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Abstract: Slide Presentations |

SHORT TERM OUTCOMES OF US AIR FORCE CRITICAL CARE AIR TRANSPORT TEAM (CCATT) PATIENTS EVACUATED FROM A COMBAT SETTING BETWEEN 2007 AND 2008 FREE TO VIEW

William Beninati, MD*; Julio Lairet, DO; James King, MD; Leslie Vojta, MD; Michael McCarthy, BSN; Andre Gholdson, BSN; James Henderson, MD
Author and Funding Information

Wilford Hall Medical Center, Lackland AFB, TX


Chest


Chest. 2009;136(4_MeetingAbstracts):28S. doi:10.1378/chest.136.4_MeetingAbstracts.28S-g
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Published online

Abstract

PURPOSE:  The purpose of this study is to describe the short term outcomes of patients managed by the USAF CCATTs deployed between 2007 and 2008.

METHODS:  This is a retrospective chart review of patients who were transported by CCATT between March 1, 2007 and June 30, 2008. A standardized abstraction form was used. Patients were classified as medical or trauma. For trauma: mechanism of injury and the type of injury were recorded. Care given inflight was documented including: mechanical ventilation, vassoactive medications, and administration of blood products. Short term events in flight included: death, oxyhemoglobin desaturation, hypotension, decline in neurological status, and development of anuria or oliguria.

RESULTS:  656 patient moves met inclusion criteria of which 425 (64.8%) were trauma and 231 (35.2%) were medical. Mechanical ventilation was required by 318 (48.5%), 68 (10.4%) received vasoactive medications, and 43 (6.6%) received blood products during the flight. There were a total of 75 events on 65 patient transports (9.9%). Of these 19 were oxyhemoglobin desaturation, 29 were hypotension, 3 were decline in neurological status, and 23 were due to anuria or oliguria. We did not encounter any deaths, loss of airway or chest tubes during transport.Of the trauma subset, the mean age was 26.7 y/o (SD 7.8), 97.4% were Male. The mechanism of injury was blast in 309 (72.7%), penetrating in 81 (19.1%) and blunt in 35 (8.2%). By type of injury: 269 were polytrauma, 80 amputations, 90 head injuries, 73 burns, 121 intraabdominal injuries and 98 intrathoracic injuries. The mean ISS was 22 (range 1 to 75).Of the 231 medical transports the mean age was 38.6 y/o (SD 13.5), 93.1% were male. The predominance of patients had cardiac disease 126 (54.6%). Other diagnoses included: pneumonia, sepsis, renal failure, GI bleed and CVA.

CONCLUSION:  CCATTs are successful in transporting critically injured and Ill troops with minimal short term complications. Further studies should be performed to further validate these findings.

CLINICAL IMPLICATIONS:  CCATTs are an effective platform to transport critically injured/ill patients.

DISCLOSURE:  William Beninati, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, November 3, 2009

10:30 AM - 12:00 PM


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