Critical care at Landstuhl Regional Medical Center

2008 ◽  
Vol 36 (Suppl) ◽  
pp. S383-S387 ◽  
Author(s):  
Raymond Fang ◽  
Valerie M. Pruitt ◽  
Gina R. Dorlac ◽  
Stephen V. Silvey ◽  
Erik C. Osborn ◽  
...  
Keyword(s):  
Critical Care ◽  
Medical Center ◽  
Regional Medical ◽  
Regional Medical Center

scholarly journals Patients With Traumatic Brain Injury Transported by Critical Care Air Transport Teams: The Influence of Altitude and Oxygenation during Transport

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1646-e1653
Author(s):  
Joseph K Maddry ◽  
Allyson A Araña ◽  
Lauren K Reeves ◽  
Alejandra G Mora ◽  
Xandria E Gutierrez ◽  
...  
Keyword(s):  
Critical Care ◽  
Clinical Outcomes ◽  
Brain Injuries ◽  
Injury Severity ◽  
Medical Center ◽  
Retrospective Chart Review ◽  
Air Transport ◽  
Discharge Disposition ◽  
Regional Medical ◽  
Regional Medical Center

ABSTRACT Introduction Traumatic brain injuries (TBIs) are life-threatening, and air transport of patients with TBI requires additional considerations. To mitigate the risks of complications associated with altitude, some patients fly with a cabin altitude restriction (CAR) to limit the altitude at which an aircraft’s cabin is maintained. The goal of this study was to examine the effects of CARs on patients with TBI transported out of theater via Critical Care Air Transport Teams. Materials and Methods We conducted a retrospective chart review of patients with moderate-to-severe TBI evacuated out of combat theater to Landstuhl Regional Medical Center via Critical Care Air Transport Teams. We collected demographics, flight and injury information, procedures, oxygenation, and outcomes (discharge disposition and hospital/ICU/ventilator days). We categorized patients as having a CAR if they had a documented CAR or maximum cabin altitude of 5,000 feet or lower in their Critical Care Air Transport Teams record. We calculated descriptive statistics and constructed regression models to evaluate the association between CAR and clinical outcomes. Results We reviewed the charts of 435 patients, 31% of which had a documented CAR. Nineteen percent of the sample had a PaO2 lower than 80 mm Hg, and 3% of patients experienced a SpO2 lower than 93% while in flight. When comparing preflight and in-flight events, we found that the percentage of patients who had a SpO2 of 93% or lower increased for the No CAR group, whereas the CAR group did not experience a significant change. However, flying without a CAR was not associated with discharge disposition, mortality, or hospital/ICU/ventilator days. Further, having a CAR was not associated with these outcomes after adjusting for additional flights, injury severity, injury type, or preflight head surgery. Conclusions Patients with TBI who flew with a CAR did not differ in clinical outcomes from those without a CAR.

Rewards and Challenges of Nursing Wounded Warriors at Landstuhl Regional Medical Center, Germany

2010 ◽  
Vol 45 (2) ◽  
pp. 205-218 ◽  
Author(s):  
Nancy M. Steele ◽  
Ann Kobiela Ketz ◽  
Kathleen D. Martin ◽  
Dawn M. Garcia ◽  
Shannon Womble ◽  
...  
Keyword(s):  
Medical Center ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Wounded Warriors

scholarly journals An Examination of Individualism within Employee Help-Seeking Networks

2018 ◽  
Vol 8 (4) ◽  
pp. 1
Author(s):  
Randall P. Settoon ◽  
Sang H. Lee
Keyword(s):  
Help Seeking ◽  
Medical Center ◽  
Future Research ◽  
Dense Networks ◽  
Helping Others ◽  
Regional Medical ◽  
Regional Medical Center ◽  
The Impact ◽  
The Relationship

Prior research focusing on the impact of individualistic orientations on the performance of cooperative behaviors has produced mixed results. Researchers have concluded that the self-focused orientation of individualists will lead them to be less cooperative than others. On the other hand, some scholars have argued that helping others is core to individualists’ self-concept and that competently assuming the role of help-giver is a source of intrinsic satisfaction. In this study, we test this proposition by examining individualistic orientations within employee help-seeking networks. Results from a sample of 107 employees within a regional medical center indicate that the level of individualism in helping-seeking networks is positively associated with help-seekers’ perceptions of support. Further, the results suggest that the relationship is stronger in dense networks. Implications of this work and directions for future research are discussed.

An Evaluation of Snake Bites and Antivenin Use at a Regional Medical Center

2010 ◽  
Vol 76 (7) ◽  
pp. 755-758
Author(s):  
Larry I. Watson ◽  
Christy Spivey ◽  
Cen Rema Menon ◽  
Cyrus A. Kotwall ◽  
Thomas V. Clancy ◽  
...  
Keyword(s):  
Medical Center ◽  
Length Of Hospital Stay ◽  
Clinical Information ◽  
P Value ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Snake Bites ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Physical Findings

Snake bites are a rare but challenging problem for surgeons. The purpose of our study was to evaluate our experience with snake bites at a regional medical center. We reviewed patients treated for snake bites from 2004 to July 2008. Demographics, clinical information, and outcomes were documented. Descriptive statistics were used, and χ2, t test, and Fisher exact test were used to compare patients based on antivenin use. A P value < 0.05 was considered significant. Over the study period, 126 patients presented to the emergency department with 44 (35%) requiring hospital admission. The average age was 38 years (range, 2 to 76 years); 66 per cent were male and 95 per cent white. Bites most commonly occurred in the summer and fall months with none from December through March. Copperhead bites accounted for 50 per cent of bites. An average of 4.8 vials of antivenin was given to 61 per cent of admitted patients with 93 per cent receiving the drug within 6 hours. Minor reactions to antivenin occurred in three patients (11%). Two patients required surgery (5%), and the readmission rate was 7 per cent. There was no known morbidity or mortality. When comparing patients who received antivenin with patients who did not, the only significant clinical variables were an increased prothrombin time (12.1 vs 11.7, respectively; P = 0.048) and a longer length of hospital stay (3 vs 1.8 days, P = 0.0006) in patients receiving antivenin. The majority of patients with snake bites can be treated with supportive care and antivenin when indicated. Antivenin use at our institution is largely based on physical findings and not related to laboratory values.

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