Mommy, My Head Hurts : Pediatric Neurologic Emergencies
Craig LaRusso MA, BSN, RN, C-NPT Anne and Robert H. Lurie Children’s Hospital of Chicago
In this lecture we will be utilizing a case presentation format: (speaker will be utilizing first hand transport case scenarios). Speaker will describe initial presentation of each child including triage information and interventions required to stabilize while on transport. We will discuss how to identify early clinical warning signs and evidence of deterioration. Disease processes will be discussed as well as treatment modes and long term outcomes. CT and MRI images (including video imaging) will be utilized to aid in learning.
Pediatric Trauma…. is Not Always Accidental
Maria Dudley, BSN RN, CNPT, EMT Akron Children’s Medical Center
A case presentation of a devastating pediatric non-accidental trauma.
Shocked! : A Case Study Of High A Voltage Electrical Injury
Matthew Randall, NRP, FP-C Erlanger Life Force
A review of a 26 year old male patient who suffered a high voltage electrical injury following contact with a power line. This lecture will discuss initial patient management by responding EMS, activation of the critical care flight team by the local emergency department, interventions and care provided by the flight team both at the ER and enroute to the Trauma/Burn center, and the overall outcome of the patient. This lecture will discuss this patient specifically and the current clinical research based best practices for this injury in the aeromedical environment.
Air Medical Photography – Visual Stories from our Community
Mark Mennie, Photographer
A visual presentation of personal stories, experiences and insights from years of professional Air-medical photography. Beginning with the day in 1994 it all changed to samples of current projects. This presentation will reflect upon the presenters artistic efforts to portray the Air-medical community accurately and while respecting the spirit of HIPAA. Mark will discuss his rides as third party along with his efforts in giving back to the community which supports his growing artistic endeavors.
48-hr Back Country Survival Challenge: Got Skills?!?!
Deb Witte, RN, CCRN and Nathan Morreale B.S., FP-C, NREMT-P AirMed University of Utah
Follow two AirMed flight teams one with back country experience and another without back country experience as they put their training to the test over 48 hours in a ground-breaking exercise that answers the question: Could we survive after an unscheduled remote landing?
HEMS in SAR Operations
Dave Weber BS, FP-C and Judi Carpenter DNP Intermountain Life Flight
This presentation will outline field-tested best practices and provide real-world examples for effective HEMS response to search and rescue (SAR) missions. A majority of the content will be presented through the context of a defined SAR response sequence and lessons learned during a recent incident case review. Judi Carpenter, a flight nurse with 28 years of HEMS experience with Intermountain Life Flight, and Dave Weber, a Denali National Park mountaineering ranger and Intermountain Life Flight paramedic, will discuss the critical elements of safe SAR operations, essential mission targets and the various transport modalities utilized in modern backcountry rescue. Participants will ultimately gain tangible tactics for SAR response through the incorporation of a SAR operation sequence within their respective HEMS program.
The Less Common Aircraft Brings the Rarest Syndromes!
David Claypool MD Mayo Clinic Medical Transport
Discussion of the unique issues of fixed wing transports. Tertiary referral bias brings patients with rare conditions. Flight planning can be complicated by longer flight times and higher cabin pressures. Rare syndromes transported by Mayo teams will be presented as examples of these issues.
When Two Hearts Collide: The Transport of Intubated Conjoined Twins
Stephanie Meier RN, BSN, C-NPT Flight for Life Colorado,Greg Blackmon RRT, C-NPT Children’s Hospital CO- Flight for Life Colorado
Fixed wing transport of critically ill intubated thoracopagus conjoined twins, complicated by critical airways, acuity, distance, multiple modes of transportation, size constraints, complex cardiac physiology and shared circulations. We describe the complex pathophysiology, transport logistics, and planning involving telemedicine, team work, equipment utilized and safety considerations.
The Silent Killer! Ventilation of the Metabolic Patient: A Case Study
Eric Bauer MBA, FP-C, CCP-C, C-NPT Air Methods Corporation
Mechanical ventilation in the HEMS and Critical Care environments are now a standard of care for all intubated patients. However, often time’s programs have limited information on illness severity and do not have the available labs, ABG’s or means of identifying metabolic acidosis. The talk will help identify core assessment strategies the HEMS provider can use to strategically treat their ventilator dependent patient. Often times these critical patients have multiply variables at play, with the ability to treat these variables correctly having a direct effect on outcomes.
Altitude Effects on HEMS Personnel & Patients: Lessons Learned on Denali
Dave Weber BS, FP-C Denali National Park and Intermountain Life Flight
This presentation will highlight the detrimental effects of altitude on both HEMS personnel and their patients. The high altitude rescue program at Denali National Park in Alaska has been a proving ground for many of the current best practices in this medical arena. Lessons learned by this rescue team will be presented in a manner that facilitates their utilization at other HEMS operations. The presenter will discuss the critical components of altitude physiology, best practices for the prevention, assessment and treatment of high altitude illnesses and relevant HEMS case studies.
Out of Afghanistan: Case Reviews of Critical Transports
Brian Rogers MD LifeMed Alaska,LLC
Review of three critical care air transports from Afghanistan to Germany from my time spent as a Critical Care Air Transport Physician in the Air Force from April 2008 to October 2008.
Management Of A Difficult Airway: A Case Study
Travis Byerly EMT-P, FP-C and Elizabeth Cate-Freeman BS, CFRN Life Lion Critical Care Transport
Life Lion crew was dispatched for a scene flight involving a motor vehicle accident. On final approach the ground units advised that they needed assistance with airway management. The patients head had been entrapped under the front wheel of a passenger car for an extended period.
The Unconventional ECMO Adventure- Two Case Studies & Subsequent Program Development
Jenny Humphries RN, BSN, MBA, MICN, CFRN and Bob Hayes, CCP Enloe Medical Center
In March of 2016 a 65 year old male patient was brought out of the operating room to the ICU/CCU at Enloe Medical Center on ECMO- this was unplanned and the first time this had ever happened. The patient needed transport to a tertiary ventricular assist device and transplant center, as we started the transfer coordination process it became evident that the options were extremely limited. A Perfusionist/Flight RN team successfully transported the patient via H130 helicopter and he survived. Some months later at 25 year old patient with completely different clinical presentation was placed on ECMO and successfully transported by the same team and survived. This session will cover the cases, the logistics, hurdles, and incredible collaboration and teamwork that it took to give these patients a second chance they would not have had otherwise. We will cover the device we utilize, logistics of transport as well as program development including patient selection criteria, crew training and CAMTS considerations. From the chief executive officer to the interdisciplinary critical care team and hospital based flight crew, it was all hands on deck.