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ويژگي هاي انتقال با هلي كوپتر

ويژگي هاي انتقال با هلي كوپتر. انتقال هوايي بيماران. انواع AMT. بطور كلي AMT را مي توان بدو گروه عمده تقسيم نمود :. 1 ـ AMT با بال ثابت ( هواپيما ( 2 ـ AMT توسط بالگردها (هلي كوپتر (. ويژگي هاي انتقال با هلي كوپتر. سرعت قابليت دسترسي محدوده عملياتي

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ويژگي هاي انتقال با هلي كوپتر

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  1. ويژگي هاي انتقال با هلي كوپتر

  2. انتقال هوايي بيماران انواع AMT

  3. بطور كليAMTرا مي توان بدو گروه عمده تقسيم نمود : 1ـAMTبا بال ثابت ( هواپيما( 2ـAMT توسط بالگردها (هلي كوپتر(

  4. ويژگي هاي انتقال با هلي كوپتر سرعت قابليت دسترسي محدوده عملياتي اندازه كابين ارتعاش سروصدا

  5. امنيت از جنبه هوانوردي و فني از جنبه پزشكي

  6. چه وقت ازAMTاستفاده ميشود ؟ ـ امداد ـ انتقال بين بيمارستاني فوري

  7. جنبه هاي پزشكي پرواز در انتقال هوايي بيماران اتمسفر تركيبات اتمسفر فشار درجه حرارت هيپوكسي

  8. جنبه هاي پزشكي پرواز در انتقال هوايي بيماران • تغييرات حجم گازها • رطوبت هوا • شتاب • ارتعاش • صدا

  9. AIR EVACUATION • Physiological Considerations Of Air Evacuation • 1-Changes In Barometric Pressure • 2-Variation In Partial Pressure Of Oxygen • with Altitude pressure • 3- Effect Of Acceleration/Deceleration and • Angle of Climb/Descent 4- Noise, Vibration, humidity , light problems , • Spase limitations

  10. Changes in barometric pressure 1-Open Head Injuries 2-Facial Fracturel/Specially Involving Sinuses 3-Open Eye Injuries 4-Pneumothorax 5-Decompression Sickness 6-Air Emboil 7- GasGangrene

  11. سه راه براي پيشگيري از عوارض ناشي از تغييرات فشار بارومتريك يكي حفظ ارتفاع پروازي در نزديكترين نقطه ممكن به سطح دريا دوم استفاده از آمبولانس هوايي داراي كابين هواي فشرده سوم پيش بيني و تخليه فضاهاي حاوي گاز آزاد تا حد امكان

  12. 10 liter o2 1 - All patient in the rapid transport category 2 – Open eye injuries 3 -Pacial fracture and / or nosebleed with nasal obstraction 4 -Pneumothorax 5 -Chest injuries

  13. 6 - Bowel obstruction 7 - Decompression sickness 8 - Air emboil 9 - Patient with respiratory distress 10 – Chest pain with suspected heart attack 11 – Strokes , Sizures 12 – Coma 13 – Spinal cord injuries

  14. ساير استرسورها و مسائل مرتبط با محيط پروازي 1- AIR SICKNESS 2 – NOISE 3 – TURBULANSE 4 – VIBRATION 5 – ELECTRICAL LIGHLING 6 – HUMIDITY 7 – SPACE LIMITATION

  15. Considerations in the scen of accident : 1 - The need for an air evacuation 2 - Aircraft selection 3 - Preflight comunication with flightcrew 4 - Preflight comunication with ambulance dispatch and hospital 5 - Checklist prior to aircraft arrival 6 - safty procedures around hellicopter and fixed-wing aircraft 7- pre take-off checklist 8 - Inflight patient monitoring 9 - Backup procedures in the event of equipment failure. Unavailability of aircraft poor weather conditions.

  16. MECHANISM OF INJURY 1- Free fall greater than 20 feet 2- Sever deceleration in a motor vehicle accident. - High speed accident and/or major vehicle damage 3- Broken windshield , bent steering wheel or ther significant damag to passenger compartment - Victim thrown from the vehicle. - One or more occupant killed. - Victim involeved in roll-over type accident. 4- Pedestrain , motorcyclist or bicyclist struck at greater than 30 KPh ( 20 MPh ). - Sever crash injuries

  17. ANATOMY OF INJURIES 1-Penetrating injury to the head , neck , chest , abdomen or groin. 2-Two or more proximal long-bone fracture i.e femur , humerus. 3-Flial chest. 4-Extensive facial burns , inhalation injury , or burns greater than 10 % body surface area , especially if associated with anyother trauma. 5-Amputation of extremity other than toe or fingertip

  18. ANATOMY OF INJURIES 6-Sever head injury defined as : - Glasgow coma score less than or aqual to 13 . - Decreasing GCS by 2 or more . - Pupillary inequality greater than 1 mm and slugish response to light . • Extrmity weakness or paralysis , regardless of GCS , • - depressed skull fracture 7- Spinal cord injury , paraplegia or quadriplegia .

  19. PRIMARY SURVEY 1-Parcial or complete airway obstruction. 2-Decreased level of consciousness (GCS<or = 13 ) 3-Raspiratory rate ( less than 10 or greater than 30 per minute ) or sevsr dyspnea . 4-Absent radial pulses . 5-Obvious circulatory shock .

  20. OTHERCONDITIONS • 1-Chest Injiry With Shortness Of Breath • 2-Smoke Or Toxic Gas Inhalation , Carbon Monoxid Poisoning • 3-Decompression Sickness • 4-Air Embolism • 5-Penetrating Eye Injuries

  21. OTHERCONDITIONS • 6-Modereate Or Sever Hypotheremia • 7-Near Drowning • 8-Major Open Limb Fractures • 9-Electerical Injuries With Burn Grater Than 10% Of Body Surface Area

  22. 1-Cardiac Arrest 2-Coma ( GCS 8 OR LESS ) 3-Acute Poisoning With Any Of The Following - Partialy Or Completely Obstracted Airway - RR < 10 Or Greater Than 30 - Absent Radial Pulses - Altered Mental Status Or Decreased Level Of Consciousness - If So Directed By Poison Control Center MEDICAL EMERGENCIES

  23. MEDICAL EMERGENCIES 4 -Status Epilepticus 5- Stroke 6-Heart Failure 7- Sever Shortness Of Breath 8- Shock 9- Chest Pain With Suspected Attack 10- Suspected Acute

  24. Checklist After Transport

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