Volume 12, Issue 1 (Paramedical Sciences and Military Health (Spring 2017) 2017)                   Paramedical Sciences and Military Health 2017, 12(1): 50-56 | Back to browse issues page

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mahboobi M, Babajani S. Medical Care in Air Transport for Traumatic Infants. Paramedical Sciences and Military Health. 2017; 12 (1) :50-56
URL: http://jps.ajaums.ac.ir/article-1-101-en.html
1- Department of Operational Room Technology, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran
2- Department of Operational Room Technology, Faculty of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran , babajanisaeed@gmail.com
Abstract:   (2268 Views)

Introduction: Due to the large number of accidents in Iran, infants need the rapid transport to the hospitals. Air transport is the fastest way to arrive these centers. There are differences in trauma management between infants and adults because of their different physiology and anatomy. This study aimed to survey air transport of traumatic infants.
Methods and Materials: This research is a review article that has been performed by searching related keywords in various data bases such as Science Direct, Google Scholar, PubMed and SID and 2 relevant books in this field.
Results: The main medical care issues for infants air transport include: height, pressure, motion effects, sound and vibration, extubation and air leakage in the lung. At high altitude, O2 requirement increases, while relative pressure of oxygen decreases. Thus, babies are at risk of hypoxia. To prevent rapid diffusion of gases which increases the risk of pneumothorax and air embolism, taking off and landing should be slow. Increasing atmospheric pressure causes the gases to expand and these trapped gases cause Necrotizing Enterocolitis (NEC) and intestinal obstruction. Therefore, Nasogastic Tube (NGT) must be embedded. Thoracentesis may be necessary to reduce air pressure. Pacifier should be used to equalize the pressure in the Eustachian tube during the landing. Ear protection should be used to minimize hearing damage. Matters should be used to minimize vibrations in the incubator and blindfolds used to reduce visual damage. The spine should be kept immobilized and the heating devices used to prevent hypothermia. In addition, Neonatal transmission teams should consist of a neonatologist, neonatal nurses and clinical guides certified and qualified in the field of neonate.
Discussion and Conclusion: Due to the fact that infants are the most vulnerable groups, special care is needed during the airlift. Regarding the lack of research on traumatic infants air transport in Iran, it seems to need more research in this area.


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Type of Study: review | Subject: full articles
Received: 2017/05/7 | Accepted: 2017/06/14 | Published: 2017/07/11

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