Publications by authors named "Michael P McCartin"
The University of Chicago Aeromedical Network (UCAN) was established in 1983 and has been providing critical care transport via both air and ground in and around the Chicago area for over 40 years. Over that time, the program has transported thousands of critically ill individuals, including complex specialty populations, while also maintaining a safe transport environment for its crew members and patients. UCAN has had a profound impact not only on its patients, but also on the entire transport community by providing continuing education, conducting vital safety research while maintaining the highest safety standards, and driving the industry forward through service and leadership.
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- Recent discussions in trauma care have focused on damage control resuscitation, the prehospital transfusion of blood products, and the preference for whole blood instead of separate components, particularly amidst blood product shortages.
- There’s a shift in administering RhD-positive blood to females of childbearing potential (FCPs) during air medical transport, which could enhance benefits but also raises concerns about hemolytic disease of the fetus and newborn (HDFN).
- Air medical transport programs should understand HDFN risks, have a plan to communicate RhD-incompatibility to receiving facilities, and be prepared to provide necessary prophylaxis for patients affected by this practice.
Article Synopsis
- The study investigates the effectiveness of Helicopter Emergency Medical Services (HEMS) by evaluating observational data, particularly focusing on natural experiment (NE) designs, due to a lack of randomized controlled trial evidence.
- A new HEMS Outcomes Assessment Research Database (HOARD) was created, identifying 16 NE studies with 13 different patient groups, which included both published and gray literature.
- While the studies varied in patient demographics and outcomes, the findings suggest that HEMS may improve patient outcomes, with notable improvements seen in 8 out of 13 cohorts, particularly in trauma-related cases.
TeleEMS: An EMS Telemedicine Pilot Program Barriers to Implementation.
Prehosp Emerg Care
February 2024
Introduction: In response to the COVID-19 pandemic, emergency medical services (EMS) and hospitals recognized the need for innovative programs addressing 9-1-1 utilization and ambulance transport to provide patient-centered, safe, cost-effective care. The ET3 (Emergency Triage, Treatment, and Transport) model provides flexibility and new payments to ambulance care teams for Medicare beneficiaries for alternate strategies of care. This includes providing treatment in place through telehealth after a 9-1-1 call and ambulance response.
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