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Many historians argue that the first use of aeromedical evacuation was during the Siege of Paris in 1870, using hot air balloons (though there seems to be some question regarding the truth of this claim).  We're still using balloons during air medical missions in 2014, albeit in a much diff

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1. Premedicate patient for pain control 2. Remove dressings 3. Identify anchoring sutures 4. Remove sutures if knotted. If “purse-string” sutures are in place, do not remove. Instead, use for closing incision (except in pediatrics). 5. Instruct the patient to take a deep breath and hold it 6. Gently and firmly withdraw the chest tube in a single motion 7.

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Sep 09, 2010 · Monitoring During Transport<br />All critically ill patients undergoing inter-hospital transport must have, at a minimum, continuous pulse oximetry, ECG monitoring, and regular measurement of BP and respiratory rate.<br />Patient status and management during transport are recorded and filed in the patient medical record at the referring facility.

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A 5-year-old girl fell off of and was then kicked in the chest by a horse. Upon arrival of the life-flight team, the patient was found to be in both respiratory and cardiovascular distress. Chest radiograph demonstrated a left-sided tension pneumothorax. The patient was intubated, and a chest tube was placed before the patient was transported.

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valve. If the patient is not intubated a chest tube is inserted as soon as possible in a site remote to the injury site. Definitive treatment may warrant formal debridement and closure, preferably in the operating room, and all such patients should be referred early. 5. Massive haemothorax Accumulation of blood in a hemithorax can significantly

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combined chest wall injury, and the chest tube drainage volume was less than 500 mL during the first 2 hours after arrival. In addition, without central-type bronchial injury, these patients did not have mediastinal emphysema but there was slight air leakage through the chest tube. We analyzed the medical records of 35 consecutive

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A patient injured in a motor-vehicle crash is transported to an emergency department. The provider determines the need for immediate thoracotomy and chest-tube insertion and anticipates the need for maximal suction pressure. The appropriate type of closed-chest drainage system for this patient is a

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There was resistance to advancement of the chest tube, so it was sutured in place at 10 cm. The patient was given two units of O-negative blood, while a portable chest radiograph (CXR) was taken. The patient was log-rolled to expose her back, but no injuries or foreign bodies were visible posteriorly.

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Whenever a patient with a chest tube needs to go off the unit for a test, a RN must accompany the patient. This leave the unit covering that assignment until the patient and nurse return. Are any other hospitals doing this?

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They found that the use of primary video-assisted thoracoscopic surgery (VATS) decreased from almost 40% in 2010 to less than 10% in 2017. Interestingly, the rate of rescue VATS after chest tube insertion and fibrinolytics remained low, varying between 4.1% and 9.2%.

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Underwater-seal chest drainage is a closed (airtight) system for drainage of air and fluid from the chest cavity. (1) The underwater-seal system is established by connecting a catheter (chest tube) that has been placed in the patient's pleural cavity to drainage tubing that leads to a sealed drainage bottle.

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The container should not be changed unless it is full, and the chest tube should not be clamped unnecessarily. After a chest tube is inserted, a nurse trained in chest‐tube management is responsible for managing the chest tube and drainage system. This entails monitoring the chest‐tube position, controlling fluid evacuation, identifying when to change or empty the containers, and caring for the tube and drainage system during patient transport.

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source of a patients hypotension [low blood pressure]. 4. Failure of the SAMU physician to insert a chest tube to check for internal chest bleeding as a source of her low blood pressure. See reference 1- the SAMU organization states that in-field tube thoracostomy and even autotransfusion [reinfusing a patients blood back into the patient] are ...

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chest tube instillation. Flammable/explosive/aerosol containers/volatile liquids Examples: benzocaine spray, collodion, m edical or anesthetic gases for surgery, nitroglycerin spray. Medications that are difficult to replace and/or pose confidentiality issues. Examples: • Patient’s Own Medications • Employee/Outpatient prescriptions

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Mar 07, 2014 · Chest injuries can be broadly classified as penetrating or blunt, the latter encompassing direct blunt trauma as well as crush, acceleration or deceleration injuries and blast injuries. An understanding of the specific mechanisms involved in individual trauma patients is important …

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Consider: Foley catheter, NG or OG tube pre transport. X-rays: Chest X-ray MANDATORY. C-spine + pelvis generally indicated but should not delay transport. CT should NOT delay transport of unstable patient. *All major trauma with decreased LOC will remain in or be placed in full C-spine immobilization on a padded clamshell for transport

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Chest computed tomography demonstrated extensive subcutaneous emphysema and a small right-sided pneumothorax, requiring placement of a chest tube. The tube was replaced with an 8.0 endotracheal tube before transfer, at which time the tongue was noted to be markedly swollen.

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