Aeromedical Evacuation

by Hurd, William W.; Jernigan, John G.; Carlton, Paul K., Jr., M.D.

• ISBN13: 9780387986043
• ISBN10: 0387986049
• Format: Hardcover
• Copyright: 2002-10-01
• Publisher: Springer Verlag

Summary

AEROMEDICAL EVACUATION: MANAGEMENT OF ACUTE AND STABILIZIED PATIENTS is the definitive treatment on the medical evacuation and management of injured patients in both peacetime and wartime. Edited by eminent experts in the field, this text brings together medical specialists from across all four branches of the armed services. The post-Cold War paradigm shift necessitates the rapid-fire response of aeromedical evacuation services to treat and transport patients injured in regional conflicts, in mass emergencies and natural disasters, in the face of terrorist attack, and in the event of biological or chemical warfare.The book discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail in the second half of the book, including general surgical casualties such as abdominal wounds and soft tissue injuries, vascular injuries, maxillofacial injuries, head and spinal cord injuries, ophthalmolic casualties, orthopaedic casualties, burns, pediatric casualties, obstetric-gynecologic casualties, and more. Over 80 illustrations provide a useful review of transport equipment and both medical and surgical treatment. Algorithms outline patient triage and management from the field or site to the medical facility.This text is a must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health officers.

Table of Contents

Foreword	p. v
Contributors	p. xi
The Need
Introduction	p. 3
Aeromedical Evacuation: A Historical Perspective	p. 6
Indications and Considerations for Emergent Evacuation of the Peacetime Casualty	p. 13
Combat and Operational Casualties	p. 27
The Means
Military Casualty Evacuation: MEDEVAC	p. 45
Aeromedical Triage Support to Mass-Casualty Events	p. 60
Patient Staging for Aeromedical Evacuation	p. 75
Aircraft Considerations for Aeromedical Evacuation	p. 88
Critical-Care Air Transport: Patient Flight Physiology and Organizational Considerations	p. 111
Nursing Care In-Flight	p. 136
Aeromedical Evacuation of Patients with Contagious Infections	p. 147
In-Flight Emergencies: Capabilities and Limitations	p. 160
The Patients
General Surgical Casualties: Abdominal Wounds, Urogenital Traumas, and Soft-Tissue Injuries	p. 173
Air Evacuation of the Neurosurgical Patient	p. 184
Otorhinolaryngology Head and Neck Surgery Patients	p. 203
Ophthalmic Patients	p. 215
Peripheral Vascular Casualties	p. 225
Aeromedical Evacuation of Cardiothoracic Casualties	p. 241
Patients Requiring Mechanical Ventilation	p. 256
Orthopedic Patients	p. 265
Burn Patients	p. 274
Aeromedical Evacuation of Obstetric and Gynecological Patients	p. 287
Medical Casualties	p. 313
Pediatric Casualties	p. 329
Aeromedical Evacuation of Psychiatric Casualties	p. 350
Index	p. 359
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