Critical Considerations for Fixed-Wing Air Medical Transports

By Mark A. Merlin, DO, EMT-P, FACEP, Joshua Schwarzbaum, MD, EMT, Sim Shain, MICP, EMT-P, NRP, Mark Chapman, RN, Ammundeep Tagore, MD, MSHA, MBA, Navin Ariyaprakai, MD, EMT-P, FAEMS, Jodi Pritchard, RN, BSN, CCRN, CFRN, Joseph E. DiCorpo, BSC, MMSc, PA and Alexander Torres, DO, MBA | 3.6.19 The need to move ill or injured patients from one location to another by air isn’t a new concept. Injured soldiers were among the first patients in history to be transported by air to a medical facility, beginning with the use of hot air balloons in 1784.1 Since fixed-wing aircraft were developed in 1903, the use of these engineering marvels for patient transport has seen incredible advances. Although an invaluable resource, in addition to the medical care required on the ground, there are important physiologic changes that occur at higher altitudes and must be considered by the transport personnel. Some of the physiologic changes include, but aren’t limited to, development of hypoxia, potential for gas expansion, and effects of gravitational forces. These impacts on patient homeostasis must be addressed prior to patient movement to ensure patient safety and provide for the best patient outco...

Jeremy Kyle called to face MPs over treatment of guests | Media

Jeremy Kyle has been called to appear in front of MPs to discuss how guests were treated on his eponymous chatshow, which was cancelled last month after the death of a guest, Steve Dymond. The presenter, who had hosted The Jeremy Kyle Show since 2005, has stayed out of the public eye since the ITV daytime programme was taken off air, only issuing a brief public statement saying he and his team were “utterly devastated by the recent events”. The Commons digital, culture, media and sport select committee wants him to answer questions about the reality TV industry and how it treats participants. “We’re hoping that Jeremy Kyle will take this opportunity to come and answer questions about measures taken to prepare and support contestants,” the committee chair, Damian Collins, said. “As someone who was at the centre of this long-running show, we believe that his perspective on reality TV will be of particular value to our inquiry.” Kyle has been given until next week to fix a date for his appearance. He could be found in contempt of parliament if he refuses to appear in front of MPs, although recent cases have highlighted that there is a limited amount that politicians can do to make ...