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Flight and Transport Nursing.

Am J Nurs

December 2024

Nyssa Hattaway is a flight nurse at AirLife 4 in Newnan, GA. Contact author: The author has disclosed no potential conflicts of interest, financial or otherwise.

In unique, dynamic environments, these nurses make every second count.

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Article Synopsis
  • Air medical transport is crucial for emergency care, especially in remote regions like eastern Iran, where timely transfers of critically ill patients are essential.
  • A retrospective study analyzed 252 helicopter emergency medical services (HEMS) missions from 2021 to 2024, revealing a mean activation time of 9.14 minutes—far exceeding the national benchmark of 3 minutes—and an average prehospital transport time of 49.73 minutes.
  • While HEMS activation time was slower than desired, it provided faster patient transport compared to ground ambulances, highlighting its efficiency in emergencies.
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Background: Early rapid sequence induction of anaesthesia (RSI) and tracheal intubation for patients with airway or ventilatory compromise following major trauma is recommended, with guidance suggesting a 45-min timeframe. Whilst on-scene RSI is recommended, the potential time benefit offered by Helicopter Emergency Medical Services (HEMS) has not been studied. We compared the time from 999/112 emergency call to delivery of RSI between patients intubated either in the Emergency Department or pre-hospital by HEMS.

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Introduction: As military environments integrate more complex technological systems, operators increasingly require more assistance from automation. When used properly, automation can significantly enhance performance; however, proper use is predicated on the operator's trust in the automation (TIA). TIA, like trust among people, is influenced by biological, psychosocial, and behavioral aspects.

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Trauma has been one of the world's most common causes of death among younger age groups. In the UK, a lack of an organized and streamlined approach was reported in the management of traumatic injuries and patients involved in trauma cases in the UK. Therefore, a major trauma network system was devised to address these issues in line with other trauma systems around the world.

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