Experience of physician and nurse specialists in Sweden undertaking long distance aeromedical transportation of critically ill patients: A qualitative study

Frost, Elisabeth; Kihlgren, Annica; Jaensson, Maria

doi:10.1016/j.ienj.2018.11.004

Cited by 8 publications

(10 citation statements)

References 17 publications

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“…To transport patients requiring intensive care, helicopters and their care staff need to have the appropriate equipment and competence. As for competence, experience in intensive care and transport is considered to be pivotal in aviation medicine ( Frost et al, 2019 ; Martin & Kumar, 2020 ; Topley et al, 2003 ), as is knowledge of airway management and general emergency care ( Martin & Kumar, 2020 ). For those reasons, planning is an important part of preparing to deliver care ( Frost et al, 2019 ; Senften & Engström, 2015 ; Topley et al, 2003 ) and to establish plans for various situations that may arise ( Frost et al, 2019 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…As for competence, experience in intensive care and transport is considered to be pivotal in aviation medicine ( Frost et al, 2019 ; Martin & Kumar, 2020 ; Topley et al, 2003 ), as is knowledge of airway management and general emergency care ( Martin & Kumar, 2020 ). For those reasons, planning is an important part of preparing to deliver care ( Frost et al, 2019 ; Senften & Engström, 2015 ; Topley et al, 2003 ) and to establish plans for various situations that may arise ( Frost et al, 2019 ). Such planning is facilitated by controlled conditions and in light of available information about patients prior to departure ( Topley et al, 2003 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Due to the specific environment within helicopters, nurses also have to be competent in adapting how they assess patients ( Topley et al, 2003 ). Spatially, the small surface area within helicopters and low ceiling height present particular challenges ( Frost et al, 2019 ; Martin & Kumar, 2020 ; Senften & Engström, 2015 ). During transport, loud helicopter noise also typically prevents nurses from being able to hear patients’ breathing ( Senften & Engström, 2015 ; Topley et al, 2003 ), which requires them to assess patients primarily via visual observation ( Pugh, 2002 ; Senften & Engström, 2015 ; Topley et al, 2003 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…As another form of competence, the collaboration of the care team in helicopter transport is vital as well ( Frost et al, 2019 ; Topley et al, 2003 ). Collaboration amongst care staff has a calming, positive effect on patients ( Sandström et al, 2017 ), which can be a major benefit for patients who have described helicopter transport as a frightening way to get to the hospital ( Sandström et al, 2017 ).…”

Section: Literature Reviewmentioning

confidence: 99%

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The Helicopter Transports of Patients Critically ill with COVID-19

Ejderlöf¹,

Engström

2022

SAGE Open Nursing

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Objective The aim of our study was to describe specialist nurses’ experiences with the helicopter transport of patients critically ill with COVID-19. Method Our study followed a descriptive qualitative design anchored in the naturalistic paradigm and was based on qualitative content analysis. The study followed the consolidated criteria for reporting qualitative research. Results Six semi-structured interviews were conducted with specialist nurses who have cared for patients critically ill with COVID-19 during helicopter transport. The analysis of the interviews resulted in three themes—designing new routines before transport, working under new conditions and post-transport and reflections—with 11 categories. The goal of the intensive care transport of patients with COVID-19 was twofold: to prevent the spread of infection by using personal protective equipment and to prevent the contamination of the helicopter. Conclusion For the nurses, working in personal protective equipment created a feeling of distance from patients that compromised patient–nurse intimacy. Our results suggest that ensuring the sufficiency of equipment required in the event of major accidents and pandemics is critical.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

The Helicopter Transports of Patients Critically ill with COVID-19

Ejderlöf¹,

Engström

2022

SAGE Open Nursing

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“…Coronavirus Disease 2019 (COVID-19) has changed the world health scenario and interhospital aeromedical transport (1) . In this scenario, planned care, effective communication, and teamwork proved to be essential for the safety of everyone involved in this type of transport (2)(3) . Therefore, as a result of the COVID-19 pandemic, frontline health workers had to face the dangers to which they are exposed, seek innovative solutions, and share information of successful experiences.…”

Section: Introductionmentioning

confidence: 99%

Aeromedical interhospital transport of an adult with COVID-19 on extracorporeal membrane oxygenation: case report

Carvalho

Silva

Ferreira

et al. 2022

Rev. esc. enferm. USP

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Objective: To describe the experience of aeromedical interhospital transport of an adult patient with severe hypoxemic respiratory failure due to SARS-CoV-2, on extracorporeal membrane oxygenation. Method: This is a case report, guided by the tool Case Report Guidelines, with a descriptive approach. Data were collected from the digital medical record and field notes after the approval by the Institution and the Human Research Ethics Committee. Results: The transport of a critically ill, unstable patient with acute respiratory syndrome 2 on extracorporeal oxygenation was an opportunity for the team to acquire new knowledge. The proper preparation of the fixed-wing aircraft and the profile of the team of specialist nurses contributed to the safety and quality in the three phases of flight: preflight, in-flight and post-flight. Conclusion: Air transport of adults on cardiopulmonary bypass to referral centers, under the care of an experienced multidisciplinary team, can contribute to positive results. The nurses’ autonomy, their leadership role and expertise in process management are highlighted. Thus, success was evidenced with the patient’s discharge after 45 days from the Intensive Care Unit.

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