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Caring for Frostbite Patients: Tips for Air Ambulance Transport Paramedics

Frostbite isn’t common and you may never encounter patients suffering from the condition. But preparation is key and it’s crucial that you equip yourself with the necessary knowledge to treat even the most uncommon conditions. For air ambulance transport paramedics, there may be instances where you’re sent off to remote mountain locations. What if you have to rescue someone in those mountains and what if they’re experiencing frostbite?

Caring for Frostbite Patients in Air Ambulance Transport

Take a look at these tips to help you care for a patient experiencing frostbite:

  • Prior to treatment – As an air ambulance paramedic, there may be times when you have to administer pre-hospital treatment to patients. In case of frostbite, you will need to take the necessary steps to administer care and prevent excessive tissue damage. Begin by correcting the patient’s airway and breathing before you begin with the treatment process.
  • Re-warming tissue – Frostbite can damage the tissues extensively if not treated on time. So you’ll need to warm up the frostbitten areas to prevent the condition from escalating. The goal is to prevent re-freezing, so that doctors can salvage as much tissue as possible. You can use warm water at a temperature of 40-42°C to warm up the frostbitten areas.

    Make sure you try to administer treatment for pain associated with the re-warming process. And try to avoid stopping the procedure too early, as this could re-freeze the frostbitten areas.

Choosing an appropriate treatment facility – Air ambulance transport services often transport the patient to the closest medical facility. However, if there’s a facility close by specializing in burns, see if it would be a better option to transport the patient there. Some medical centers may not be familiar to treating frostbites and they’ll have to transfer the patient again to a facility that specializes in burn treatment.

The Biggest Challenges in Training to Become a Medical Flight Paramedic

After much consideration, you’ve decided to undergo education and training in order to become a medical flight paramedic. And you’d also know by now that you’ll be facing plenty of challenges along the way. Many of those challenges may be minor and you can easily overcome them. But some challenges may get in the way of your training and may even compel you to give up your dreams. So the best thing to do is to prepare yourself to face those challenges and get set to overcome them.

Challenges with Time Management

One of the biggest challenges you will face while training to become a medical flight paramedic is the challenge with time management. You’ll have to attend your classes regularly, which is going to take several hours of your time every day. You’ll also need to set aside some time to study on a daily basis if you’re going to pass your tests. On top of that, you’ll even have to go to clinical rotations, which will take place at various sites.

Now all this is difficult to manage already. It’s going to be even more difficult if you’re doing it all in the midst of a regular job. So it’s already clear that you’ll have to sacrifice your social life while you’re in paramedic school. And make sure you try to postpone big, life-changing decisions such as moving to a new city.

Other Big Challenges in Medical Flight Paramedic Training

In addition to the big time management issue, you might also struggle with drugs and pharmacology. By the time of your internship, you’ll be expected to have a thorough understanding of your medications. Come up with a technique to memorize and understand indications and doses as well as contraindications related to medicine.

What You Need to Know about Incident Management Systems and Medical Flight Operations

Your company is planning to switch to incident management systems so that you can carry out your medical flight operations more efficiently. This is a practical move since technology is practically taking over the medical industry, replacing paper charts and bulky files. Incident management systems can improve the efficiency and productivity of your employees significantly. But even when you are going to make the switch it’s important that you do it right. This would mean investing in the right system that would serve its purpose.

What to Look for in an Incident Management System for Medical Flight Operators

There may be several systems in the market, offering different features and capabilities. But here are some of the most crucial features you need to look for when investing in an incident management system:

  • Accuracy in resource tracking and management – You should be able to use the system to easily assign a task or incident to your crew within just a few clicks. The system should also provide you with a summary screen so you can access and track all the incidents in your records.
  • Time-tracking features – The system should be equipped with running clocks, through which you can keep track of how much time has passed for an incident. These clocks can help you monitor critical information such as air consumption by the medical flight
  • Time stamping for incident logs – This feature enables you to automatically record details of the incident along with an accurate time stamp. Using this feature, you can significantly reduce the time taken to document your activities and compile your daily records. In short, the feature can help you reduce stress by helping you finish your work quickly.

In addition to these three crucial features, you can look for incident management systems with add-on features to meet your requirements.

What you Need to Know about ePCR Systems for Air Ambulances

Everything is going digital. It’s easier and more efficient to maintain your patient records digitally than have to drag around hard copies of documentation everywhere you go. So you’re probably considering switching to electronic patient care reports or ePCR’s for your air ambulance crews. Paramedics and doctors for air ambulances will find it much easier to carry around crucial information about their patients in an easily portable system. But there are a few things you need to learn about these systems before you decide to get one for your crew.

The Basics of ePCR Systems

Electronic patient care report systems are documentation software that can run on computers, tablets, and smartphones. It can help you store and retrieve information easily. But it’s important to remember that these systems aren’t mind readers. They can’t pull up information that doesn’t exist. You have to first feed it with raw data, after which you can retrieve useful information from the system.

Important of ePCR Systems for Air Ambulances

An ePC system can make it much easier to record, retrieve, and transfer useful patient info for your air ambulance. For example, when a crew responds to an incident, they can easily look up their systems to see if they already have patient record, medical history, treatment history, etc. If so, they can proceed with medical care and assistance promptly.

If there is no existing medical record, the crew can enter the patient records in their system for their reference and future use. There won’t be any need to dig up hundreds of hard copy records and documents to find the relevant info. Additionally, when handing off a patient from air ambulances, they can easily transfer the record to the receiving medical facilities for proper treatment.

Caring for Your Medical Flight Crew

You may be surprised to read the headline. Aren’t medical flight crews supposed to provide care and not the other way round? If you’re running an air ambulance operation, caring for the physical and emotional well-being of your in-flight crew is a crucial part of running an effective operation. Because overworked, overstressed, and overtired crew members could potentially risk the safety of their patients and fellow crew members.

Providing Emotional Care to Your Crew

You may already have programs set up for employee assistance and critical stress debriefing. These programs can help in providing essential emotional support to your employees in their hour of need. At the same time, they may not be able to realize when they should sign up for these programs unless you make them mandatory.

These programs are especially necessary when a medical flight paramedic or doctor goes through an unexpected clinical event. Such incidents can put them at risk of becoming “second victims”. Make sure your crew members go through a mandatory emotional support and debriefing program after going through the following:

  • First patient death on their watch
  • Caring for pediatric patients
  • Unexpected death of a patient
  • Caring for a patient that they personally know
  • Experiencing multiple bad outcomes

Promoting Emotional Health and Support for Medical Flight Crews

As an air ambulance operator, you need to be aware of the fact that your employees will be experiencing high levels of physical and emotional stress. In addition to promoting healthy lifestyle, you should take care to promote emotional support among your employees. Take them through regular training and counseling sessions so as to raise awareness about emotional and mental issues.

This could potentially help them in identifying any problematic behavior in their colleagues. This could then lead to timely intervention. So promoting peer support and early intervention could seriously make an impact on the health and wellness of your employees.

Why Higher Education could Make You a Better Air Ambulance Service Paramedic

An associate degree or a certificate with the relevant certification and training is usually enough for a person to qualify as an air ambulance paramedic. And people who do hold this position are highly-trained and professional. They have the expertise and the knowledge required to carry out their duties. But having a higher education is ideal to secure your job as a paramedic for an air ambulance service.

Benefits of Higher Education to Work for an Air Ambulance Service

There are many air ambulance paramedics out there who are perfectly capable of carrying out their duties despite only fulfilling the minimum education requirement. However, a higher education is ideal to better perform your duties because of the following reasons:

  • Better comprehension – In your training to become an air ambulance paramedic, you will be covering plenty of text books and course books to help you learn the basics. And when you have a higher degree, there’s a better chance of you understanding what these books are saying. Although most paramedic students will be able to read the books, students who have a low grade level reading skill might find it more challenging to comprehend the study course.
  • Better ability to make rational decision – Being a paramedic for an air ambulance service requires rational thinking, which will lead to rational decision making. For this, you need to train your brain to logically work through difficult situations and problems.

    Courses in math and accounting can help with this and if you have a higher education, it’s likely that you would have gotten through such courses. So you will be able to easily make accurate drug calculations, time and distance calculations, etc.

  • Better ability to handle complexities in paramedicine – A higher education also improves your chances of understanding changes and revolutions in paramedicine. It could help you gain a better understanding of complex pathophysiology, anatomy, and physiology.

Uses of Pre-Hospital Ultrasound for Medical Flight Paramedics

As a medical flight paramedic, you would understand that many patients could have been saved if only you had the right equipment. Many air ambulance planes operate on charity and may not have sufficient equipment aside from the basics. If air ambulance operators can afford to supply their aircrafts with high-tech devices, however, portable ultrasounds are a crucial addition.

Importance of Portable Ultrasounds on Medical Flight Aircrafts

If your air ambulance aircraft is equipped with a portable ultrasound, here are some of the ways you can make use of it:

  • Identifying OB emergencies – Pre-hospital ultrasound can be used to identify emergency cases like placenta abruption and ectopic pregnancy with around 95% accuracy.
  • Confirming airway placement – A portable ultrasound can help you confirm the correct placement of endotracheal tube for airway management. Using this device, you will have better accuracy in differentiating main tracheal intubation from right mainstream intubation.
  • Identifying dyspnea causes – With the help of a field ultrasound device, you can more accurately determine the cause of acute dyspnea. You will have a better idea whether it was caused by chronic obstructive pulmonary disease or pulmonary edema.
  • Better evaluation of cardiac motion – Medical flight paramedics strive to safely deliver patients to the appropriate medical facility. But in many cases, lack of equipment may prevent you from thoroughly evaluating cardiac motion. This may result in incorrect pre-hospital treatment procedures.

    But with a field ultrasound, you should be able to have better accuracy in evaluating cardiac motion. This can help you with correct diagnosis and treatment procedures, increasing the survival to hospital admission.

  • Diagnosing strokes – An ultrasonic device can also help you accurately diagnose time-sensitive conditions like strokes. Timely stroke diagnosis can also ensure the transportation of the patient to the appropriate stroke center for specialized treatment.

What Medical Flight Paramedics should Know about Seizures and Respiratory Issues

As a medical flight paramedic, you will come across different situations and patients with various conditions. You might even come across patients undergoing a seizure, in which case you will need to carry out immediate and correct intervention to improve the patient outcome. Many seizure patients will even encounter respiratory issues, making the situation even more critical. This post will help you find out some useful facts about seizures and the accompanying respiratory issues.

Assessment Process for Seizure Patients

Seizures often last for only a few minutes and by the time you arrive on scene, the patient might be unconscious or in a postictal phase. But sometimes, seizures may last more than 20 minutes or even recur before the patient becomes conscious again. These cases are life-threatening and are known as status epilepticus.

Medical flight paramedics should carry out the following assessment steps for seizure patients:

  • Determine the duration of the seizure and how many seizures they have had
  • Determine whether or not the patient had regained consciousness after each seizure
  • Try to determine the underlying cause of the seizure – any medical condition, injury, or trauma that could result in it
  • Enquire about any complaints the patient had before the seizure

Airway Management Tips for Medical Flight Paramedics

When carrying out airway management for seizure patients, protecting the upper airway is crucial. You will also need to administer high-flow oxygen and ensure proper ventilation. In case a patient is still seizing or positical, you need to use a non-rebreather mask to administer oxygen and set it at 12-15 liters per minute.

Additionally, stopping the seizure is crucial to ensure proper airway management. So if the patient is still actively seizing you might need to consider administering anti-seizure medication because seizures that last more than 5 minutes might not stop unless you intervene.

Medical Air Transport and Pediatric Treatment Errors: What You Need to Know

When you’re working in medical air transport, you would encounter all kinds of patients. There will be times you have to care for and transport pediatric patients. While the experience may be highly rewarding, it can also be extremely challenging. As a result of this, many air ambulance paramedics and EMS providers are at risk of making pediatric treatment errors.

Reasons and Risk Factors of Pediatric Treatment Errors

Due to the delicate nature of their bodies, children are susceptible of getting critically ill in just a matter of seconds. This is where the skill and expertise of the medical air transport paramedic will make a huge difference. Be aware of the following risk factors of errors in pediatric treatment so you can provide better quality of care:

  • Insufficient training regarding pediatric patients
  • Infrequent hands-on experience dealing with pediatric patients
  • High stress levels compelling providers to scoop and run instead of staying and treating pediatric patients
  • Lack of appropriate equipment to care for and/or transport children in an air ambulance

Basics in Pediatric Treatment for Medical Air Transport Paramedics

In addition to the above risk factors, be aware of the following basic tips that will help you provide better care to pediatric patients:

  • Thoroughly assess pediatric patients to identify less-obvious medical conditions
  • Cross check everything before administering medications
  • Instead of relying on memory, contact medical control in case you have any queries
  • Coordinate with administrators regarding any system flaws or setbacks so as to improve on pediatric patient care

It’ll be important to stay calm and composed no matter how stressed you may feel in the beginning. If you panic, there’s a high risk of making mistakes in patient assessment and medicine administration.

Tips for Medical Air Transport Crews to Assess Pediatric Trauma Patients

When you’re working as an air ambulance paramedic or doctor, many of the cases you’ll be responding to will include trauma. In assessing trauma patients, it’s important that you thoroughly understand the trauma’s mechanisms and how those mechanisms can affect different body functions and organs. This is especially crucial when you’re working with pediatric patients who need medical air transport.

Pediatric Trauma Patient Assessment Tips in Medical Air Transport

Take a look at some of these tips and make the most of them when you have to care for a kid who has undergone physical trauma:

  • While the actual assessment process may be similar with that of an adult patient, pediatric patients may have difficulty participating in the assessment. Additionally, some of the patients may have difficulty understanding the assessment, which can prove to be a challenge.

    In some cases, the patient may be uncomfortable with your questions because you’re a stranger to them. So your initial task should be to calm the patient and then build a good rapport before you proceed with the assessment.

  • Begin with a visual assessment before you perform a hands-on treatment. This could be useful for understanding which areas will require more focus. For instance, there may be severe bruising on some parts of the body. This means you’ll need to give priority to those regions where the bruising occurs.
  • In your career as a medical air transport crew member, you might have encountered several patients who are in a state of compensated shock after a trauma. What you need to know is that pediatric patients can remain in this state for much longer than adult patients. However, if these mechanisms fail, it could be because the patient has suffered excessive blood loss and needs to get a transfusion immediately.

These basic tips should be able to guide you in the assessment of pediatric trauma patients, which can result in successful patient hand-offs. Look out for the next post to find out more tips on pediatric trauma patient assessment.