2. An evacuation is not started when the plane takes off and is not over when it's landed

3. Stages of aeromedical evacuation Receiving information, organization Evaluation, preparation, packaging Transfer to an airport A flight Ambulance transfer to the receiving hospital

4. How many times the patient should be moved after leaving the hospital bed? From hospital bed to hospital trolley Hospital trolley to an ambulance trolley Ambulance trolley to a stretcher in the plane From the stretcher to an ambulance trolley From ambulance to the bed in the receiving hospital Totally- 5 times or more

5. Effects of air and ground transport physiological parameters of critically ill patients Budiansky V, De Jong R, Chesmochakova L, Gagarin A, Loginov A

6. Potential problems with handling the patient The patient can be dropped Can be stacked ET can be dislodged, IV access can be lost etc. Decompensation of the patient Difficult to monitor, to ventilate Exposed to environment

7. Some statistics

8. Guidelines Systemic approach Thorough preparation Minimization of the patient movements Continuous monitoring The same level of support (treatment)

9. Systematic approach

10. Transport unit Minimization of a patient movements Easy and safe handling at every stage Possibility of interventions and monitoring at every stage of evacuation Patients comfort Limitation of exposure to environment Possibility to carry of equipment

11. Creating a transport unit basket stretcher vacuum mattress scoop stretcher spinal board

12. Comparison

13. Your safety Gloves clothes technic

14. Loading to the plane Ask permission Delegate responsibilities but be careful Communicate with pilots Belts Securing equipment

15. Key points Thorough preparation (plan, patient, equipment, personnel) Team leader Transport unit Safety Communication (don’t forget to explain to the patient what you are going to do)