Unknown

Dataset Information

0

Descriptive Analysis of Coronavirus Disease 2019 Air Medical Evacuations by Critical Care Air Transport Teams.


ABSTRACT:

Objective

Preserving air medical evacuation capabilities for critically ill patients with coronavirus disease 2019 (COVID-19) required innovation for en route care logistics, training, and equipment. The aim of this study was to describe characteristics and in-flight interventions for patients with suspected COVID-19 requiring air medical evacuation by US Air Force critical care air transport teams (CCATTs).

Methods

We performed a retrospective chart review of patients with suspected COVID-19 requiring air medical evacuation by CCATT from April 2020 to February 2021. We included patients with an available CCATT medical record and transport with COVID-19 infection isolation precautions. CCATT medical records were the data source, and we performed descriptive analyses of patient characteristics and in-flight interventions.

Results

We reviewed 460 records and identified 16 patients for inclusion. The Transport Isolation System (50%) and Negatively Pressurized Conex (31%) were commonly used portable biocontainment units. The median patient age was 48.5 years, and 94% were male. All patients required oxygen supplementation, with 8 (50%) receiving mechanical ventilation. In-flight interventions among intubated patients (n = 8) included vasopressors (50%), paralytics (25%), and patient-ventilator asynchrony management (63%).

Conclusion

Patients with COVID-19 requiring CCATT transport were older than prior military en route care cohorts, and in-flight interventions for patient-ventilator asynchrony were commonly required during mechanical ventilation.

SUBMITTER: Davis MWT 

PROVIDER: S-EPMC8483977 | biostudies-literature | 2022 Jan-Feb

REPOSITORIES: biostudies-literature

altmetric image

Publications

Descriptive Analysis of Coronavirus Disease 2019 Air Medical Evacuations by Critical Care Air Transport Teams.

Davis Maj William T MWT   Ng Maj Patrick C MPC   Cutright Julie E JE   Savell Shelia C SC   Arana Allyson A AA   McCarvel Brooks B   Maddry Lt Col Joseph K LCJK  

Air medical journal 20210927 1


<h4>Objective</h4>Preserving air medical evacuation capabilities for critically ill patients with coronavirus disease 2019 (COVID-19) required innovation for en route care logistics, training, and equipment. The aim of this study was to describe characteristics and in-flight interventions for patients with suspected COVID-19 requiring air medical evacuation by US Air Force critical care air transport teams (CCATTs).<h4>Methods</h4>We performed a retrospective chart review of patients with suspec  ...[more]

Similar Datasets

| S-EPMC11849946 | biostudies-literature
| S-EPMC6059273 | biostudies-literature
| S-EPMC2764752 | biostudies-literature
| S-EPMC7826132 | biostudies-literature
| S-EPMC8987347 | biostudies-literature
| S-EPMC10900382 | biostudies-literature
| S-EPMC7587602 | biostudies-literature
| S-EPMC8594524 | biostudies-literature
| S-EPMC8385269 | biostudies-literature
| S-EPMC7484703 | biostudies-literature