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2020 ; 28
(1
): 40
Nephropedia Template TP
gab.com Text
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English Wikipedia
Transport of COVID-19 and other highly contagious patients by helicopter and
fixed-wing air ambulance: a narrative review and experience of the Swiss air
rescue Rega
#MMPMID32410706
Albrecht R
; Knapp J
; Theiler L
; Eder M
; Pietsch U
Scand J Trauma Resusc Emerg Med
2020[May]; 28
(1
): 40
PMID32410706
show ga
BACKGROUND: The current COVID-19 pandemic highlights the challenges air ambulance
services are facing when transporting highly infectious patients for several
hours in enclosed spaces. This overview provides an example of a standard
operating procedure (SOP) for infection prevention measures in HEMS missions
during the COVID-19 pandemic. Furthermore, we describe different methods used by
several organizations in Europe and the experience of the Swiss air rescue
organization Rega in transporting these patients. Possible benefits of the use of
small patient isolation units (PIU) are discussed, including the fact that
accompanying medical personnel do not need to wear personal protective equipment
(PPE) during the transport but can still maintain full access to the patient.
Rega has developed and patented its own PIU. This device allows spontaneously
breathing or mechanically ventilated patients to be transported in pressurized
jet cabins, small helicopters and ambulance vehicles, without the need to change
between transport units. This PIU is unique, as it remains air-tight even when
there is a sudden loss of cabin pressure. CONCLUSION: A wide variety of means are
being used for the aeromedical transport of infectious patients. These involve
isolating either the patient or the medical crew. One benefit of PIUs is that the
means of transport can be easily changed without contaminating the surroundings
and while still allowing access to the patient.