Medications

[sushimike1 at aol.com]

There are several variables that must be considered before protocols can be utilized.   Storage of the medications as well as mode of transport (soft bag vs temp controlled hard box) etc must be established.  What specific purposes are various medications going to be used ?  For example;  for in-flight or scene paralyzation in endotracheal intubation a great drug (in the clinical setting) is propofol.  We know that propofol has some amnesic effects as well as rapid paralyzation but the propensity for profound hypotension is a consideration especially in the traumatic shock patient.  The half-life of affects must next be considered as well as potential reversal agents for some drugs, etc, etc.  As you can see, your open ended question has several variables that must be taken into consideration before protocols are simply, copied, adopted, or issued.  Please don't misinterpret my comments as smug.  There have been many programs that have researched and developed their medication protocols over a lengthy period of time before settling on the protocols that best suit their specific geographic environment as well as their specific patient case demands.

Good luck with your quest.

Sincerely,
Michael Klopp RN,MS,PharmD


-----Original Message-----
From: Gustavo Holanda <gsholanda at gmail.com>
To: flightmed at flightweb.com
Sent: Mon, Jul 12, 2010 11:04 am
Subject: Medications


Could anyone send me protocols about medications use in aeromedical
ransport
hanks
ustavo Holanda
eromedical offshore rescue - Petrobras
razil
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