Abstract

Introduction: Aeromedical evacuation (AE) is a challenging process, further complicated when a patient has a highly hazardous communicable disease (HHCD). We conducted a review of the literature to evaluate the processes and procedures utilized for safe AE high-level containment transport (AE-HLCT) of patients with HHCDs. Methods: A literature search was performed in PubMed/MEDLINE (from 1966 through January 2019). Authors screened abstracts for inclusion criteria and full articles were reviewed if the abstract was deemed to contain information related to the aim. Results: Our search criteria yielded 14 publications and were separated based upon publication dates, with the natural break point being the beginning of the 2013-2016 Ebola virus disease epidemic. Best practices and recommendations from identified articles are subdivided into pre-flight preparations, inflight operations, and post-flight procedures. Conclusions: Limited peer-reviewed literature exists on AE-HLCT, including important aspects related to healthcare worker fatigue, alertness, shift scheduling, and clinical care performance. This hinders the sharing of best practices to inform evacuations and equip teams for future outbreaks. Despite the successful use of different aircraft and technologies, the unique nature of the mission opens the opportunity for greater coordination and development of consensus standards for AE-HLCT operations.

Original languageEnglish (US)
Pages (from-to)359-365
Number of pages7
JournalAir medical journal
Volume38
Issue number5
DOIs
StatePublished - Sep 1 2019

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Air
Practice Guidelines
Publications
Ebola Hemorrhagic Fever
Aircraft
PubMed
MEDLINE
Fatigue
Disease Outbreaks
Communicable Diseases
Consensus
Technology
Delivery of Health Care
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ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Review of Literature for Air Medical Evacuation High-Level Containment Transport. / Gibbs, Shawn G.; Herstein, Jocelyn J.; Le, Aurora B.; Beam, Elizabeth L.; Cieslak, Theodore J.; Lawler, James V.; Santarpia, Joshua L.; Stentz, Terry L.; Kopocis-Herstein, Kelli R.; Achutan, Chandran; Carter, Gary W.; Lowe, John J.

In: Air medical journal, Vol. 38, No. 5, 01.09.2019, p. 359-365.

Research output: Contribution to journalReview article

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abstract = "Introduction: Aeromedical evacuation (AE) is a challenging process, further complicated when a patient has a highly hazardous communicable disease (HHCD). We conducted a review of the literature to evaluate the processes and procedures utilized for safe AE high-level containment transport (AE-HLCT) of patients with HHCDs. Methods: A literature search was performed in PubMed/MEDLINE (from 1966 through January 2019). Authors screened abstracts for inclusion criteria and full articles were reviewed if the abstract was deemed to contain information related to the aim. Results: Our search criteria yielded 14 publications and were separated based upon publication dates, with the natural break point being the beginning of the 2013-2016 Ebola virus disease epidemic. Best practices and recommendations from identified articles are subdivided into pre-flight preparations, inflight operations, and post-flight procedures. Conclusions: Limited peer-reviewed literature exists on AE-HLCT, including important aspects related to healthcare worker fatigue, alertness, shift scheduling, and clinical care performance. This hinders the sharing of best practices to inform evacuations and equip teams for future outbreaks. Despite the successful use of different aircraft and technologies, the unique nature of the mission opens the opportunity for greater coordination and development of consensus standards for AE-HLCT operations.",
author = "Gibbs, {Shawn G.} and Herstein, {Jocelyn J.} and Le, {Aurora B.} and Beam, {Elizabeth L.} and Cieslak, {Theodore J.} and Lawler, {James V.} and Santarpia, {Joshua L.} and Stentz, {Terry L.} and Kopocis-Herstein, {Kelli R.} and Chandran Achutan and Carter, {Gary W.} and Lowe, {John J.}",
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T1 - Review of Literature for Air Medical Evacuation High-Level Containment Transport

AU - Gibbs, Shawn G.

AU - Herstein, Jocelyn J.

AU - Le, Aurora B.

AU - Beam, Elizabeth L.

AU - Cieslak, Theodore J.

AU - Lawler, James V.

AU - Santarpia, Joshua L.

AU - Stentz, Terry L.

AU - Kopocis-Herstein, Kelli R.

AU - Achutan, Chandran

AU - Carter, Gary W.

AU - Lowe, John J.

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N2 - Introduction: Aeromedical evacuation (AE) is a challenging process, further complicated when a patient has a highly hazardous communicable disease (HHCD). We conducted a review of the literature to evaluate the processes and procedures utilized for safe AE high-level containment transport (AE-HLCT) of patients with HHCDs. Methods: A literature search was performed in PubMed/MEDLINE (from 1966 through January 2019). Authors screened abstracts for inclusion criteria and full articles were reviewed if the abstract was deemed to contain information related to the aim. Results: Our search criteria yielded 14 publications and were separated based upon publication dates, with the natural break point being the beginning of the 2013-2016 Ebola virus disease epidemic. Best practices and recommendations from identified articles are subdivided into pre-flight preparations, inflight operations, and post-flight procedures. Conclusions: Limited peer-reviewed literature exists on AE-HLCT, including important aspects related to healthcare worker fatigue, alertness, shift scheduling, and clinical care performance. This hinders the sharing of best practices to inform evacuations and equip teams for future outbreaks. Despite the successful use of different aircraft and technologies, the unique nature of the mission opens the opportunity for greater coordination and development of consensus standards for AE-HLCT operations.

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