Air and surface patient transport : principles and practice / edited by Reneé Semonin Holleran.

Format:

Book

Contributor:

Holleran, Reneé Semonin.

Air & Surface Transport Nurses Association.

Language:

English

Subjects (All):

Aviation nursing.

Transport of sick and wounded.

Airplane ambulances.

Air Ambulances.

Transportation of Patients.

Emergency Nursing.

Emergency Medical Services.

Specialties, Nursing.

Aerospace Medicine.

Medical Subjects:

Air Ambulances.

Transportation of Patients.

Emergency Nursing.

Emergency Medical Services.

Specialties, Nursing.

Aerospace Medicine.

Physical Description:

xxxvi, 748 pages : illustrations ; 25 cm

Edition:

Third edition.

Other Title:

Air & surface patient transport

Place of Publication:

St. Louis, Mo. : Mosby, [2003]

Summary:

The official publication of the Air & Surface Transport Nurses Association, this comprehensive and timely text is the standard reference for flight nurses and other health professionals involved in medical transportation. Each clinical chapter covers epidemiology, anatomy and physiology and/or pathophysiology, and specific conditions.

Contents:

Unit I History and the Current Role of Ground and Air Transport Crew Members

1 History of Patient Transport 1

The History of Nursing in Critical Care Transport 3

The History of the Paramedic in Critical Care Transport 5

2 Preparation for Practice 8

Competency-Based Education 8

Continuing Education 11

3 Certification 12

Nursing 12

Flight Paramedic Certification 14

4 Members of the Transport Team 17

The Transport Nurse (Flight, Prehospital, Surface) 17

Paramedics 20

Respiratory Therapist 22

Physicians 22

Communication Specialists 24

Program Director 28

5 Research and Quality Management 30

Research 30

Quality Management 33

Unit II General Principles of Practice

6 Transport Physiology 41

The Gas Laws 41

Stresses of Transport 44

Cabin Pressurization 57

Additional Stresses of Transport 61

7 Extrication and Scene Management 67

Rescue Management 67

Aircraft Crash 69

Bus Incident 70

Electrical Emergencies 70

Hazardous Materials Emergencies 71

Explosive Materials Emergencies 72

Radioactive Material Emergencies 73

Liquefied Petroleum Gas Leak

No Fire 73

Reaction Vessel Incidents 74

Construction Site Emergencies 74

Railroad Incidents 75

Underground Emergencies 76

Police-Related Situations 77

Evidence Preservation 78

8 Disaster Management 80

Disaster Management 82

The Disaster-Response Plan 84

Common Problems in Disaster Management 85

Triage 87

Postdisaster Planning 89

Terrorism and Disasters 90

9 Communications 92

Communication Centers 92

Communications 93

Equipment 95

Policies and Procedures 100

The Communications Specialist 101

Communicating 102

Emergency Procedures 105

Aircraft Radios 106

10 Safety and Survival 107

Definition of Safety 107

Safety Program 108

Air Medical Accident Rates 108

Personal Safety 110

Ground Vehicle Safety 111

Transport Preparation 112

In-Flight Emergencies 115

Postaccident Duties 116

Survival Principles 119

Unit III Patient Care Principles

11 Patient Asessment and Preparation for Transport 127

Indications for Patient Transport 128

Communication 130

Consent 133

A Twenty-first Century Patient Transport Challenge 133

Performing a Patient Assessment 133

Preparing the Patient for Transport 141

Patient Preparation: The Family 146

Patient Assessment During Transport 147

Fixed-Wing Patient Transport 147

Preflight Preparation 148

Federal Aviation Regulations 148

Preparing for Patient Transport 150

Patient "Packaging" for Transport 153

In-Flight Factors Influencing Patient Care 154

Air Medical Personnel Resources 154

In-Flight Codes 155

Safety and Emergency Procedures 155

International Transport Issues 156

Escort and Medical Assist Transports on Commercial Airliners 158

12 Airway and Ventilation Management 162

Pathophysiology 163

Assessment 165

Intervention 168

Pediatric Management 183

Invasive Airway Management 187

Pharmacology of Advanced Airway Management 191

Monitoring Airway Management and Ventilation During Transport 195

Esophageal Intubation Detection 201

13 Shock Management 207

Etiology 208

Pathophysiology 208

Stages 209

Patient Assessment and Shock Management 212

Coagulopathies 221

Normal Physiology 224

Pathophysiology 224

Assessment 227

Interventions and Treatment 228

Unit IV Trauma

14 General Principles of Trauma Management 236

Injury Dynamics 238

Kinematics of Trauma 241

Pathophysiologic Factors 245

Primary and Secondary Assessment 248

Scoring of Trauma Patients 251

Field Triage 254

Triage Patient Transport 254

15 Neurologic Trauma 258

Head Injuries 258

Spinal Cord Injury 270

16 Thoracic Trauma 279

Life-Threatening Thoracic Injuries 280

Potentially Life-Threatening Injuries 285

17 Abdominal Trauma 290

Abdominal Trauma 291

Specific Abdominal Organ Injuries 295

Genitourinary Trauma 298

18 Orthopedic Trauma 305

Musculoskeletal System 305

Classification of Orthopedic Injuries 306

Mechanisms of Orthopedic Injuries 308

Healing of Orthopedic Injuries 309

Assessment of an Orthopedic Injury 310

Management of Orthopedic Injuries 311

Pelvic Fractures 316

Vascular Emergencies 317

Traumatic Amputations 318

19 Burn Trauma 320

Burn Injuries 320

Electrical Injuries 330

Lightning Injuries 336

Unit V Medical Problems

20 Neurologic Emergencies 342

Neurologic Pathophysiology 342

Coma 345

Seizures 347

Cerebrovascular Disease 350

21 Cardiovascular Emergencies 355

Alterations of Cardiovascular Physiology at High Altitudes 356

Special Considerations for Cardiopulmonary Resuscitation in the Transport Environment 357

Coronary Artery Disease 358

Arrhythmias 371

Cardiogenic Shock 376

Congestive Heart Failure 385

Cardiomyopathy 387

Valvular Dysfunction 389

Acute Pericarditis 392

Cardiac Effusion and Tamponade 393

Nontraumatic Aortic Dissection 395

Hypertensive Crisis 396

Hemodynamic Monitoring in Cardiovascular Assessment 399

The Nursing Process and Air Medical Transport of the Cardiovascular Patient 403

22 Pulmonary Emergencies 411

Anatomy and Physiology Overview 412

Respiratory System Support 418

Acute Respiratory Failure 420

Respiratory Distress Syndrome 420

Chronic Obstructive Pulmonary Disease 422

Spontaneous Pneumothorax 426

Pulmonary Embolism 429

Pneumonias 430

Near Drowning 434

23 Abdominal Emergencies 437

Esophagus 437

Stomach 440

Gallbladder and Biliary Tract 441

Liver 441

Pancreas 441

Intestines 442

24 Infectious Diseases 444

The Chain of Infection 444

Risks for Infection 444

Modes of Transmission 445

Diseases Affecting Transport 445

Occupational Safety and Health Administration Guidelines 451

Disease Prevention 460

Unit VI Environmental Emergencies

25 Cold-Related Emergencies 465

Hypothermia Defined 465

Normal Temperature Regulation 466

Physiologic Response to Hypothermia 469

Epidemiology 473

Rewarming Techniques 474

Management During Transport 475

Documentation 478

26 Heat-Related Emergencies 482

Incidence and Causative Factors 482

Pathophysiology 485

Assessment Parameters 487

Patterns of Heatstroke Presentation 489

Intervention and Treatment 490

Transport Care 491

Malignant Hyperthermia 492

27 Diving Emergencies 496

Diving Principles 497

Pathophysiology 497

Clinical Manifestations 500

Management 501

Air Medical Transport 502

28 Toxicologic Emergencies 505

General Considerations 505

General Management of the Poisoned Patient 506

Pharmacologic Properties of Drugs 511

Toxicity and Treatment of Poisoning by Specific Drugs 512

Snakebites 518

Unit VII Selected Patient Populations

29 The Pregnant Patient 525

Determining Team Composition for Transport of the Pregnant Patient 525

General Strategies for Transport 528

Fetal Monitoring 528

Complications of Pregnancy and Delivery 535

PIH and Related Disorders 550

Preterm Labor and Related Issues 555

Trauma in Pregnancy 558

Perimortem Cesarean Section 558

30 Care and Transport of the Neonate 561

Fetal Circulation and Transition 561

Delivery Room Management 562

Clear the Airway 564

Drug Support 565

Noninitiation or Discontinuation of Resuscitation of the Neonate 567

Stabilization Basics 567

Assessment of the Newborn 571

Pathologic Conditions of the Neonate 573

Equipment 581

31 The Pediatric Patient 587

A Developmental Approach to Pediatric Assessment 587

Pediatric Resuscitation 587

Selected Diagnoses Presenting With Respiratory Distress in the Pediatric Population 595

Pediatric Trauma 599

Nonaccidental Trauma/Neglect 615

Preparation for Transport 620

Unit VIII Patient Care

Issues

32 Legal Issues 623

An Overview of the Law 623

Medical Direction During Interfacility Patient Transfers 627

Scope of Practice 628

33 Ethical Issues 633

Ethical Decision Making in the Transport Environment 633

To Transport or Not to Transport 634

34 The Family and Transport 639

Family Issues Relating to Transport of the Patient 640

Family Presence During Resuscitation 644

Bereavement After Sudden Death in the Field 648

Unit IX Management

35 Marketing the Transport Program 652

Mission of the Transport Program 653

Market Segmentation: Identify the Client Base 654

Creating the "Web" of an Effective Marketing Plan 654

Public Relations: Creating the Program's Image 659

The Marketing Process 662

36 Accreditation for Air and Ground Medical Transportation 664

History of JCAH 664

The "White Paper" Calls for Improved Emergency Medical Services 665

Accreditation Organization Founded for Air Medical Transport 666

Accreditation Standards 666

Site Surveyors 667

Accepting Accreditation: Buying into the Process 668

37 Critical Care Transport: Stress and Stress Management in the Workplace 671

Stress in the Workplace 671

Cumulative Stress, Critical Incident Stress, and Posttraumatic Stress Disorder (PTSD) 674

Stress Management for the Transport Provider 680

Critical Care Transport: Evolving, Dynamic, and Life Changing 686

A Transport in Australia 689

B Transport in New Zealand 693

C Post-Accident Resource Document 696

D American Association for Respiratory Care Mission Statement 704

E Air Medical Physicians Association Mission Statement 705

F National Flight Paramedics Association 706

G Medical Condition List and Appropriate Use of Air Medical Transport 707.

Notes:

"Air & Surface Transport Nurses Association."

Previous editions published under title: Flight nursing.

Includes bibliographical references and index.

Contains:

Flight nursing.

ISBN:

0323017010

OCLC:

50494365