Effects of flight

Thomson, David P.

doi:10.1002/9781118990810.ch51

Cited by 3 publications

(6 citation statements)

References 20 publications

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“…Previous studies have reported that aeromedical evacuation involves different types of aircraft, including commercial and charter aircraft and helicopters. This diversity of transport modes contributes to other experiences in providing patient care during the flight (Imbriaco et al, 2021 ; Koh, 2021 ; Thomson, 2015 ).…”

Section: Discussionmentioning

confidence: 97%

“…Additionally, trapped gas in the body cavities is possible, leading to issues such as earaches, toothaches, and stomach discomfort. Long-haul flights can also contribute to the experience of jet lag (Thomson, 2015 ), which may be even more pronounced for passengers with health issues, including those requiring medical evacuation by air (Evans et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

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Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research

Ambarwati,

Warsini,

Hapsara

et al. 2024

Belitung Nurs J

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Background: Basic non-military flight nurse training is essential for enhancing nurses’ competency in conducting aeromedical evacuations. Trained nurses possessing flight nurse proficiency are indispensable for ensuring stable patient conditions amidst the unique physical, physiological, and psychological challenges encountered during flights. Objective: This study aimed to describe the experiences and perceptions of nurses and air ambulance service providers regarding aeromedical evacuations. Methods: This study employed a qualitative descriptive design. Data were gathered from February to July 2023 through semi-structured online interviews with seven nurses and air ambulance service providers engaged in aeromedical evacuation. Content analysis was utilized to interpret the interview data. Results: Seven themes were generated: 1) Experiences in aeromedical evacuation experiences, 2) Challenges faced by nurses and air ambulance service providers during aeromedical evacuations, 3) Essential knowledge for nurses involved in aeromedical evacuations, 4) Efforts to improve nurses’ knowledge and skills, 5) Leveling of flight nurse training, 6) Flight nurse training methods, and 7) Flight nurse training evaluation strategies. Conclusion: Nurses and air ambulance service providers acknowledge the significant influence of the flight environment on changes in patient conditions during aeromedical evacuations. To effectively manage alterations in patient conditions during flights, healthcare workers equipped with aviation health competency are imperative. One approach to enhancing the competency of healthcare workers is through flight nurse training. The findings from this study serve as a valuable resource for policymakers and health-related institutions endeavoring to formulate aeromedical evacuation strategies.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research

Ambarwati,

Warsini,

Hapsara

et al. 2024

Belitung Nurs J

View full text Add to dashboard Cite

show abstract

“…In this new context, HEMS present an untapped opportunity to initiate acute stroke trials and deliver experimental neuroprotective medications that can expand the time window for reperfusion in route (9). But despite its obvious relevance, little is known about the effect of the unusual physical factors present in this environment (7) on stroke patients.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the growing importance of HEMS in acute stroke care, little is known about how a helicopter flight may impact the safety and potential efficacy of rtPA-induced reperfusion and patient outcomes. A helicopter flight is a unique environment characterized by physical factors such as vibration (5), noise (6), accelerations (7), and rapid changes in barometric pressure and partial pressure of oxygen (8), all of which may potentially affect arterial clot constitution and lysis, reperfusion, and other aspects of neurophysiologic response to ischemic stroke. While some of these factors may be potentially harmful, others may be beneficial.…”

Section: Introductionmentioning

confidence: 99%

Effect of helicopter transport on neurological outcomes in a mouse model of embolic stroke with reperfusion: AIR-MICE pilot study

Leira

Zaheer

Schnell

et al. 2015

International Journal of Stroke

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This study shows that helicopter emergency medical services do not have an inherent adverse effect on outcome in a mouse model of ischemic stroke with reperfusion. These results endorse the safety of the practice of using helicopter emergency medical services in stroke patients. The observed potential synergistic effect of helicopter-induced factors, such as vibration and changes in altitude, with reperfusion merits further exploration in animal experimental models and in stroke patients.

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“…Several aspects of HEMS have to be considered for transportation during the critical early period of stroke care. It involves unusual physical factors for stroke patients such as vibration, 35 noise, 36 accelerations, 37 and rapid changes in barometric pressure and partial pressure of oxygen, 38 all of which could potentially affect arterial clot constitution and lysis, reperfusion, and other aspects of neurophysiologic response to ischemic stroke (Table 4). Some of these factors could be potentially harmful for the ischemic brain.…”

Section: Implications Of the Hems-specific Physical Environmentmentioning

confidence: 99%

Helicopter transportation in the era of thrombectomy: The next frontier for acute stroke treatment and research

Leira

Stilley

Schnell

et al. 2016

European Stroke Journal

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Purpose: Many patients suffer a stroke at a significant distance from a specialized center capable of delivering endovascular therapy. As a result, they require rapid transport by helicopter emergency medical services, sometimes while receiving a recombinant tissue plasminogen activator infusion (drip and ship). Despite its critical role in the new era of reperfusion, helicopter emergency medical services remains a poorly evaluated aspect of stroke care. Method: Comprehensive narrative review of all published articles of helicopter emergency medical services related to acute stroke care in the inter-hospital and pre-hospital settings, including technical aspects and physical environment implications. Findings: Helicopter emergency medical services transports are conducted during a critical early time period when specific interventions and ancillary care practices may have a significant influence on outcomes. We have limited knowledge of the potential impact of the unusual physical factors generated by the helicopter on the ischemic brain, which affects our ability to establish rational guidelines for ancillary care and the delivery of specific interventions. Discussion: Unlike the pre-hospital and hospital settings where stroke interventions are delivered, the inter-hospital helicopter emergency medical services transfer setting remains a ''black box'' for acute stroke care and research. This gap is particularly relevant for many patients living in rural areas, or in congested urban areas, that depend on helicopter emergency medical services for rapid access to a tertiary stroke center. Conclusion: Addressing the helicopter emergency medical services stroke gap in clinical trials and acute care delivery would homogenize capabilities through all care settings, thus minimizing potential disparities in research access and outcomes based on geographical location.

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Effects of flight

Cited by 3 publications

References 20 publications

Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research

Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research

Effect of helicopter transport on neurological outcomes in a mouse model of embolic stroke with reperfusion: AIR-MICE pilot study

Helicopter transportation in the era of thrombectomy: The next frontier for acute stroke treatment and research

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