art galleries, spas, theme parks, and shopping, there's no shortage of authentic experiences. Who Should Attend You need to attend this clinically driven educational opportunity in the medical transport industry if you are a physician, nurse, paramedic, respiratory therapist, or allied health care professional responsible for prehospital and emergency care of the critically ill and injured patient. Why YOU Should Attend You will learn the essentials of care required for the complex patient requiring critical care air and ground transport, as well as important leadership skills to enhance your professionalism. There will also be plenty of time for personal interaction with your peers and leaders in the profession. ASTNA is offering CECH education credits for nurses/EMT-Ps, and physicians will receive accreditation through AMA PRA Category 1 Credits ™ .
Rhode Island medical journal (2013), 2013
Critical care transport (CCT) is the segment of the Emergency Medical Services (EMS) system that transports patients who are critically ill or injured. Nearly 1,000 medical helicopters affiliated with over 300 transport programs, hundreds of fixed-wing aircraft, and many, many ground ambulances assisting adult, pediatric and neonatal CCT teams are operating in the United States.1 This article reviews the history of and indications for CCT, team qualifications, vehicle options, safety, CCT system design, and physician involvement in CCT. It concludes with a brief review of CCT services in Rhode Island.
Critical care air transport: Experiences of a decade
The Journal of Medical Research, 2018
Advances in critical care medicine in recent times has led to favourable outcomes of critical patients, although at a high cost. Military operations along with natural or manmade disasters are two scenarios where critical patients are left in austere environment. Providing advanced ICU facilities in the austere environment may not prove to be economical or sustainable, hence the need arose for mobile ICU or the CCAT for immediate air transport of critical patients to advanced ICU centres. Firstly, by doing this the critical patient is not denied the best available post resuscitation care and secondly the burden on medical resources at the periphery is reduced and they can concentrate on managing the less critical patients. Aeromedical transport has its own challenges and constraints. This requires proper planning and prior training of the CCAT. Although optimal strategy are not formulated, endeavour is to integrate initial resuscitation of critical causalities at the peripheral medical set up with optimal post resuscitation care at advanced ICUs. Critical care air transport has evolved considerably over the past one decade since its inception in the IAF. The current paper can be useful in getting an overview of this new field. Meanwhile, the reader also gets to know the basic aspects to keep in mind, the technical details and important considerations before carrying out such missions.
Developing and Piloting a UCAN Air Medical Transport Team Training Assessment Tool
Air Medical Journal, 2016
enroute), pediatric intensivist consultation, confirmation of IV access, fluid rates and confirmation of critical interventions. Unanticipated clinical event data including loss of an advanced airway and loss therapeutic devices including of critical IV access were also collected. A transport was considered to have given optimal care when transport crews contacted the attending PICU intensivist, ensured proper IV access and maintenance fluids, and had no loss of therapeutic interventions. Outcomes related to discharge diagnosis, length of stay and mortality were not evaluated. Results: The critical care team transported 161 patients during the study period. The average transport time from the initial referral phone call to transport unit dispatch was 54 minutes while the mean transport time was 30.7 minutes (Figure 1). Of patients transported to the PICU, pediatric intensivist contact occurred in 73.3%(n¼118) of transports, 92.5% (n¼149) of patients had IV/IO access at the time of transfer with 68.1% (n¼111) receiving a weight based IV infusion (Figure 2). There was no documented loss of therapeutic devices, or critical IV access, and one (1) unintentional extubation occurred; patient was subsequently re-intubated by the critical care team during transport upon first attempt. This resulted in an overall complication rate of 0.6%(n¼1 of 161). There were no incidences of injury during transport (Figure 2). Optimal care was achieved on 49.7%(n¼80) transports. Conclusion: In this study, we examined the capability of a generalist Air/Ground CCT team to meet reporting benchmarks established by AAP. During the study period a generalist team achieved a mean referral request to enroute time of 54 minutes. Transport of ventilated pediatric patients infrequently occurred during the study period resulting in a low sample size. The most frequent gaps preventing optimal care were failure to contact the pediatric intensivsit and administering weight based IV maintenance fluids. Complications during generalist Air/Ground CCT transports were rare.
Military Medicine, 2018
Introduction: The U.S. Air Force utilizes specialized Critical Care Air Transport Teams (CCATT) for transporting "stabilized" patients. Given the drawdown of military forces from various areas of operation, recent CCATT operations have increasingly involved the evacuation of unstable and incompletely resuscitated patients from far forward, austere locations. This brief report describes unique cases representative of the evolving CCATT mission and provides future direction for changes in doctrine and educational requirements in preparation for en route combat casualty care. Methods and Materials: This case series describes three patients who required significant resuscitation during CCATT transport from austere locations between April and November 2017. Approval for this project was received from the US Air Force 59th Medical Wing Institutional Review Board as non-research. Results: Case 1: CCATT was dispatched to transport patient 1 who was reported to have a head injury after a fall. Upon evaluation of the patient onboard the aircraft, it was discovered that the patient was in cardiac arrest. Cardiopulmonary resuscitation was performed during tactical takeoff with frequent combat maneuvers. The patient developed a palpable pulse after three rounds of CPR, three doses of epinephrine, and one unit of packed red blood cells. Point of care laboratory analysis demonstrated a profoundly elevated lactate level. Cyanide poisoning was a concern but there was no antidote available in the available equipment set. After delivery to a medical facility, blood samples were positive for cyanide. Over the next 2 weeks, the patient improved and was discharged home, neurologically intact. Case 2: Patient 2 sustained complex blast injuries and bilateral lower extremity amputations. He required early transport for continuous renal replacement therapy (CRRT). The patient received 200 units of blood products in the 24 hours prior to transport and developed renal failure, pulmonary edema, and elevated ICP. During the 7 hour flight, Patient 2 received frequent adjustments of vasopressor medications, multiple Dakins solution soaks and flushes, and 1 unit of fresh frozen plasma. He remained alive 2 months later. Case 3: The team was notified to collect an urgent patient with a blast lung injury and bilateral lower extremity amputations. The ground team encountered difficulty ventilating the patient. Patient 3 arrived in the back of a pickup truck accompanied by medics and being bag valve mask ventilated with a pulse oximetry reading of 65%. He was secured to the floor of the aircraft which departed within 5 minutes of arrival. An ultrasound of the lungs showed no pneumothorax. By the end of the flight, the patient's oxygen saturation had risen to 95% and he was delivered to the emergency department in stable condition. He later passed away in the operating room due to severe blast lung and cardiac contusion. Conclusion: This brief report demonstrates the need of CCATT in the transport of unstable patients from forward deployed locations. The Air Force has adapted and is continuing to adapt CCATT training, equipment, onboard diagnostics and therapies, and team members' clinical skills to meet en route care combat casualty needs.