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- Bookedited by William W. Hurd, William Beninati.Summary: Now in its fully revised and expanded second edition, this volume is the definitive resource on long-distance air transport of injured patients in both peacetime and wartime. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in- flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail in the second half of the book, including general surgical casualties such as abdominal wounds and soft tissue injuries, vascular injuries, maxillofacial injuries, head and spinal cord injuries, ophthalmologic casualties, orthopedic casualties, burns, pediatric casualties, obstetric-gynecologic casualties, and more. For each medical condition, important topics are addressed such as conditions needed to be met before transportation, special concerns, supplies and needs of the specific patients and possible in-flight emergencies and their appropriated treatment. Containing several new chapters and featuring extensively updated contributions from experts in the field, Aeromedical Evacuation: Management of the Acute and Stabilized Patient, Second Edition is a must-have reference for a whole new generation of military flight surgeons and flight nurses responsible for aeromedical evacuation of casualties as well as civilian physicians and nurses involved in air transport of ill and post-operative patients. .
Contents:
Introduction
Aeromedical Evacuation: A Historical Perspective
Military Casualty Evacuation: MEDEVAC
Civilian Air Medical Transport
Aircraft Considerations for Aeromedical Evacuation
Preparation for Long-Distance Aeromedical Evacuation
Aeromedical Patient Staging
Military Aeromedical Evacuation Nursing
Critical-Care Air Transport: Patient Flight Physiology and Organizational Considerations
Aeromedical Evacuation of Patients with Abdominal, Genitourinary, and Soft Tissue Injuries
Orthopedic Patients
Aeromedical Evacuation of the Neurosurgical Patient
Otorhinolaryngology Head and Neck Surgery Patients
Care of Ophthalmic Casualties
Peripheral Vascular Casualties
Aeromedical Evacuation of Cardiothoracic Casualties
Burn Casualties
Patients Requiring Mechanical Ventilation
Medical Casualties
Aeromedical Evacuation of Patients with Contagious Infections
Aeromedical Evacuation of Obstetric and Gynecological Patients
Overview of Pediatric and Neonatal Transport
Aeromedical Evacuation of Psychiatric Casualties. - ArticleThomas EL, Aune TM.Antimicrob Agents Chemother. 1978 Feb;13(2):261-5.The bactericidal action that results from lactoperoxidase-catalyzed oxidation of iodide or thiocyanate was studied, using Escherichia coli as the test organism. The susceptibility of intact cells to bactericidal action was compared with that of cells with altered cell envelopes. Exposure to ethylenediaminetetraacetic acid, to lysozyme and ethylenediaminetetraacetic acid, or to osmotic shock were used to alter the cell envelope. Bactericidal action was greatly increased when the cells were exposed to the lactoperoxidase-peroxide-iodide system at low temperatures, low cell density, or after alteration of the cell envelope. When thiocyanate was substituted for iodide, bactericidal activity was observed only at low cell density or after osmotic shock. Low temperature and low cell density lowered the rate of destruction of peroxide by the bacteria. Therefore, competition for peroxide between the bacteria and lactoperoxidase may influence the extent of bactericidal action. Alteration of the cell envelope had only a small effect on the rate of destruction of peroxide. Instead, the increased susceptibility of these altered cells suggested that bactericidal action required permeation of a reagent through the cell envelope. In addition to altering the cell envelope, these procedures partly depleted cells of oxidizable substrates and sulfhydryl components. Adding an oxidizable substrate did not decrease the susceptibility of the altered cells. On the other hand, mild reducing agents such as sulfhydryl compounds did partly reverse bactericidal action when added after exposure of cells to the peroxidase systems. These studies indicate that alteration of the metabolism, structure, or composition of bacterial cells can greatly increase their susceptibility to peroxidase bactericidal action.