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- p. 11monitoring is recommended during aeromedical evacuation for patients who would meet the requirements stated below in the surgical management section.61 If appropriate neurosurgical capability and bed capacity are available, observation in theater may be warranted for patients with ... intracranial hemorrhage or cerebral edema. Do not remove a functional ICP monitor in the immediate period prior to aeromedical evacuation. This provides information to the Critical Care Air Transport Team (CCATT) team that can direct in flight treatment
- p. 13External ventricular drain (ventriculostomy tube) Parenchymal ICP monitors. Codman ICP monitors are the only intraparenchymal device with aeromedical certification approved for U.S. Air Force aircraft. If using antibiotic impregnated ventriculostomy, then no IV prophylactic antibiotics required. Otherwise, Ancef ... Aeromedical evacuation may decrease continuous brain tissue oxygen (PbtO2).33,69,70 There is evidence that the combined management of PbtO2 and ICP may improve outcomes of neurologic function in patients with severe TBI. Consider placement
- p. 18months. Lancet 2005, 365(9475):1957-1959. 29. Johannigman J, Gerlach T, Cox D, et al. Hypoxemia during aeromedical evacuation of the walking wounded. J Trauma Acute Care Surg 2015, 79(4 Suppl 2):S216-220. 30. Scultetus ... Haque A, Chun SJ, et al. Brain hypoxia is exacerbated in hypobaria during aeromedical evacuation in swine with traumatic brain injury. J Trauma Acute Care Surg 2016, 81(1):101-107. 31. Jahns FP, Miroz JP, Messerer
- p. 20suppl_2):153-160. 60. Goodman MD, Makley AT, Lentsch AB, et al. brain injury and aeromedical evacuation: when is the brain fit to fly? J Surg Res 2010, 164(2):286-293. 61. Pastorek R, Cripps ... Crit Care Med 2017, 45(11):1907-1914. 69. Skovira JW, Kabadi SV, Wu J, et al. Simulated aeromedical evacuation exacerbates experimental brain injury. J Neurotrauma 2016, 33(14):1292-1302. 70. Giannou C BM, Molden A. Cranio
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- p. 215TABLE OF CONTENTS 215 ALTITUDE PHYSIOLOGY AND PATIENT TRANSFER ALTITUDE CONCERNS FOR AEROMEDICAL TRANSFERS: • Gas expansion occurs as altitude above sea level increases. Gas volume doubles at 18,000' mean sea level (½ sea level atmospheric pressure) and increases ... This will typically not affect the operational ceiling for the UH-60 Blackhawk during aeromedical evacuation operations. Certain conditions and precautions to note: o Air embolism / Decompression illness - This is the only absolute contraindication to transport of patients
- p. 2HANDBOOK into one document. All changes are a result of collaboration between Emergency Medicine professionals, experienced Flight Paramedics, Aeromedical Physician Assistants, Critical Care Nurses, Flight Surgeons across the Department of War (DOW) and feedback from the units. There ... manage individual unit medical missions within their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers' scope of practice. CCFPs should administer medications as listed in these protocols unless their Medical Director and/or supervising
- p. 1TABLE OF CONTENTS 1 U.S. ARMY AEROMEDICAL EVACUATION STANDARD MEDICAL OPERATING GUIDELINES (SMOG) FY26 Version Published 26 November
- p. 18RBCs alone • Document all items on the SF 518 (only authorized document for blood products aboard Army aeromedical evacuation platforms) o Two-person verification of patient and blood products given matching SF 518 • Examine units of blood (look
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- p. 10Apodaca A, Olson CM, Jr., Bailey J, et al. Performance improvement evaluation of forward aeromedical evacuation platforms in Operation Enduring Freedom. J Trauma Acute Care Surg. 2013;75 (2 Suppl 2):S157-63. 18. Shackelford SA, Del Junco ... McLennan J, Kyle A, Mann-Salinas E, Russell R. Predicting when to administer blood products during tactical aeromedical evacuation: evaluation of a U.S. model. J Spec Oper Med. 2014;14(4):48-52. 24. Wheeler, AR, Cuenca
- p. 4based on patient and transport characteristics. ii. Each mechanically ventilated patient should ideally have a dedicated PTLOX. iii. Aeromedical Evacuation AFIs support 2 patients on high-flow and recommend that 3rd patient should be on low-flow ... Aeromedical Evacuation team is responsible for allocating oxygen and will make that determination. CCATT, AE, and front-end Aircrew must work together to balance medical, logistic, and tactical challenges. c. Patient Preparation i. Patients with respiratory disease should
- p. 1Ventilation during Critical Care Air Transport This CPG provides guidance for the management of mechanical ventilation in the aeromedical environment. CONTRIBUTORS Lt Col C. J. Pickard-Gabriel, MC Lt Col Curtis Copeland, MC Maj Michael Gonzalez
- p. 57Back to Table of Contents Glossary of Acronyms AE Aeromedical evacuation CASEVAC Casualty evacuation CoERCCC Committee on En Route Combat Casualty Care CoTCCC Committee on Tactical Combat Casualty Care ERC En route care FWB Fresh Whole Blood
- p. 3legal combatant status and is not protected under the Geneva Conventions and Law of Armed Conflict. • USAF Aeromedical Evacuation (USAF AE) – Strategic level patient movement between theaters of operation (intertheather) with all levels of ERC aboard fixed wing
- p. 2between hospitals and teams, the austere environment of theater medical care, and the difficulties arising during long distance aeromedical evacuation.1-3 Infections are frequent complications of combat casualties and are characterized by multi-drug resistant organisms (MDROs). MDROs
- p. 6used in the absence of appropriate autologous vein, with appropriate soft tissue coverage and antibiotic administration. During aeromedical evacuation to the Role 4 (usually fixed-wing), the extremity will be difficult to examine, therefore Role 3 surgeons must
- p. 11Pollak AN, Powett ET, Fang R, et al. Use of negative pressure wound therapy during aeromedical evacuation of patients with combat-related blast injuries. J Surg Orthop Adv, 2010. 19(1): p. 44-8. 13. Stinner
- p. 4delay the evacuation process. Contact the Theater Patient Movement Requirements Center as soon as possible to coordinate aeromedical evacuation. 1. Contact USAISR Burn Center ASAP DSN number: 312-429-2876 Commercial
- p. 11commander, U.S. Transportation Command (USTRANSCOM) is the DoD single manager for inter-theater patient movement.26 Understand that aeromedical evacuation capabilities for contaminated and contagious HCID casualties under high-level biosafety containment are very limited. However, current theater evacuation