Surviving the “Air Evac”: Medical and Logistical Issues of Evacuating Psychiatric Patients by Air from Korea to the United States

Ec, Ritchie; Jh, Morse; Pg, Brewer

doi:10.1093/milmed/161.5.298

Cited by 3 publications

(2 citation statements)

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“…Literature addressing the transport of mental health patients, a total of six articles, 54 , 69 , 71–74 recommend employing experienced and adequately trained staff, 69 , 72 using in-flight emergency kits, checklists, and emergency protocols with dedicated roles and responsibilities for management of acute mental health patients in-flight. 54 , 69 , 74 Of special note is a reminder not to attempt transport for substance abuse patients until individuals are adequately recovered from the initial detoxification. 69 , 71 , 73 …”

Section: Resultsmentioning

confidence: 99%

Considerations for Acute and Emergent Deployed Mental Health Patient Management and Theater Transports: A Scoping Review

et al. 2021

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Background Although combat stress and psychiatric casualties of war have consistently contributed to the need for deployed patient transport to higher echelons of care, little is known regarding specific evidence-based strategies for providing psychological support and optimal transport interventions for warriors. Study Objective The purpose of this scoping review is to map existing literature related to considerations for deployed mental health patient transport. The review’s primary aims are to identify the existing scientific research evidence, determine research and training gaps, and recommend critical areas for future military research. Methods We used Arksey and O’Malley’s six-stage scoping review methodological framework (identify the research question, identify relevant studies, select studies, chart data, report results, and consultation). Using a systematic search strategy, we evaluated peer-reviewed literature from five databases (PubMed, CINAHL, PsycINFO, Web of Science, and Embase) and gray literature from the Defense Technical Information Center. All publications were independently screened for eligibility by two researchers during three review rounds (title, abstract, and full text). Results We identified 1,384 publications, 61 of which met our inclusion criteria. Most publications and technical reports were level IV evidence and below, primarily retrospective cohort studies and epidemiologic surveillance reports. Few rigorously designed studies were identified. Eight research themes and a variety of research and critical training gaps were derived from the reviewed literature. Themes included (1) characterizing mental health patients aeromedically evacuated from theater; (2) in-flight sedation medications; (3) need for aeromedical evacuation (AE) in-theater education, training, and guidelines for staff; (4) epidemiological surveillance of AE from theater; (5) mental health management in deployed settings; (6) suicide-related event management; (7) transport issues for mental health patients; and (8) psychological stressors of AE. Research is needed to establish clinical practice guidelines for mental health condition management in theater and throughout the continuum of en route care.

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Section: Resultsmentioning

confidence: 99%

Considerations for Acute and Emergent Deployed Mental Health Patient Management and Theater Transports: A Scoping Review

et al. 2021

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“…The aeromedical evacuation of psychiatric patients can be a challenging endeavor, even during peacetime (Ritchie, Morse, & Brewer, 1996). Four published papers have provided descriptive information of psychiatric patients who were aeromedically evacuated during OIF/OEF (Harman, Hooper, & Gackstetter, 2005; Rundell, 2006; Stetz, McDonald, Lukey, & Gifford, 2005; Turner et al., 2005).…”

Section: Psychiatric Impact Of the Global War On Terrorismmentioning

confidence: 99%