If you work as an air medical transport paramedic, there’s a good chance you will respond to emergencies in which the patient requires a splint. This will usually be in situations where the patient has undergone some form of physical trauma and fracture. You may think you’re already an expert in splinting but there’s always room for improvement.
Tips for Better Splinting in Air Medical Transport Paramedicine
As a novice paramedic, you may still be nervous when you come across actual patients that require a splint. Here are a few tips that will make it easier for you to make great pre-hospital splints:
- Take your time if the patient is stable – There may be times when you need to splint an extreme fracture when you respond to a call. If the patient’s condition is stable, it’s important that you avoid rushing through the splinting process. Although you may get nervous, there’s no harm in taking a few extra minutes to carefully splint the fracture before taking them for air medical transport.
- Make the most of pillows – Pillows provide good padding when you need to splint a fracture. They also act as effective splints even on their own. So if your patient has a distal fracture, you just need to roll up the injured part in a pillow and tape it firmly. But make sure the toes or fingers are sticking out.
Opt to control the pain beforehand – Although splinting is intended to reduce pain, the splinting process itself can be very painful. If your patient is screaming in pain it may be difficult for you to concentrate on the splinting and you may end up making a mistake. So try to administer some analgesics beforehand if possible.
Acute coronary syndrome or ACS is a term used for describing different myocardial (heart) conditions caused by a sudden reduction of blood flow to the heart muscle. This could result in heart attacks, cardiac arrests, and more. The patients suffering from these conditions require immediate care, making ACS a time-sensitive condition. So as an air medical transport crew, you need to administer the necessary pre-hospital care aiming towards rapid reperfusion, which involves the suddenly blocked coronary artery.
Important Pre-Hospital ACS care Tips for Air Medical Transport Crew
When providing pre-hospital care to patients suffering from any kind of ACS, here are some important tips you can make use of:
- If the patient has a normal oxygen saturation level, it may be harmful to administer supplemental oxygen. So make sure you consider their SpO2 readings before you resort to supplemental oxygen use.
- If the patient doe not have an allergy towards aspirin or is suffering from active gastrointestinal bleeding, immediate administration of aspirin is highly recommended. In order to ensure that the aspirin enters the bloodstream more rapidly, make sure the pill is chewed instead of being swallowed whole.
- Although air medical transport crews can safely administer fibrinolytic therapy, it is not recommended if you can get the patient to a PCI center quickly. It is only recommended for use if the transport time is greater than 30 minutes.
- Transporting a cardiac arrest patient to a PCI center at least 24 hours after the arrest is essential for better chance of survival.
When you are a part of an in-flight medical crew, it’s highly likely that you’ll encounter patients with chest pain every now and then. This makes it crucial to educate yourself on the latest assessment and treatment guidelines for acute coronary syndrome.
As someone who provides air medical transport, you’re probably aware of how scary and challenging it can be to provide airway management. The task is especially daunting when you’re dealing with babies and children. Their smaller and delicate bodies make it extremely difficult for medical care providers to manage their airways effectively.
Important Facts and Tips about Pediatric Airway Management for Air Medical Transport Providers
Even when you’re a trained professional and have the necessary skills to carry out airway management, you may still make a mistake. This could be because of poor assessment, poor decision-making, fixation error, poor planning, or delayed fibreoptic incubation. Here are some useful facts you could make use of to help you carry out excellent pediatric airway management:
- Truly difficult laryngoscopy occurs rarely but the main issue is that you can’t intubate when the patient is awake. This can make your job especially daunting if the patient requires immediate airway management.
- In children, difficult laryngoscopy normally occurs if the child is younger than a year old with low BMI. It can also occur due to faciomaxillary and cardiac surgery, so it would be crucial for respiratory medical care providers to be aware of such incidences.
- In case of infants who are chubbier than normal, it may be tricky to determine the right IV access location during a gas induction. If it’s difficult to find IV access or to administer anesthetic for such infants, it would be ideal to have two experienced hands.
- Some infants may even experience laryngospasm, which is a common cause of hypoxia. It can occur due to various factors including secretions or blood in the airway, ENT and airway surgery, multiple attempts at airway instrumentation, and inexperienced anesthetist. It’s important for air medical transport providers to be aware of such incidents and avoid irritant volatiles.
Air ambulance transport can be a necessity when travelling abroad for medical treatment. Air ambulance transport can be easily arranged owing to the availability of such services throughout the globe today. What worries most people are other aspects such as:
- Arranging for postoperative care
- Arranging the paperwork to enter the country
- Arranging medical care
- Other aspects such as language and cultural change
Some vital decisions such as a fellow traveler, which is usually a family member, must be decided.
Traveling to the US through Air Ambulance Transport or Otherwise
There is no doubt that air ambulance transport to United States could be quite expensive. However, those who are willing to shell out the money also get the best possible care when the medical situation is complicated. It is well known that the US medical system is quite advanced and well organized, which is not the case in many countries around the world. It must be noted that there are other options than opting solely for an air ambulance transport.
For instance, if the patient is able to walk and take care of certain basic functions, an air medical escort may be enough. Even if the patient is not able to mobilize himself, a commercial airline stretcher may be enough, provided the patient does not need life support.
Air Medical Transport Needs some Planning
Most of the large hospitals in the United States are well equipped to receive foreign patients. Hospitals have help at hand, designed specifically for such patients. However, choosing an air medical transport provider can be quite tough. Careful consideration must be given to both costs, the make of the aircraft, and the quality of services offered. Most of the service providers have online presence so the preliminary research must be conducted online. Also, you must look at their testimonials. Once you zero down on a few, feel free to give them a call and talk to one of their representatives.
You may want to hire an air medical transport provider that takes care of everything from transit formalities to booking the hospital for you. This allows you to feel confident of the travel and relieves you of any travel anxiety that might be bothering you.
When you accompany a patient to a fixed wing air medical transport vehicle, you would be accompanied by qualified professionals belonging to both ground ambulance and air ambulance. However, knowing certain protocols can always come handy, and ensure a safe and swift transfer of the patient to the air medical transport vehicle.
Getting to the Air Medical Transport Vehicle
First and foremost, the ground ambulance needs to wait for the aircraft to shut down its engines completely before approaching it. Even when the ambulance approaches the air medical transport vehicle, it has to stop at least 25 feet away. All flashing lights must be switched off and only the headlights must be used in case of poor visibility.
You must wait for the crew to arrive to the ground ambulance to take the patient away. Switch off the ground ambulance immediately after reaching the destination to avoid the exhaust fumes getting into the aircraft. Keep in mind that the aircraft might be pressurized to a certain degree and the exhaust fumes can be quite a disturbance.
Taking the Patient to the Air Medical Transport Vehicle
Walking in front of the wing of the airplane is a strict no. Also, refrain from opening the doors of the air ambulance. Assist in loading the patient only if help is requested. If the help is sought, do not stay inside the air medical transport vehicle unnecessarily after loading the patient, unless you are travelling along. Never hesitate to ask what you must and must not do once inside and when travelling with the patient.
Before Exiting the Airport
It is wise to leave the airport only after the air medical transport vehicle takes off. Inform the crew of any issues such as debris or animals in the vicinity that might hinder takeoff. Even when the ground ambulance moves away from the aircraft, the flashing lights must be switched off.
Finally, have all your questions relating to the medical travel answered before the transfer. Your questions at the last moment can unnecessarily waste valuable time.