Sea Level Flights Need or Dogma? - EfCCNaefccna.org/downloads/Presentations/Session 07... · 1.1...
Transcript of Sea Level Flights Need or Dogma? - EfCCNaefccna.org/downloads/Presentations/Session 07... · 1.1...
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Sea Level Flights – Need or Dogma?
David Quayle, Chief Flight Nurse&
Dr Jonathan Warwick, Medical Director AirMedical Ltd, Oxford, UK
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Indications for sea-level cabin?
• Pneumocephalus
• Pneumothorax
• Intraocular gas
• Abdominal distension
• Decompression sickness
• Gas gangrene
• Hypoxic respiratory failure
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Indications for sea-level cabin?
• Pneumocephalus
• Pneumothorax
• Intraocular gas
• Abdominal distension
• Decompression sickness
• Gas gangrene
• Hypoxic respiratory failure
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Pneumocephalus
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Monro – Kellie doctrine
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ICP change is magnified by:
• A large initial volume of air
• An already elevated ICP
• A fast rate of change
Air transport of patients with intracranial air: computer model of pressure effects. Andersson N, Grip H, Lindvall P et al. Aviat Space Environ Med 2003;74:138-44
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Aeromedical evacuation of patients with pneumocephalus: outcomes in 21 cases
Donovan DJ, Iskander JI, Dunn CJ et al. Aviat Space Environ Med 2008, 79(1): 30-35
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Aeromedical evacuation of patients with pneumocephalus: outcomes in 21 casesDonovan DJ, Iskander JI, Dunn CJ et al. Aviat Space Environ Med 2008, 79(1): 30-35
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Pneumothorax
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The “staged ascent”
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