Pharmacy in Flight: Impact of Clinical Pharmacist in Prehospital Care.

Critical care and emergency medicine pharmacists play vital roles in the hospital setting but have historically had limited involvement in prehospital emergency services. The Mississippi Center for Emergency Services added a critical care pharmacist to the interprofessional prehospital team. This article characterizes the role of the prehospital clinical pharmacist.

Secondary overtriage of isolated facial trauma.

Design: Retrospective chart review.

Setting: Academic, tertiary care, level I trauma center in a rural state.

Background: Unnecessary transfer of certain facial trauma patients results in a burden of time, money, and other resources on both the patient and healthcare system; identification and development of outpatient treatment pathways for these patients is a significant opportunity for cost savings.

Air Ambulance Delivery and Administration of Four-factor Prothrombin Complex Concentrate Is Feasible and Decreases Time to Anticoagulation Reversal.

Objectives: The objective was to evaluate the feasibility, safety, and preliminary efficacy of four-factor prothrombin complex concentrate (4-factor PCC) administration by an air ambulance service prior to or during transfer of patients with warfarin-associated major hemorrhage to a tertiary care center for definitive management (interventional arm) compared to patients receiving 4-factor PCC following transfer by air ambulance or ground without 4-factor PCC treatment (conventional arm).

Methods: This was a retrospective chart review of patients presenting to a large academic medical center. All patients presenting to the emergency department (ED) treated with 4-factor PCC from April 1, 2014, through June 30, 2016, were identified.

Improving Disaster Response Efforts Through the Development of a Disaster Health Care Response System.

We review the development of a disaster health care response system in Mississippi aimed at improving disaster response efforts. Large-scale disasters generate many injured and ill patients, which causes a significant utilization of emergency health care services and often requires external support to meet clinical needs. Disaster health care services require a solid infrastructure of coordination and collaboration to be effective.

The Mississippi Katrina experience: applying lessons learned to augment daily operations in disaster preparation and management.

On August 29, 2005, Hurricane Katrina made landfall on the US Gulf Coast, causing catastrophic damage to communities and the medical infrastructure throughout the lower half of Mississippi. Substantial power outages, widespread communication failures, and a sustained medical surge of patients provided a unique challenge for the medical care delivery system in Mississippi for weeks after the hurricane. In the 7 years since Hurricane Katrina struck, many lessons have been learned in medical planning, preparation, and response to disasters that have affected Mississippi.