From rescuemedic at gmail.com  Mon Apr  6 07:53:20 2009
From: rescuemedic at gmail.com (Gurkan Ozel)
Date: Mon, 6 Apr 2009 14:53:20 +0300
Subject: Air Transfer of Patients with Lobectomy
Message-ID: <42ba38640904060453h7d47166amcb7d0154ab4b258b@mail.gmail.com>

Hi list,

Is anyone aware of a guideline specified for air transport of patients with
lobectomy? Is it an absolute contraindication? What do I need to pay
attention to when transferring patients with one-sided lobectomy at max
altitude of 7,000 ft in EC 135/145s.?


Thanks for your input,


Gurkan Ozel, CCEMT-P
Ankara, Turkey


From JPufahl at smdc.org  Mon Apr  6 08:47:33 2009
From: JPufahl at smdc.org (Pufahl, Jo M.)
Date: Mon, 6 Apr 2009 07:47:33 -0500
Subject: Air Transfer of Patients with Lobectomy
In-Reply-To: <42ba38640904060453h7d47166amcb7d0154ab4b258b@mail.gmail.com>
Message-ID: <9B1E85EB3C01204E9AFEBC46BC8EE50F01357A45@BARRED.ntcampus.smdc.org>

None that I am aware of.
Jo Pufahl, RN, BAN, CEN, CFRN
Assistant Head Nurse
St. Mary's LifeFlight


-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com]On Behalf Of Gurkan Ozel
Sent: Monday, April 06, 2009 6:53 AM
To: flightmed at flightweb.com
Subject: Air Transfer of Patients with Lobectomy


Hi list,

Is anyone aware of a guideline specified for air transport of patients with
lobectomy? Is it an absolute contraindication? What do I need to pay
attention to when transferring patients with one-sided lobectomy at max
altitude of 7,000 ft in EC 135/145s.?


Thanks for your input,


Gurkan Ozel, CCEMT-P
Ankara, Turkey
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed



This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. 

 


From TMabe at unch.unc.edu  Mon Apr  6 08:49:15 2009
From: TMabe at unch.unc.edu (Mabe, Tiffany)
Date: Mon, 6 Apr 2009 08:49:15 -0400
Subject: Air Transfer of Patients with Lobectomy
Message-ID: <CFEA4E7933DF1A4D949BE5549B0008910B5F6B86@msx1.unch.unc.edu>

None that I am aware of. We transfer pts of this nature frequently, and I have never had any issues.
Thanks, 
Tiffany G. Mabe, RRT-NPS,RCP,CICP



-----Original Message-----
From: flightmed-bounces at flightweb.com <flightmed-bounces at flightweb.com>
To: flightmed at flightweb.com <flightmed at flightweb.com>
Sent: Mon Apr 06 07:53:20 2009
Subject: Air Transfer of Patients with Lobectomy

Hi list,

Is anyone aware of a guideline specified for air transport of patients with
lobectomy? Is it an absolute contraindication? What do I need to pay
attention to when transferring patients with one-sided lobectomy at max
altitude of 7,000 ft in EC 135/145s.?


Thanks for your input,


Gurkan Ozel, CCEMT-P
Ankara, Turkey
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed



From flygal234 at aol.com  Mon Apr  6 08:51:52 2009
From: flygal234 at aol.com (Marianne Jordan)
Date: Mon, 6 Apr 2009 07:51:52 -0500
Subject: Air Transfer of Patients with Lobectomy
In-Reply-To: <42ba38640904060453h7d47166amcb7d0154ab4b258b@mail.gmail.com>
References: <42ba38640904060453h7d47166amcb7d0154ab4b258b@mail.gmail.com>
Message-ID: <530B9A98-AE46-49DA-B8E2-8E0FD68378F8@aol.com>

To me it depends on how long ago the surgery was. If it was recent, be  
sure there is no remaining pneumoencephalus.

Marianne Jordan, RN, LP
Houston, Tx


On Apr 6, 2009, at 6:53 AM, Gurkan Ozel wrote:

> Hi list,
>
> Is anyone aware of a guideline specified for air transport of  
> patients with
> lobectomy? Is it an absolute contraindication? What do I need to pay
> attention to when transferring patients with one-sided lobectomy at  
> max
> altitude of 7,000 ft in EC 135/145s.?
>
>
> Thanks for your input,
>
>
> Gurkan Ozel, CCEMT-P
> Ankara, Turkey
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed
>



From davidk8084 at aol.com  Mon Apr  6 10:55:50 2009
From: davidk8084 at aol.com (davidk8084 at aol.com)
Date: Mon, 06 Apr 2009 10:55:50 -0400
Subject: Air Transfer of Patients with Lobectomy
In-Reply-To: <530B9A98-AE46-49DA-B8E2-8E0FD68378F8@aol.com>
References: <42ba38640904060453h7d47166amcb7d0154ab4b258b@mail.gmail.com>
	<530B9A98-AE46-49DA-B8E2-8E0FD68378F8@aol.com>
Message-ID: <8CB84DEE8D34456-888-2F8@webmail-de15.sysops.aol.com>


 A few questions:

What kind of lobectomy are you talking about? Pulmonary or cerebral?

What is the starting altitude? The absolute isn't as important as the total change.

How long ago? Is any kind of vent or drain in place?

If pulmonary, is the patient mechanically ventilated? This just requires more vigilant observation.

David Kearns
Flight For Life Colorado


 


 

-----Original Message-----
From: Marianne Jordan <flygal234 at aol.com>
To: Flightmed <flightmed at flightweb.com>
Sent: Mon, 6 Apr 2009 6:51 am
Subject: Re: Air Transfer of Patients with Lobectomy









To me it depends on how long ago the surgery was. If it was recent, be sure there is no remaining pneumoencephalus.?
?

Marianne Jordan, RN, LP?

Houston, Tx?
?


On Apr 6, 2009, at 6:53 AM, Gurkan Ozel wrote:?
?

> Hi list,?

>?

> Is anyone aware of a guideline specified for air transport of > patients with?

> lobectomy? Is it an absolute contraindication? What do I need to pay?

> attention to when transferring patients with one-sided lobectomy at > max?

> altitude of 7,000 ft in EC 135/145s.??

>?

>?

> Thanks for your input,?

>?

>?

> Gurkan Ozel, CCEMT-P?

> Ankara, Turkey?

> _______________________________________________?

> Flightmed mailing list?

> To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed?

>?
?

_______________________________________________?

Flightmed mailing list?

To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed?
?



 



From reesor_t at yahoo.co.uk  Mon Apr  6 11:56:59 2009
From: reesor_t at yahoo.co.uk (Ted Reesor)
Date: Mon, 6 Apr 2009 15:56:59 +0000 (GMT)
Subject: Air Transfer of Patients with Lobectomy
Message-ID: <859559.54400.qm@web27101.mail.ukl.yahoo.com>


Another question is whether the bone flap/skull cap was replaced or kept for later placement.  Depending on the nature of the transport vehicle (helo vs Lear), the G forces on the body may have a more significant effect than the changes in altitude.  

Ted Reesor, RRT
Burlington, Ontario


      


From rescuemedic at gmail.com  Mon Apr  6 12:26:04 2009
From: rescuemedic at gmail.com (Gurkan Ozel)
Date: Mon, 6 Apr 2009 19:26:04 +0300
Subject: Air Transfer of Patients with Lobectomy
Message-ID: <42ba38640904060926h3d52c80awac985f991662b5f9@mail.gmail.com>

 Thank you all for your kind inputs.

55 y/o male undergoes right sided pulmonary lobectomy 20 days ago due to CA.
A drain was reinserted 4 days ago due to infection developed. Patient wants
to continue at a hospital near home.

1 hour and 45 minutes of transport time is expected. Patient breathing
spontaneously, needs O2 via nasal cannula.

Starting altitude is about 2,000 feet, with a total of 5,000 feet of gain
expected in transit.


Gurkan Ozel, CCEMT-P
Ankara, Turkey




>
> Date: Mon, 06 Apr 2009 10:55:50 -0400
> From: davidk8084 at aol.com
> Subject: Re: Air Transfer of Patients with Lobectomy
> To: flightmed at flightweb.com
> Message-ID: <8CB84DEE8D34456-888-2F8 at webmail-de15.sysops.aol.com>
> Content-Type: text/plain; charset="us-ascii"
>
>
>  A few questions:
>
> What kind of lobectomy are you talking about? Pulmonary or cerebral?
>
> What is the starting altitude? The absolute isn't as important as the total
> change.
>
> How long ago? Is any kind of vent or drain in place?
>
> If pulmonary, is the patient mechanically ventilated? This just requires
> more vigilant observation.
>
> David Kearns
> Flight For Life Colorado
>


From aosgood at maine.rr.com  Mon Apr  6 12:34:42 2009
From: aosgood at maine.rr.com (Aaron D. Osgood)
Date: Mon, 6 Apr 2009 12:34:42 -0400
Subject: Air Transfer of Patients with Lobectomy
In-Reply-To: <42ba38640904060926h3d52c80awac985f991662b5f9@mail.gmail.com>
References: <42ba38640904060926h3d52c80awac985f991662b5f9@mail.gmail.com>
Message-ID: <01d301c9b6d5$97198090$c54c81b0$@rr.com>

Rotor craft or fixed wing?

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of Gurkan Ozel
Sent: Monday, April 06, 2009 12:26 PM
To: flightmed at flightweb.com
Subject: Re: Air Transfer of Patients with Lobectomy

 Thank you all for your kind inputs.

55 y/o male undergoes right sided pulmonary lobectomy 20 days ago due to CA.
A drain was reinserted 4 days ago due to infection developed. Patient wants
to continue at a hospital near home.

1 hour and 45 minutes of transport time is expected. Patient breathing
spontaneously, needs O2 via nasal cannula.

Starting altitude is about 2,000 feet, with a total of 5,000 feet of gain
expected in transit.


Gurkan Ozel, CCEMT-P
Ankara, Turkey




>
> Date: Mon, 06 Apr 2009 10:55:50 -0400
> From: davidk8084 at aol.com
> Subject: Re: Air Transfer of Patients with Lobectomy
> To: flightmed at flightweb.com
> Message-ID: <8CB84DEE8D34456-888-2F8 at webmail-de15.sysops.aol.com>
> Content-Type: text/plain; charset="us-ascii"
>
>
>  A few questions:
>
> What kind of lobectomy are you talking about? Pulmonary or cerebral?
>
> What is the starting altitude? The absolute isn't as important as the
total
> change.
>
> How long ago? Is any kind of vent or drain in place?
>
> If pulmonary, is the patient mechanically ventilated? This just requires
> more vigilant observation.
>
> David Kearns
> Flight For Life Colorado
>
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed





From amydayre at hotmail.com  Mon Apr  6 12:57:25 2009
From: amydayre at hotmail.com (Amy Richardson-Ochle)
Date: Mon, 6 Apr 2009 12:57:25 -0400
Subject: Air Transfer of Patients with Lobectomy
In-Reply-To: <42ba38640904060926h3d52c80awac985f991662b5f9@mail.gmail.com>
References: <42ba38640904060926h3d52c80awac985f991662b5f9@mail.gmail.com>
Message-ID: <COL116-W23AE5489116E22A6CC39AAD1840@phx.gbl>


I would watch for s/sx of tension, make sure drain (assuming it is a chest  tube?) stays patent, and be aware that the patient may need higher concentration of O2, and may increase respiratory rate in transit.  I have transported pts just like this in an EC135 without incident.  Good luck and fly safe.

Amy R. Ochle, RN
 
> Date: Mon, 6 Apr 2009 19:26:04 +0300
> Subject: Re: Air Transfer of Patients with Lobectomy
> From: rescuemedic at gmail.com
> To: flightmed at flightweb.com
> 
> Thank you all for your kind inputs.
> 
> 55 y/o male undergoes right sided pulmonary lobectomy 20 days ago due to CA.
> A drain was reinserted 4 days ago due to infection developed. Patient wants
> to continue at a hospital near home.
> 
> 1 hour and 45 minutes of transport time is expected. Patient breathing
> spontaneously, needs O2 via nasal cannula.
> 
> Starting altitude is about 2,000 feet, with a total of 5,000 feet of gain
> expected in transit.
> 
> 
> Gurkan Ozel, CCEMT-P
> Ankara, Turkey
> 
> 
> 
> 
> >
> > Date: Mon, 06 Apr 2009 10:55:50 -0400
> > From: davidk8084 at aol.com
> > Subject: Re: Air Transfer of Patients with Lobectomy
> > To: flightmed at flightweb.com
> > Message-ID: <8CB84DEE8D34456-888-2F8 at webmail-de15.sysops.aol.com>
> > Content-Type: text/plain; charset="us-ascii"
> >
> >
> > A few questions:
> >
> > What kind of lobectomy are you talking about? Pulmonary or cerebral?
> >
> > What is the starting altitude? The absolute isn't as important as the total
> > change.
> >
> > How long ago? Is any kind of vent or drain in place?
> >
> > If pulmonary, is the patient mechanically ventilated? This just requires
> > more vigilant observation.
> >
> > David Kearns
> > Flight For Life Colorado
> >
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed
> 

_________________________________________________________________
Rediscover Hotmail?: Now available on your iPhone or BlackBerry
http://windowslive.com/RediscoverHotmail?ocid=TXT_TAGLM_WL_HM_Rediscover_Mobile1_042009

From rescuemedic at gmail.com  Wed Apr  8 00:08:01 2009
From: rescuemedic at gmail.com (Gurkan Ozel)
Date: Wed, 8 Apr 2009 07:08:01 +0300
Subject: Air Transfer of Patients with Lobectomy
Message-ID: <42ba38640904072108v325c5er70e99737503f4439@mail.gmail.com>

Rotor wing, either EC-135 or EC-145 depending on which aircraft is available
on the day of transfer. About 250 aeronautical miles of distance will be
gone.


Gurkan Ozel, CCEMT-P
Ankara, Turkey



> Date: Mon, 6 Apr 2009 12:34:42 -0400
> From: "Aaron D. Osgood" <aosgood at maine.rr.com>
> Subject: RE: Air Transfer of Patients with Lobectomy
> To: "'Flightmed'" <flightmed at flightweb.com>
> Message-ID: <01d301c9b6d5$97198090$c54c81b0$@rr.com>
> Content-Type: text/plain;       charset="us-ascii"
>
> Rotor craft or fixed wing?
>
> -----Original Message-----
> From: flightmed-bounces at flightweb.com
> [mailto:flightmed-bounces at flightweb.com] On Behalf Of Gurkan Ozel
> Sent: Monday, April 06, 2009 12:26 PM
> To: flightmed at flightweb.com
> Subject: Re: Air Transfer of Patients with Lobectomy
>
>  Thank you all for your kind inputs.
>
> 55 y/o male undergoes right sided pulmonary lobectomy 20 days ago due to
> CA.
> A drain was reinserted 4 days ago due to infection developed. Patient wants
> to continue at a hospital near home.
>
> 1 hour and 45 minutes of transport time is expected. Patient breathing
> spontaneously, needs O2 via nasal cannula.
>
> Starting altitude is about 2,000 feet, with a total of 5,000 feet of gain
> expected in transit.
>
>
> Gurkan Ozel, CCEMT-P
> Ankara, Turkey
>
>
>


From mcgranem at SLRMC.ORG  Wed Apr  8 13:48:40 2009
From: mcgranem at SLRMC.ORG (Michael McGrane)
Date: Wed, 08 Apr 2009 11:48:40 -0600
Subject: Sky Connect
Message-ID: <s9dc8f1c.022@gwia.slrmc.org>

Has anyone been having issues with dropped Sky Connect signals -
especially during weather?  We are trying to track down any patterns.  
 
Michael McGrane, RN, MSN, CCRN
Director, Air St. Luke's
St. Luke's Regional Medical Center
190 E Bannock Street
Boise, ID  83712
(208) 706-5411
Dispatch 1-877-785-8537
 
 

"TWEF <slrmc.org>" made the following annotations.
------------------------------------------------------------------------------
"This message is intended for the use of the person or entity to which it is addressed and may contain information that is confidential or privileged, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, you are hereby
notified that any dissemination, distribution, or copying of this information is strictly prohibited. If you have received this message by error, please notify us immediately and destroy the related message."


==============================================================================


From sstamnes at countyrescue.com  Thu Apr  9 12:14:59 2009
From: sstamnes at countyrescue.com (Stamnes, Shaun)
Date: Thu, 9 Apr 2009 11:14:59 -0500
Subject: Flightmed Digest, Vol 67, Issue 4
In-Reply-To: <mailman.35.1239292834.99339.flightmed@flightweb.com>
References: <mailman.35.1239292834.99339.flightmed@flightweb.com>
Message-ID: <463475DF9A67D711A60F0003471B7A4B015CADC6@crsnt1.countyrescue.com>

Michael:

We have had occasional issues with dropped signals but it has no
discernable pattern.  The larger issue came after the Iridium satellite
collided with the other satellite. This has caused a gap in coverage.
>From what I have heard Sky Connect is working to get a new satellite up
to take the place of wrecked one.  I don't know when that will happen
though.

Lt. Shaun Stamnes NREMT-P, CCEMT-P
Air Medical Coordinator
EAGLE III
Green Bay, WI
www.eagle3.org

Tel:   920-469-9779 ext 130
Fax:  920-694-6012



Message: 1
Date: Wed, 08 Apr 2009 11:48:40 -0600
From: "Michael McGrane" <mcgranem at SLRMC.ORG>
Subject: Sky Connect
To: flightmed at flightweb.com
Message-ID: <s9dc8f1c.022 at gwia.slrmc.org>
Content-Type: text/plain; charset=us-ascii

Has anyone been having issues with dropped Sky Connect signals -
especially during weather?  We are trying to track down any patterns.  
 
Michael McGrane, RN, MSN, CCRN
Director, Air St. Luke's
St. Luke's Regional Medical Center
190 E Bannock Street
Boise, ID  83712
(208) 706-5411
Dispatch 1-877-785-8537



From kldflightrrt at hotmail.com  Thu Apr  9 13:57:55 2009
From: kldflightrrt at hotmail.com (Kerry Lynn Dudley)
Date: Thu, 9 Apr 2009 13:57:55 -0400
Subject: Flightmed Digest, Vol 67, Issue 4
In-Reply-To: <463475DF9A67D711A60F0003471B7A4B015CADC6@crsnt1.countyrescue.com>
References: <mailman.35.1239292834.99339.flightmed@flightweb.com>
	<463475DF9A67D711A60F0003471B7A4B015CADC6@crsnt1.countyrescue.com>
Message-ID: <COL102-DS9B78BEB43CF3D4C7923F4C0830@phx.gbl>

I had herd that Iridium had a back up satellite already in orbit they just 
moved it into position. I thought flight aware posted that information on 
the daily email  mailing. I could be wrong, but I am 95% sure this happened. 
Call Iridium they will know for sure.

--------------------------------------------------
From: "Stamnes, Shaun" <sstamnes at countyrescue.com>
Sent: Thursday, April 09, 2009 12:14 PM
To: <flightmed at flightweb.com>
Subject: RE: Flightmed Digest, Vol 67, Issue 4

> Michael:
>
> We have had occasional issues with dropped signals but it has no
> discernable pattern.  The larger issue came after the Iridium satellite
> collided with the other satellite. This has caused a gap in coverage.
>>From what I have heard Sky Connect is working to get a new satellite up
> to take the place of wrecked one.  I don't know when that will happen
> though.
>
> Lt. Shaun Stamnes NREMT-P, CCEMT-P
> Air Medical Coordinator
> EAGLE III
> Green Bay, WI
> www.eagle3.org
>
> Tel:   920-469-9779 ext 130
> Fax:  920-694-6012
>
>
>
> Message: 1
> Date: Wed, 08 Apr 2009 11:48:40 -0600
> From: "Michael McGrane" <mcgranem at SLRMC.ORG>
> Subject: Sky Connect
> To: flightmed at flightweb.com
> Message-ID: <s9dc8f1c.022 at gwia.slrmc.org>
> Content-Type: text/plain; charset=us-ascii
>
> Has anyone been having issues with dropped Sky Connect signals -
> especially during weather?  We are trying to track down any patterns.
>
> Michael McGrane, RN, MSN, CCRN
> Director, Air St. Luke's
> St. Luke's Regional Medical Center
> 190 E Bannock Street
> Boise, ID  83712
> (208) 706-5411
> Dispatch 1-877-785-8537
>
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to 
> http://six.pairlist.net/mailman/listinfo/flightmed
>
>