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Clinical Impact of Cabin Altitude Restriction Following Aeromedical Evacuation.
Butler, William P; Steinkraus, Lawrence W; Burlingame, Esther E; Smith, Danny E; Fouts, Brittany L; Serres, Jennifer L; Burch, David S.
Afiliación
  • Butler WP; Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433.
  • Steinkraus LW; Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
  • Burlingame EE; Kaiser Permanente, One Kaiser Plaza 13th Floor Lakeside, Oakland, CA 94612.
  • Smith DE; Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433.
  • Fouts BL; Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433.
  • Serres JL; Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433.
  • Burch DS; Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433.
Mil Med ; 183(suppl_1): 193-202, 2018 03 01.
Article en En | MEDLINE | ID: mdl-29635577
Combat medical care relies on aeromedical evacuation (AE). Vital to AE is the validating flight surgeon (VFS) who warrants a patient is "fit to fly." To do this, the VFS considers clinical characteristics and inflight physiological stressors, often prescribing specific interventions such as a cabin altitude restriction (CAR). Unfortunately, limited information is available regarding the clinical consequences of a CAR. Consequently, a dual case-control study (CAR patients versus non-CAR patients and non-CAR patients flown with a CAR versus non-CAR patients) was executed. Data on 1,114 patients were obtained from TRANSCOM Regulating and Command and Control Evacuation System and Landstuhl Regional Medical Center trauma database (January 2007 to February 2008). Demographic and clinical factors essentially showed no difference between groups; however, CAR patients appeared more severely injured than non-CAR patients. Despite being sicker, CAR patients had similar clinical outcomes when compared with non-CAR patients. In contrast, despite an equivocal severity picture, the non-CAR patients flown with a CAR had superior clinical outcomes when compared with non-CAR patients. It appeared that the CAR prescription normalized severely injured to moderately injured and brought moderately injured into a less morbid state. These results suggest that CAR should be seriously considered when evacuating seriously ill/injured patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transporte de Pacientes / Altitud / Mal de Altura Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Mil Med Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transporte de Pacientes / Altitud / Mal de Altura Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Mil Med Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido