P R E S E N T A T I O N O F

ABSTRACTS 9th Annual

ASHBEAMS/NFNA Conference In conjunction with ISAS

Boston, Massachusetts SEPTEMBER 19-23, 1988

Published by AEROMEDICAL JOURNAL

Post Office Box 1026, Solana Beach, CA 92075 6 1 9 / 4 8 1 - 1 1 2 8

AMJ SEPTEMBER/OCTOBER 1988 11

SCIENTIFIC SESSION Session A

TUESDAY, S E P T E M B E R 20, 1988 2:45 p.m. -- A13 -- Prospect ive Randomized Evalua-

M o r n i n g Moderator: H a n k Cleve land, M.D. (Georg ian Room)

9:00 a .m. -- A1 -- ALS Procedures Per formed by ALS Ground and Air Medical Units. Eng l and C, Thomas F (USA)

9:15 a .m. -- A2 -- Manni to l Ut i l iza t ion Dur ing In- t e rhosp i ta l T ranspor t of Pa t ien t s wi th Acute Neurologic Illness. Hejl ik J, Vukov L (USA)

9:30 a .m. -- A3 -- Emergency In te rhosp i ta l Transpor t of the Major T r a u m a Pat ient : Air Versus Ground. Boyd C, Corse K (USA)

9:45 a .m. -- A4 -- Emergency Vehicle Accidents and Rescue Hel icopter Crashes. Weidr inger JW, Lampl L, Ha r t e l W, Beck K H (FRG)

10:00 a .m. -- A5 -- Eva lua t ion of Prehospi ta l Vecuronium Bromide (Norcuron) Use in Hel icopter Emergency Medical Transpor t . E l sbernd-Smi th S, Kunke l S, Farne l l M (USA)

10:15 a.m. - 11:00 a.m. B R E A K / P O S T E R PRESENTATIONS (Dartmouth/Exeter ) (Sec t ion I)

t ion of Methods to Secure Endo t rachea l Tubes. Schwartz RJ, Salonia RA, Jacobs LM (USA)

3:00 p.m. - - A14 -- Stabi l iza t ion of Spinal In jury for Ea r ly Transfer. Bu rn ey RE, Waggoner R (USA)

3:15 p.m. -- A15 -- The Air Transpor t Team: B u r n Care Experts . Fa ldmo L, Hynes T, Reinkoes te r R, Saffle J (USA)

3:30 p.m. -- A16 -- The Risk of AIDS Virus Ex- posure Dur ing the Aeromedical Transpor t of Midwes te rn T r a u m a Pat ients . H e r ro n H, San tane l lo S, Pr ice J, Falcone R (USA)

3:45 p.m. -- A17 -- The Role of the Physic ian in a Hel icopter Emergency Medical Service. Schwartz RJ, Jacobs LM, Lee M (USA)

4:00 p.m. -- A18 -- Is The re a Difference in the Fata l Accident Rate Be tween G e r m a n y and the Un i t ed States? Rhee K, Moecke H, Holmes E, Thomas F (USA) (FRG)

11:00 a .m. -- A6 -- Func t iona l S ta tus of Mult ip le T r a u m a Pat ients : Ground Versus Air. Jablonowski A, Buesch ing D (USA)

11:15 a .m. -- A7 -- Hel icopter Transpor t Improves Surviva l in Mul t i sys tem T r a u m a Pat ients . Moylan J, F i t zpa t r i ck KT, Beyer AJ, Georgiade GS (USA)

11:30 a .m. -- A8 -- Is the Presence of a Doctor Necessary a t the Scene of an Emergency? B u r g h a r t H (FRG)

11:45 a .m. -- A9 -- The rapeu t i c In t e rven t ion Scor- ing Sys tem as an I n s t r u m e n t for De te rmin ing Ap- propr ia te Use of an Air Medical Program. Travers D, Means J, Lay E (USA)

12:00 p.m. -- LUNCH

A f t e r n o o n Moderator: H a n k Cleve land, M.D.

2:00 p.m. -- A10 -- Do Rotorcraf t P rograms Transpor t Cr i t ica l ly Ill Pat ients? Rhee K, Bax t W, Mackenzie J, Burney R, O'Mal ley R, Schwabe D, S torer D, Weber R, rWillits N (USA)

2:15 p.m. -- A l l -- Cr icothyroidotomy by Fl igh t Paramedics. Gerv in AS (USA)

2:30 p.m. -- A12 -- Predic t ion of Factors Affect ing Air Ambulance Ground Time Uti l iz ing a Regression Model. Ke nne dy C, Buckley J, L indesmi th P, Cronin L, Nelson J, P r a t t CM (USA)

WEDNESDAY, S E P T E M B E R 21, 1988

M o r n i n g Moderator: A lv in Hackel , M.D. (Georg ian Room)

9:00 a .m. -- A19 -- Aeromedical Evacua t ion of In- toxicated Pat ients . David A, Kayser M, K n u t h P (FRG)

9:15 a .m. -- A20 -- Adequacy of Pre-Hospi ta l Ambu- Bag Hyperven t i l a t ion . Reynolds A, San tane l lo S, Falcone R (USA)

9:30 a .m. -- A21 -- Air Rescue After Diving Ac- cidents in S o u th e rn Europe and the M e d i t e r r a n e a n Sea. Hipp R, Eis ler K, Egber t R, Schne ider N, Stock W (FRG)

9:45 a .m. -- A22 -- Alcohol and Drug Abuse: A Com- para t ive S tudy of T r a u m a Pat ien ts Transpor ted by Air and Grou d Ambulances . Ki rby JM, Maul l KI, Lash RF (USA)

10:00 a .m. -- A23 -- Outcome of Ger ia t r ic T r a u m a Pa t ien ts Transpor ted by Helicopter. Sachs J, Farne l l M (USA)

10:15 a.m. - 11:00 a.m. B R E A K / P O S T E R PR ES EN TA TIO N (Dartmouth/Exeter ) (Sec t ion II)

11:00 a .m. -- A24 -- Hel icopter Transpor t of Rup- tu red Abdominal Aortic Aneurysm. Kent III RB, N e w m a n L (USA)

11:15 a .m. -- A25 -- Pa t t e rns of Air Evacua t ion of Adult T r a u m a Pa t ien t s to a Level I T r a u m a Facili ty: Epidemiology, In jury Sever i ty and Outcome. Fal lon Jr. WF, Alexander RH (USA)

12 SEPTEMBER/OCTOBER AM.]

11:30 a .m. - - A26 -- Resusc i ta t ion Fol lowing Avalan- che D e a t h by H e a r t - L u n g Machine . C h m e l i z e k F, Sch ies tek R (AUSTRIA)

11:45 a .m. - - A27 - - A Repor t on the Survey of A r m y Aeromedica l Equ ipmen t . Mitchel l G, A d a m s J (USA)

12:00 p .m. - - LUNCH

A f t e r n o o n Moderator: Ford Kyes, RN (Terrace)

2:00 p .m. - - A28 - - A New D o c u m e n t a t i o n S y s t e m for t he Hel icopte r Rescue Service. Ka lbe P, S t a r k D, K o p p e r m a n R, K a n t C, H i l k a B (FRG)

2:15 p .m. - - A29 - - C o m p u t e r s Co-Ordina te Callouts . Gomm, C (AUS)

2:30 p .m. - - A30 - - C o m p u t e r S i m u l a t i o n of Rotor- c raf t Rescue Operat ions . S m i t h R, Al ton L (USA)

2:45 p .m. - - A31 - - Cost-Benef i t Ana lys i s of Aeromedica l Hel icopter Service. A G e r m a n Study. B a u m H (FRG)

3:00 p .m. - - A32 - - Hosp i t a l C h a r g e s / D R G Reim- b u r s e m e n t for Air T r a n s p o r t e d Pat ients . Jacobs BB, Schwar tz RJ, Jacobs LM (USA)

3:15 p .m. - - A33 - - P ionee r ing Role P layed by Na- t iona l Social In su rance in the In t roduc t ion of Air Rescue to Swi tzer land. Morge r W (SWIT)

3:30 p .m. - - A34 - - Rescue Hel icop te r Miss ions in T r a u m a Pa t i en t s - - Medical Efficiency and Economic Aspects. K a r l b a u e r A (AUSTRIA)

3:45 p .m. - - A35 - - The T r a u m a Code Cri t ique: A Mul t id i sc ip l ina ry Qua l i t y Assu rance Tool. Spisso J, Robinson C (USA)

4:00 p .m. - - A36 -- Use of On-Board M e g a Code S i m u l a t i o n as a L e a r n i n g Method. DeMond E (USA)

THURSDAY, S E P T E M B E R 22, 1988

M o r n i n g Moderator: L e n w o r t h J a c o b s , M.D. (Imperial)

9:00 a .m. - - A37 - - A Review of Pa t i en t s H a v i n g Ches t Pain; The i r Disposi t ion and L e n g t h of Stay, in Re la t ionsh ip to the Act iva t ion of Air Medical Ser- vices. B a r a n S, Vanvig S (USA)

9:15 aom. - - A38 - - Accuracy of Various Infus ion Devices Ut i l ized in a He l i cop te r E m e r g e n c y Medical Services P rog ram. Mrochek P, Coverdale P, Snow N (USA)

9:30 a .m. - - A39 - - Aeromedica l T ranspo r t Af te r Thromboly t i c T h e r a p y for Acute Myocard ia l Infarc- t ion. Spang le r D, Brewer M, Cooley H, Lewis B, Szyme la V, Gr i f f i th M, Jones K (USA)

9:45 a .m . - - A40 - - Aeromedica l T r a n s p o r t - - The Exper i ence F r o m the Pa t i en t ' s Point of View. Rodriguez BJ, Al len D, D u n n EL (USA)

10:00 a .m . - - A41 -- D i scon t inua t ion of CPR: A F i r s t Look at t he N a t i o n a l Pract ice. Al len N, Osborn M, W r a a C, Foulke G (USA)

10:15 a.m. - 11:00 a.m. -- B R E A K

11:00 a .m . - - A42 - - Feas ib i l i ty and Safe ty of T r a n s p o r t i n g Acute Myocard ia l In fa rc t ion Pa t i en t s (AMI) By He l icop te r Dur ing Thrombo ly t i c T h e r a p y wi th rt-PA. L a P l a n t e G, Corrao J, Gore J, Wi l l i ams K (USA)

11:15 a .m . - - A43 -- Int ra-Aort ic Bal loon P u m p D y n a m i c s a t Alt i tude. Bowers D, Es tes J (USA)

11:30 a .m . - - A44 - - Myocard ia l Oxygen D e m a n d in Card iac Pa t i en t s D u r i n g Hel icopte r Transpor t . Ru the r fo rd WF, Crooks E, F i she r Jr. CJ (USA)

11:45 a .m . - - A45 - - Reper fus ion A r r h y t h m i a s Dur- ing Air Transfer . B u r n e y RE, Walsh D, F r a s e r S, Tung B, O v e r m y e r J (USA)

12:00 p .m. - - LUNCH

A f t e r n o o n Moderator: N o r m a n Snow, M.D. (Imperial)

2:00 p .m. - - A46 - - A New Device for the Care of Acute Spina l Injuries: The Russel l E x t r i c a t i o n Device. Cohen A (AUS)

2:15 p .m. - - A47 - - Surgica l Versus Needle Cr ico thyro ido tomy in t he Can ine Model. Eas t e s L,, Magee F, Bodens ted t R, Nehrenz G, T je lme land K, Sadowniczik A (USA)

2:30 p .m. - - A48 - - Aeromedica l T r a n s p o r t of Car- diac Pat ients . G a b r a m SGA, Schwar tz RJ, Piacen- t in i L, Lee M, Jacobs L M (USA)

2:45 p .m. - - A49 -- An E a s y Method of H e a t Loss P reven t ion D u r i n g Transpor t . S techer T, H a n k i n s D, C a m p i o n B (USA)

3:00 p .m. - - A50 - - Effect of Al t i tude on Pneumat i ca l ly -Powered , Flu id ic-Control led Versus Electr ical ly-Powered, Microprocessor-Control led Volume Venti la tors . B r a d s h a w M, Dyer LL, Goe t t e r W, Meyers H (USA)

3:15 p .m. - - A51 - - Int ra-Aort ic Bal loon P u m p (IABP), T e m p e r a t u r e and Al t i tude Effects D u r i n g He l i cop te r Transpor t . Man ley N (USA)

3:30 p .m. - - A52 - - Liquid Oxygen Sys t ems on Aeromedica l Hel icopters : A Cost C o m p a r i s o n Study. Idol WD (USA)

3:45 p .m. - - A53 - - New Device for Pe r fo rming Closed Card iac Compress ions Dur ing Air T r a n s p o r t C l a r k C, M a r t i n M, Reines D, K r a t z J (USA)

4:00 p .m. - - A54 - - The Pulse Oximete r : F l igh t Tes t ing a n d R e c o m m e n d a t i o n s for Use in Aeromedica l Transpor t . Glanfie ld , M (UK)

AMJ SEPTEMBER/OCTOBER 1988 13

SCIENTIFIC SESSION Session B

TUESDAY, S E P T E M B E R 20, 1988 3:45 p .m . - - B17 -- Space S ta t ion Cr i t ica l Care and Transpor t . H o u t c h e n s B (USA)

4:00 p .m . - - B18 -- The Royal F ly ing Doctor Service - - 60 Years of Service. Cooter RB (S. AUS)

M o r n i n g Moderator: Ken Rhee, M.D. (Ar l ington/Berkley) 9:00 a .m. - - B 1 - - Airborne Surgical In tens ive Care wi th I m m e d i a t e P o s t o p e r a t i v e E v a c u a t i o n of P a t i e n t s . Gi l l igan J E (S. AUS)

9:15 a .m. - - B2 - - Aeromedica l E v a c u a t i o n F r o m R u r a l Western Austral ia . A Review of 5000 Retrievals by Fixed W i n g Aircraf t . Langford SA (AUS)

9:30 a .m . - - B3 - - Aeromedica l E v a c u a t i o n of Ch i ld ren in I s rae l - - A S tudy of 186 Cases. Kno l l e r N, Dreyfuss UY, Boyanover D (ISR)

9:45 a .m . - - B4 -- Aeromedica l Repa t r ia t ion : Cr i t e r i a to D e t e r m i n e Necessi ty, Urgency and Technical Re- qu i rement s . Ba l l i e r R (FRG)

10:00 a .m. - - B5 - - 15 Years Aeromedical Exper ience in G e r m a n y - - 55,000 Aeromedica l Missions. S te iger S (FRG)

10:15 a.m. - 11:00 a.m. B R E A K / P O S T E R P R E S E N T A T I O N S (Dartmouth/Exeter ) (Sec t ion II)

11:00 a . m . - - B6 -- He l i cop te r Ass i s tance a t Sea for Cargo and Pas senge r Vessels. Bruce -Chwat t RM (UK)

11:15 a .m . - - B7 -- Specific F ea t u r e s of Long Dis tance Medical Transpor t . Ivanof f S, Rapp M, L a r a t t e C (FR)

11:30 a .m . - - B8 -- The Mi l i t a ry SAR Organ i za t i on as Pa r t of the Aeromedical Service in the Federa l Republic of Germany . Schl ieben H H (FRG)

11:45 a .m . - - B9 -- The Regional EMS Hel icop te r Ser- vice in E m i l i a R o m a g n a (Italy). Badia l i S, F i and r i MT, Gordin i G, Gri l l i M, Masol i C, G a m b e r i n i A (ITA)

12:00 p .m . - - LUNCH

A f t e r n o o n Moderator: Al i sda ir Conn, M.D.

2:00 p .m. - - B10 -- About the Coopera t ion of Air and A m b u l a n c e E m e r g e n c y Services. L a m p l L, H e l m M, S c h u m m e r W, Bock K H (FRG)

2:15 p .m. - - B 11 - - Aeromedical Evacua t ion of Civi l ians in I s rae l - - A Study of 1088 Cases. Dreyfuss UY, Knol le r N, Boyanover D, B a r g a n i t t B (ISR)

2:30 p .m . - - B 12 - - Ai r l ine Medical Advisory Services. Cowan MN, Ba t e s K N (USA)

2:45 p .m. - - B 13 - - C u r r e n t L imi t s of He l icop te r Moun- t a i n Rescue Opera t ions . C e r m a k M (SWIT)

3:00 p . m . - - B 14- - Long Dis tance Transpor t of Obstetr ic Pa t i en t s by F ixed W i n g Aircraf t . Langfo rd SA (AUS)

3:15 p .m. - - B15 -- Medica l Advice, Ass i s tance and R e p a t r i a t i o n Serv ice for ADAC Member s . S tock W (FRG)

3 :30 p . m . - - B16 -- Q u a l i f i c a t i o n S t a n d a r d s for Aeromedica l Crew Members . D u r n e r P (FRG)

WEDNESDAY, S E P T E M B E R 21, 1988 M o r n i n g Moderator: Chr i s t ian B u h l e r (Stanbro)

9:00 a .m . - - B19 - - Ai r Rescue Coord ina t ion Centers . Vonmoos P, H u r t e r R (SWIT)

9:15 a .m. - - B20 -- Aeromedica] T r a n s p o r t of Pa- t i en t s Wi th Recent Myocard ia l Infarc t ion. Ivanof f S, Rapp M, L a r a t t e C (FR)

9:30 a .m . - - B21 -- C o m p a r i s o n of G e r m a n Air Rescue 's (DRF) He l i cop te r S t a n d a r d s w i th H A I ' s EMS Guide l ines (Version 1987). Koh le r AF (FRG)

9:45 a .m. - - B22 -- Excep t iona l Condi t ions for a Rescue Hel icopter : Use in Closed Up Town-Ship of West-Berl in. Arn tz HR, Goecke J, S torch WH, Voller HA, Levenson B J, B ippus PH, Schroder R (FRG)

10:00 a .m . - - B23 - - F l igh t for Life: 10 Years of Af r ican Exper ience. Boffard K, Ka tz L (S. AFR)

10:15 a.m. - 11:00 a.m. B R E A K / P O S T E R P R E S E N T A T I O N S (Sec t ion II) 11:00 a .m . - - B24 -- Rescue by a He l i cop te r -Car r i ed Medical Team: A New Approach to E m e r g e n c y Medic ine in Lombard i a . C a n t a d o r e R, Fazzone U, Cerch ia r i E, C r e m o n e s e F, Brioschi P (ITA)

11:15 p .m . - - B25 -- T r a n s p o r t a t i o n of Pa t i en t s Refer red to a Pedia t r ic Cr i t ica l Care P rog ram: 1 Year 's Exper i ence in Over 500 Pat ients . D i m a n d R, S ing le ton C, Or r R (USA)

11:30 a .m . - - B26 -- The Royal F ly ing Doctor Service of Aus t ra l i a - - The Services and the Recipients . McEwin R (AUS)

11:45 a .m . - - B27 -- 20 Years of Civ i l i an Air Am- bu lance Services in the Federa l Republ ic of Ger- m a n y - - Resul ts and Exper iences . Kug le r G (FRG)

12:00 p .m . - - LU N C H

2:00 p.m. - 4:00 p.m. -- NO A F T E R N O O N S E S S I O N S

THURSDAY, S E P T E M B E R 22, 1988 M o r n i n g Moderator: R i c h a r d Burney , M.D.

9:00 a .m . - - B28 -- Fac tors Assoc ia ted Wi th Exag- ge ra t ed Hypox ia a t Alt i tude. M a c D e r m o t t A (UK)

9:15 a .m . - - B29 -- F l igh tc rew Oxygen S a t u r a t i o n a t Alt i tude. Bernh i se l K, S a s m o r M, G o l d m a n M, Casey K, T h o m a s F(USA)

14 SEPTEMBER/OCTOBER AM~

9:30 a.m. -- B30 -- Improving Patient Assessment with Sa02 Monitoring During Three Modes of Transport. Stecher T, Tracy J, Hankins D, Campion B (USA)

9:45 a .m. -- B31 -- Hemato log ica l In f luences to Transfers by Helicopter. Takiguchi M (JAP)

10:00 a .m. -- B32 -- Occul t H y p o x i a D u r i n g Aeromedical Transport: Detection by Pulse Oximetry. Melton JD, Heller MB, Kaplan RM, Mohan-Klein K (USA)

10:15 a . m . - 1 1 : 0 0 a . m . - - B R E A K

11:00 a.m. -- B33 -- Relationship Between Lifestyle Fac- tors and Oxygen Sa tu ra t ion in Air Medical Crew Members: A Pilot Study. Peterson C, Augeneder K, Eastes L, Somers M, Moran N (USA)

11:15 a.m. -- B34 -- The Effect of Altitude on Oxygen Saturation (OS) During Helicopter Transport. Dean M, Bynce R, Cast leman P, Kudsk K, Fabian T (USA)

11:30 a.m. -- B35 -- The Effect of Patient Position Dur- ing Transport on Oximetry and Capnometry: A Prospec- tive Study. Taylor V, Fallon Jr. WF, Alexander RH (USA)

11:45 a.m. -- B36 -- Use of an Airborne Transportable Recompression Chamber and Transfer Under Pressure to a Major Hyperbaric Facility. Gilligan JE (S. AUS)

12:00 p . m . - - L U N C H

A f t e r n o o n M o d e r a t o r : B u r t o n H a r r i s , M . D .

2:00 p.m. -- B37 -- Blood Pressures on the Read. Siker D, Hoffman G, Gostisha M (USA)

2:15 p.m. -- B38 -- Complications of Patients Being Transported for Extracorporeal Membrane Ox- ygenat ion (ECMO). Kennedy K, Singleton C (USA)

2:30 p.m. -- B39 -- Hemoglobin Estimates: Eye to Eye. Siker D, Garland J, Hoffman G, Franco E (USA)

2:45 p.m. -- B40 -- Neonatal Transports -- Defini- tions, Isolettes, and Causes for Delay. Dubin M, Cook Jr. RT, Swisher L (USA)

3:00 p.m. -- B41 -- Noninvasive Respiratory Monitoring During Neonatal Transports. Reimer JM, Schreiber MD (USA)

3:15 p.m. -- B42 -- Physiologic Stability Index (PSI) is a Poor Predictor in Triage of Patients for Pediatric Transport (PT). Orr R, Venkataraman S, Hogue B, Singleton C (USA)

3:30 p.m. -- B43 -- Pre and Post Trauma Support Team Analysis. Feinstein D, Jacobs IM, Schwartz RJ (USA)

3:45 p.m. -- B44 -- The Impact of Trauma Care of EMS Helicopter in Bologna Area (Italy). Badiali S, Fiandri MT, Cancellieri F, Gordini G, Loreti E (ITA)

4:00 p.m. -- B45 -- The Medical Advisory Board Function for a Helicopter Consortium in a Large Metro )olitan Region. Shapiro MJ (USA)

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AM$ SEPTEMBER/OCTOBER1988 15