Aeromedical evacuation (AE) allows us to move casualties rapidly to a medical treatment facility. Aeromedical evacuation is important
• War
• Domestic crises
• Response to acts of terrorism
The transfer and evacuation of the victim should be coordinated between the referring and the receiving provider. The receiving provider will evaluate current information about the patient’s clinical status and make recommendations.
Modes of Transportation:
Civilian emergencies services use air ambulance.
Military may use: Rotary Wing, Fixed Wing or Commercial Aircraft
Transportation of the Patient should include the following:
• Casualties from a chemical warfare event should be decontaminated by the designated chemical biological Hazmat team.
• Initial Stabilization, fluid resuscitation, wound care and pain management
• Physician to Physician contact
• Patient data collection (complete the transfer sheet)
• Stabilization of Associated Injuries (control bleeding and trauma)
• Medical and History (cause, date and time of burn)
AMPLE history
A – allergies M –medications P – previous illness and past medical history L – last meal or drink E – events preceding injury
• Send all documentation, lab results, diagnostic studies
Common Pitfalls ·
Failure to perform proper casualty triage · Airway compromise, (respiratory distress) • Inadequate ventilation due to over sedation · Airway compromise during endotracheal intubation and/or mechanical ventilation (due to tracheal edema caused by inhalation injury or endotracheal tube obstruction) · Under and Over-resuscitation · Failure to adjust fluid rate based on physiologic response · Overestimation of burn size · Bolus IV fluid Missed injuries Hypothermia ·