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The Management of Postpartum Cardiorespiratory Failure in a Patient with COVID-19 and Sickle Cell Trait Requiring Extraorporeal Membrane Oxygenation Support and Airflight Transportation.
J Clin Med
January 2025
Department of Cardiovascular & Thoracic Anaesthesia and Critical Care, University Hospital of Martinique, F-97200 Fort-de-France, Martinique, France.
Acute cardiovascular disorders are incriminated in up to 33% of maternal deaths, and the presence of sickle cell anemia (SCA) aggravates the risk of peripartum complications. Herein, we present a 24-year-old Caribbean woman with known SCA who developed a vaso-occlusive crisis at 36 weeks of gestation that required emergency Cesarean section. In the early postpartum period, she experienced fever with rapid onset of acute respiratory distress in the context of COVID-19 infection that required tracheal intubation and mechanical ventilatory support with broad-spectrum antibiotics and blood exchange transfusion.
View Article and Find Full Text PDFPrehospital endotracheal intubation success rates for critical care nurses versus paramedics.
Prehosp Emerg Care
January 2025
Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Objectives: Prehospital endotracheal intubation (ETI) is a lifesaving procedure with known complications. To reduce ETI-associated morbidity and mortality, organizations prioritize first-pass success (FPS). However, there are few data evaluating the association of FPS with clinician licensure.
View Article and Find Full Text PDFFlight 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.
View Article and Find Full Text PDFCharacteristics of Helicopter Emergency Medical Services (HEMS) Interventions for Burn Patients-A Four-Year Retrospective Analysis.
J Clin Med
December 2024
Department of Medical and Health Sciences Tarnobrzeg, State Higher Vocational School Memorial of Prof. Stanislaw Tarnowski in Tarnobrzeg, 39-400 Tarnobrzeg, Poland.
The World Health Organization (WHO) estimates that 180,000 patients die from burns every year, which is considered a serious public health issue. Patients with burns require immediate pre-hospital care and transport to specialized treatment facilities. The aim of this study was to outline the profile of the burn patient from the perspective of the Polish Medical Air Rescue (PMAR), as well as to analyze the medical procedures being implemented.
View Article and Find Full Text PDFHelicopter emergency medical services in Eastern Iran: a 4-year cross-sectional study of time intervals and mission profiles.
BMC Emerg Med
January 2025
Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
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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