Competências do enfermeiro aeroespacial em situações de desastres: revisão de escopo

revisão de escopo que seguiu as etapas recomendadas pelo JBI e o checklist Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Foi conduzida em três fases por dois revisores independentes, com cegamento, e suporte de um terceiro revisor para resolver dissidências. A seleção baseou-se na análise dos títulos, descritores e resumos, com critérios de elegibilidade específicos, seguida pela leitura integral dos textos. Ao final da fase de seleção foram incluídas 37 publicações.

Resultados:

os resultados destacaram a necessidade de desenvolvimento de habilidades técnicas, conhecimento de fisiologia do voo, familiaridade com procedimentos de emergências aeronáuticas, habilidades de comunicação, liderança e responsabilidades na preparação de aeronaves. Durante o transporte, os enfermeiros realizam anamnese, exame físico, monitorização de pacientes, procedimentos clínicos e gerenciam intercorrências. Após o voo, fazem registros, desenvolvem procedimentos, realizam a higienização de equipamentos clínicos e a reposição de materiais de consumo.

Conclusão:

diante da complexidade das práticas de enfermagem aeroespacial em desastres, é necessário que os profissionais desenvolvam competências para garantir uma assistência segura e eficaz. Há que se desenvolver tecnologias, marcos regulatórios e previsões legais para suporte jurídico, bem como estudos futuros para validação e aprofundamento das competências mapeadas.

Descritores:
Enfermagem; Resgate Aéreo; Ciência do Desastre; Medicina Aeroespacial; Emergências; Equipe de Desastre

Destaques:

(1) Necessidade de habilidades técnicas e conhecimento de fisiologia do voo.

(2) Enfatiza-se a complexidade da enfermagem aeroespacial em desastres.

(3) Urgência na avaliação das responsabilidades na preparação de aeronaves.

(4) É necessário ter familiaridade com procedimentos de emergências aeronáuticas.

Pesquisa	Estratégias de Busca	Resultados
#01	Search: ”Nursing”[mh] OR Nursing ^* * OR = ou; † AND = e [tiab] OR “Nurses”[mh] ORNurse ^* * OR = ou; † AND = e [tiab] Sort by: Most Recent	690,130
#02	Search: ”Air Ambulances”[mh] OR Air Ambulance ^* * OR = ou; † AND = e [tiab] OR Emergency Helicopter ^* * OR = ou; † AND = e [tiab] OR Helicopter Ambulance ^* * OR = ou; † AND = e [tiab] OR”Aircraft”[mh] OR Aircraft ^* * OR = ou; † AND = e [tiab] OR Helicopter ^* * OR = ou; † AND = e [tiab] OR Airplane ^* * OR = ou; † AND = e [tiab] OR “Transportation of Patients”[mh] OR Patients Transportation ^* * OR = ou; † AND = e [tiab] OR Aeromedical evacuation[tiab] OR Airport ^* * OR = ou; † AND = e [tiab] OR “Aerospace Medicine”[mh] OR “Aviation Medicine”[tiab] OR “Space Medicine”[tiab] OR aerospace[tiab] OR Air[tiab] OR helicopter ^* * OR = ou; † AND = e [tiab] OR aircraft ^* * OR = ou; † AND = e [tiab] OR airplane ^* * OR = ou; † AND = e [tiab] Sort by: Most Recent	362,543
#03	Search: ”Disasters”[mh] OR Disaster ^* * OR = ou; † AND = e [tiab] OR Emergencies[mh] OR Emergenc ^* * OR = ou; † AND = e [tiab] OR Biological Disaster ^* * OR = ou; † AND = e [tiab] OR “Mass Casualty Incidents”[mh] OR Mass Casualty Incident ^* * OR = ou; † AND = e [tiab] OR Mass Casualt ^* * OR = ou; † AND = e [tiab] OR terror[tiab] OR Bioterrorism[tiab] OR Terrorism[tiab] Sort by: Most Recent	594,755
#04	Search: #01 AND #02 AND #03 Sort by: Most Recent	888

Nº	Ano	Tipo de desastre	Fonte de informação	País	Idioma
F1 ⁽ ¹⁸18. Tacahashi DM. Assistência de Enfermagem pré-hospitalar às emergências: um novo desafio para enfermagem. Rev Bras Enferm. 1991;44:113-5. https://doi.org/10.1590/S0034-71671991000200014 https://doi.org/10.1590/S0034-7167199100... ⁾	1991	Não tipificado	Rev Bras Enferm	Brasil	Português
F2 ⁽ ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ⁾	1995	Não tipificado	Air Medical Journal	Estados Unidos	Inglês
F3 ⁽ ²⁰20. Wrobleski DS, Vukov LF. Training of flight nurses on fixed-wing air ambulance services. Air Med J. 1996;15(4):158-62. https://doi.org/10.1016/S1067-991X(96)90023-1 https://doi.org/10.1016/S1067-991X(96)90... ⁾	1996	Não tipificado	Air Medical Journal	Estados Unidos	Inglês
F4 ⁽ ²¹21. Gentil RC. Historical and organizational aspect of aeromedical transport: the assistance dynamics. Rev Esc Enferm USP. 1997;31:452-67. https://doi.org/10.1590/S0080-62341997000300008 https://doi.org/10.1590/S0080-6234199700... ⁾	1997	Guerra	Rev da Escola de Enfermagem da USP	Brasil	Português
F5 ⁽ ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ⁾	1999	Guerra	Acta Paul Enferm	Brasil	Português
F6 ⁽ ²³23. Rocha PK, Prado ML, Radünz V, Wosny AM. Nursing care in pre-hospital attendiment service and airmedical removal. Rev Bras Enferm. 2003;56(6):695-8. https://doi.org/10.1590/S0034-71672003000600022 https://doi.org/10.1590/S0034-7167200300... ⁾	2003	Não tipificado	Rev Bras Enferm	Brasil	Português
F7 ⁽ ²⁴24. Bridges EJ. Military and disaster nursing. Crit Care Nurs Clin. 2003;15(2):xiii–xiv. https://doi.org/10.1016/S0899-5885(02)00086-2 https://doi.org/10.1016/S0899-5885(02)00... ⁾	2003	Não tipificado	Critical Care Nursing Clinics	Estados Unidos	Inglês
F8 ⁽ ²⁵25. Grissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med. 2005;33(1):S13-21. https://doi.org/10.1097/01.CCM.0000151063.85112.5A https://doi.org/10.1097/01.CCM.000015106... ⁾	2005	Não tipificado	Critical Care Medicine	Estados Unidos	Inglês
F9 ⁽ ²⁶26. Leppäniemi A, Vuola J, Vornanen M. Surgery in the air - Evacuating Finnish tsunami victims from Thailand. Scand J Surg. 2005;94(1):5-8. https://doi.org/10.1177/145749690509400103 https://doi.org/10.1177/1457496905094001... ⁾	2005	Tsunami	Scandinavian Journal of Surgery	Finlândia	Inglês
F10 ⁽ ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ⁾	2007	Não tipificado	AORN Journal	Estados Unidos	Inglês
F11 ⁽ ²⁸28. Klein KR, Nagel NE. Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport. Disaster Manage Response. 2007;5(2):56-61. https://doi.org/10.1016/j.dmr.2007.03.001 https://doi.org/10.1016/j.dmr.2007.03.00... ⁾	2007	Furacão Katrina	Disaster Management & Response	Estados Unidos	Inglês
F12 ⁽ ²⁹29. Björnsson HM, Kristjánsson M, Möller AD. Converted charter plane for mass transport of patients after a tsunami. Air Med J. 2008;27(6):293-8. https://doi.org/10.1016/j.amj.2008.06.004 https://doi.org/10.1016/j.amj.2008.06.00... ⁾	2008	Tsunami	Air Medical Journal	Estados Unidos	Inglês
F13 ⁽ ³⁰30. Collins ST. Emergency medical support units to critical care transport teams in Iraq. Crit Care Nurs Clin North Am. 2008;20(1):1-11. https://doi.org/10.1016/j.ccell.2007.10.005 https://doi.org/10.1016/j.ccell.2007.10.... ⁾	2008	Guerra	Critical Care Nursing Clinics of North America	Estados Unidos	Inglês
F14 ⁽ ³¹31. Hudson TL, Morton R. Critical care transport in a combat environment: building tactical trauma transport teams before and during deployment. Crit Care Nurse. 2010;30(6):57-66. https://doi.org/10.4037/ccn2010390 https://doi.org/10.4037/ccn2010390... ⁾	2010	Não tipificado	Critical Care Nurse	Estados Unidos	Inglês
F15 ⁽ ³²32. De Jong MJ, Benner R, Benner P, Richard ML, Kenny DJ, Kelley P, et al. Mass casualty care in an expeditionary environment: developing local knowledge and expertise in context. J Trauma Nurs. 2010;17(1):45-58. https://doi.org/10.1097/JTN.0b013e3181d914ed https://doi.org/10.1097/JTN.0b013e3181d9... ⁾	2010	Não tipificado	Journal of Trauma Nursing\| JTN	Estados Unidos	Inglês
F16 ⁽ ³³33. Agazio J. Army nursing practice challenges in humanitarian and wartime missions. Int J Nurs Pract. 2010;16(2):166-75. https://doi.org/10.1111/j.1440-172X.2010.01826.x https://doi.org/10.1111/j.1440-172X.2010... ⁾	2010	Guerra	International Journal of Nursing Practice	Estados Unidos	Inglês
F17 ⁽ ³⁴34. Passos IP, Toledo VP, Duran EC. Air transport of patients: analysis of scientific knowledge. Rev Bras Enferm. 2011;64:1127–31. https://doi.org/10.1590/S0034-71672011000600021 https://doi.org/10.1590/S0034-7167201100... ⁾	2011	Não tipificado	Rev Bras Enferm	Brasil	Português
F18 ⁽ ³⁵35. Schweitzer G, Nascimento ER, Nascimento KC, Moreira AR, Bertoncello KC. Nursing care protocol for trauma patients in the aerospace environment: during and post-flight care. Texto Contexto Enferm. 2011;20(3):478-85. https://doi.org/10.1590/S0104-07072011000300008 https://doi.org/10.1590/S0104-0707201100... ⁾	2011	Não tipificado	Texto & Contexto –Enfermagem	Brasil	Português
F19 ⁽ ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ⁾	2011	Não tipificado	Rev Bras Enferm	Brasil	Português
F20 ⁽ ³⁷37. Scuissiato DR, Boffi LV, Rocha RR, Montezeli JH, Bordin MT, Peres AM. Flight nurses’ comprehension about their role in the multiprofesional team of aero-medical transport. Rev Bras Enferm. 2012;65(4):614-20. https://doi.org/10.1590/S0034-71672012000400010 https://doi.org/10.1590/S0034-7167201200... ⁾	2012	Não tipificado	Rev Bras Enferm	Brasil	Português
F21 ⁽ ³⁸38. Franco YE, De Lorenzo RA, Salyer SW. Emergent interfacility evacuation of critical care patients in combat. Air Med J. 2012;31(4):185-8. https://doi.org/10.1016/j.amj.2011.09.004 https://doi.org/10.1016/j.amj.2011.09.00... ⁾	2012	Guerra	Air Medical Journal	Estados Unidos	Inglês
F22 ⁽ ³⁹39. Minnick JM, Bebarta VS, Stanton M, Lairet JR, King J, Torres P, et al. The incidence of fever in US Critical Care Air Transport Team combat trauma patients evacuated from the theater between March 2009 and March 2010. J Emerg Nurs. 2013;39(6):e101-6. https://doi.org/10.1016/j.jen.2013.02.001 https://doi.org/10.1016/j.jen.2013.02.00... ⁾	2013	Não tipificado	Journal of Emergency Nursing	Estados Unidos	Inglês
F23 ⁽ ⁴⁰40. Morton R, Krakover B, Hudson T, Alexander B. Casualty evacuation: an innovative role for emergency nurses. J Emerg Nurs. 2013;39(6):576-80. https://doi.org/10.1016/j.jen.2013.08.005 https://doi.org/10.1016/j.jen.2013.08.00... ⁾	2013	Guerra	Journal of Emergency Nursing	Estados Unidos	Inglês
F24 ⁽ ⁴¹41. Elliott B. Military nurses’ experiences returning from war. J Adv Nurs. 2015;71(5):1066-75. https://doi.org/10.1111/jan.12588 https://doi.org/10.1111/jan.12588... ⁾	2015	Guerra	Journal of Emergency Nursing	Estados Unidos	Inglês
F25 ⁽ ⁴²42. Sandström L, Nilsson C, Juuso P, Engström Å. The helicopter as a caring context: experiences of people suffering trauma. Int Emerg Nurs. 2017;32:34-8. https://doi.org/10.1016/j.ienj.2016.09.006 https://doi.org/10.1016/j.ienj.2016.09.0... ⁾	2017	Não tipificado	International Emergency Nursing	Estados Unidos	Inglês
F26 ⁽ ⁴4. Lourenço MB, Pinto CM, Silva OC Junior, Lourenço LH, Paes GO, Oliveira AB. The inclusion of Brazilian flight female nurses in the second world war: challenges and achievements. Esc Anna Nery. 2017;21(4):e20170008. https://doi.org/10.1590/2177-9465-EAN-2017-0008 https://doi.org/10.1590/2177-9465-EAN-20... ⁾	2017	Guerra	Esc Anna Nery – Revista de Enfermagem	Brasil	Português
F27 ⁽ ⁴³43. Swearingen JM, Goodman TM, Chappelle WL, Thompson WT. Post-traumatic stress symptoms in United States Air Force aeromedical evacuation nurses and technicians. Mil Med. 2017;182(suppl_1):258-65. https://doi.org/10.7205/MILMED-D-16-00107 https://doi.org/10.7205/MILMED-D-16-0010... ⁾	2017	Não tipificado	Military Medicine	Estados Unidos	Inglês
F28 ⁽ ⁴⁴44. Yanagawa Y, Ishikawa K, Takeuchi I, Nagasawa H, Jitsuiki K, Ohsaka H, et al. Should helicopters transport patients who become sick after a chemical, biological, radiological, nuclear, and explosive attack? Air Med J. 2018;37(2):124-5. https://doi.org/10.1016/j.amj.2017.11.010 https://doi.org/10.1016/j.amj.2017.11.01... ⁾	2018	QBRN ^* * QBRN = Químicos, biológicos, radiológicos e nucleares	Air Medical Journal	Estados Unidos	Inglês
F29 ⁽ ⁴⁵45. Hughes V. Air Force Nursing Executive leadership impact on health care 2004–2008. Nurs Outlook. 2019;67(2):161-8. https://doi.org/10.1016/j.outlook.2018.11.006 https://doi.org/10.1016/j.outlook.2018.1... ⁾	2019	Guerra e desastres de origem natural	Nursing Outlook	Estados Unidos	Inglês
F30 ⁽ ⁴⁶46. Bridges E, McNeill M. Bringing evidence to the point of care: TriService Nursing Research Program battlefield and disaster nursing pocket guide. Mil Med. 2020;185(Supplement_2):50-3. https://doi.org/10.1093/milmed/usz290 https://doi.org/10.1093/milmed/usz290... ⁾	2020	Não tipificado	Military Medicine	Estados Unidos	Inglês
F31 ⁽ ⁴⁷47. Alfes CM. Improving air medical transport training: anurse leader perspective. Nurse Lead. 2020;18(1):63-6. https://doi.org/10.1016/j.mnl.2019.11.011 https://doi.org/10.1016/j.mnl.2019.11.01... ⁾	2020	Não tipificado	Nurse Leader	Estados Unidos	Inglês
F32 ⁽ ⁴⁸48. Masterson S, Deasy C, Doyle M, Hennelly D, Knox S, Sorensen J. What clinical crew competencies and qualifications are required for helicopter emergency medical services? A review of the literature. Scand J Trauma Resusc Emerg Med. 2020;28:1-9. https://doi.org/10.1186/s13049-020-00722-z https://doi.org/10.1186/s13049-020-00722... ⁾	2020	Não tipificado	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine country	Irlanda	Inglês
F33 ⁽ ⁴⁹49. Guénot P, Coudreuse M, Lely L, Granger-Veyron N. Helicopter rescue missions for emergency medical aid at sea: a new assignment for the French military medical service? Air Med J. 2021;40(4):225-31. https://doi.org/10.1016/j.amj.2021.03.016 https://doi.org/10.1016/j.amj.2021.03.01... ⁾	2021	Não tipificado	Air Medical Journal	Estados Unidos	Inglês
F34 ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ⁾	2021	Não tipificado	Nursing	Brasil	Português
F35 ⁽ ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾	2022	Não tipificado	Hong Kong Journal of Emergency Medicine	China	Inglês
F36 ⁽ ⁵¹51. Thompson G, Miller B, Lenz TJ. Comparing intubation success between flight nurses and flight paramedics in helicopter emergency medical services. Air Med J. 2023;42(6):436-9. https://doi.org/10.1016/j.amj.2023.07.004 https://doi.org/10.1016/j.amj.2023.07.00... ⁾	2023	Não tipificado	Air Medical Journal	Estados Unidos	Inglês
F37 ⁽ ⁷7. Conselho Federal de Medicina (BR). Medicina aeroespacial: orientações gerais para médicos a bordo [Internet]. Brasília: CFM; 2018 [cited 2022 Jan 13];2(1):152-71. Available from: http://portal.cfm.org.br/images/PDF/cartilhaaeroespcaial2018.pdf http://portal.cfm.org.br/images/PDF/cart... ⁾	2023	QBRN ^* * QBRN = Químicos, biológicos, radiológicos e nucleares	Texto & Contexto – Enfermagem	Brasil	Português

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Autor correspondente:
Thiago Augusto Soares Monteiro da Silva E-mail: augustosilvasa88@gmail.com https://orcid.org/0000-0001-6870-5101

Fase do transporte	Mapeamento das competências do enfermeiro aeroespacial no contexto de desastres
PRÉ-VOO	Conhecer a fisiologia do voo e os procedimentos de emergência aeronáutica para prestar assistência de enfermagem de qualidade ⁽ ⁷7. Conselho Federal de Medicina (BR). Medicina aeroespacial: orientações gerais para médicos a bordo [Internet]. Brasília: CFM; 2018 [cited 2022 Jan 13];2(1):152-71. Available from: http://portal.cfm.org.br/images/PDF/cartilhaaeroespcaial2018.pdf http://portal.cfm.org.br/images/PDF/cart... ^, ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ³³33. Agazio J. Army nursing practice challenges in humanitarian and wartime missions. Int J Nurs Pract. 2010;16(2):166-75. https://doi.org/10.1111/j.1440-172X.2010.01826.x https://doi.org/10.1111/j.1440-172X.2010... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^- ³⁷37. Scuissiato DR, Boffi LV, Rocha RR, Montezeli JH, Bordin MT, Peres AM. Flight nurses’ comprehension about their role in the multiprofesional team of aero-medical transport. Rev Bras Enferm. 2012;65(4):614-20. https://doi.org/10.1590/S0034-71672012000400010 https://doi.org/10.1590/S0034-7167201200... ⁾ .
	Conhecer práticas de segurança de voo, do paciente e do profissional relacionadas à aeronave em solo ou em voo ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ³³33. Agazio J. Army nursing practice challenges in humanitarian and wartime missions. Int J Nurs Pract. 2010;16(2):166-75. https://doi.org/10.1111/j.1440-172X.2010.01826.x https://doi.org/10.1111/j.1440-172X.2010... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^- ³⁷37. Scuissiato DR, Boffi LV, Rocha RR, Montezeli JH, Bordin MT, Peres AM. Flight nurses’ comprehension about their role in the multiprofesional team of aero-medical transport. Rev Bras Enferm. 2012;65(4):614-20. https://doi.org/10.1590/S0034-71672012000400010 https://doi.org/10.1590/S0034-7167201200... ^, ⁴⁵45. Hughes V. Air Force Nursing Executive leadership impact on health care 2004–2008. Nurs Outlook. 2019;67(2):161-8. https://doi.org/10.1016/j.outlook.2018.11.006 https://doi.org/10.1016/j.outlook.2018.1... 46. Bridges E, McNeill M. Bringing evidence to the point of care: TriService Nursing Research Program battlefield and disaster nursing pocket guide. Mil Med. 2020;185(Supplement_2):50-3. https://doi.org/10.1093/milmed/usz290 https://doi.org/10.1093/milmed/usz290... 47. Alfes CM. Improving air medical transport training: anurse leader perspective. Nurse Lead. 2020;18(1):63-6. https://doi.org/10.1016/j.mnl.2019.11.011 https://doi.org/10.1016/j.mnl.2019.11.01... ^- ⁴⁸48. Masterson S, Deasy C, Doyle M, Hennelly D, Knox S, Sorensen J. What clinical crew competencies and qualifications are required for helicopter emergency medical services? A review of the literature. Scand J Trauma Resusc Emerg Med. 2020;28:1-9. https://doi.org/10.1186/s13049-020-00722-z https://doi.org/10.1186/s13049-020-00722... ⁾ .
	Conhecer as aeronaves utilizadas em transporte aéreo, e compreender o uso de equipamentos médicos relacionados ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²⁴24. Bridges EJ. Military and disaster nursing. Crit Care Nurs Clin. 2003;15(2):xiii–xiv. https://doi.org/10.1016/S0899-5885(02)00086-2 https://doi.org/10.1016/S0899-5885(02)00... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^, ²⁹29. Björnsson HM, Kristjánsson M, Möller AD. Converted charter plane for mass transport of patients after a tsunami. Air Med J. 2008;27(6):293-8. https://doi.org/10.1016/j.amj.2008.06.004 https://doi.org/10.1016/j.amj.2008.06.00... ^, ³³33. Agazio J. Army nursing practice challenges in humanitarian and wartime missions. Int J Nurs Pract. 2010;16(2):166-75. https://doi.org/10.1111/j.1440-172X.2010.01826.x https://doi.org/10.1111/j.1440-172X.2010... ^, ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾ .
	Saber realizar o preparo da aeronave para a missão ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²⁴24. Bridges EJ. Military and disaster nursing. Crit Care Nurs Clin. 2003;15(2):xiii–xiv. https://doi.org/10.1016/S0899-5885(02)00086-2 https://doi.org/10.1016/S0899-5885(02)00... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^, ⁴⁶46. Bridges E, McNeill M. Bringing evidence to the point of care: TriService Nursing Research Program battlefield and disaster nursing pocket guide. Mil Med. 2020;185(Supplement_2):50-3. https://doi.org/10.1093/milmed/usz290 https://doi.org/10.1093/milmed/usz290... ^, ⁴⁹49. Guénot P, Coudreuse M, Lely L, Granger-Veyron N. Helicopter rescue missions for emergency medical aid at sea: a new assignment for the French military medical service? Air Med J. 2021;40(4):225-31. https://doi.org/10.1016/j.amj.2021.03.016 https://doi.org/10.1016/j.amj.2021.03.01... ^- ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾ .
	Realizar o checklist dos materiais e medicamentos padronizados para uso na aeronave ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²⁴24. Bridges EJ. Military and disaster nursing. Crit Care Nurs Clin. 2003;15(2):xiii–xiv. https://doi.org/10.1016/S0899-5885(02)00086-2 https://doi.org/10.1016/S0899-5885(02)00... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^, ⁴⁹49. Guénot P, Coudreuse M, Lely L, Granger-Veyron N. Helicopter rescue missions for emergency medical aid at sea: a new assignment for the French military medical service? Air Med J. 2021;40(4):225-31. https://doi.org/10.1016/j.amj.2021.03.016 https://doi.org/10.1016/j.amj.2021.03.01... ^- ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾ .
	Prover os materiais, equipamentos e oxigênio necessários ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²⁴24. Bridges EJ. Military and disaster nursing. Crit Care Nurs Clin. 2003;15(2):xiii–xiv. https://doi.org/10.1016/S0899-5885(02)00086-2 https://doi.org/10.1016/S0899-5885(02)00... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^, ⁴⁹49. Guénot P, Coudreuse M, Lely L, Granger-Veyron N. Helicopter rescue missions for emergency medical aid at sea: a new assignment for the French military medical service? Air Med J. 2021;40(4):225-31. https://doi.org/10.1016/j.amj.2021.03.016 https://doi.org/10.1016/j.amj.2021.03.01... ^- ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾ .
	Possuir perfil de liderança e capacidade de tomada de decisão ⁽ ²⁸28. Klein KR, Nagel NE. Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport. Disaster Manage Response. 2007;5(2):56-61. https://doi.org/10.1016/j.dmr.2007.03.001 https://doi.org/10.1016/j.dmr.2007.03.00... ^, ⁴⁵45. Hughes V. Air Force Nursing Executive leadership impact on health care 2004–2008. Nurs Outlook. 2019;67(2):161-8. https://doi.org/10.1016/j.outlook.2018.11.006 https://doi.org/10.1016/j.outlook.2018.1... ⁾ .
	Atuar como profissional formador, desenvolvendo programas em equipe para assegurar que a equipe possua habilidades, competências e conhecimentos atualizados ⁽ ⁴⁵45. Hughes V. Air Force Nursing Executive leadership impact on health care 2004–2008. Nurs Outlook. 2019;67(2):161-8. https://doi.org/10.1016/j.outlook.2018.11.006 https://doi.org/10.1016/j.outlook.2018.1... ⁾ .
	Possuir habilidades técnicas para lidar com desastres, habilidades de comunicação e capacidade de lidar com múltiplas vítimas ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²⁴24. Bridges EJ. Military and disaster nursing. Crit Care Nurs Clin. 2003;15(2):xiii–xiv. https://doi.org/10.1016/S0899-5885(02)00086-2 https://doi.org/10.1016/S0899-5885(02)00... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^, ³⁴34. Passos IP, Toledo VP, Duran EC. Air transport of patients: analysis of scientific knowledge. Rev Bras Enferm. 2011;64:1127–31. https://doi.org/10.1590/S0034-71672011000600021 https://doi.org/10.1590/S0034-7167201100... ⁾ .
	Possuir boa comunicação oral e escrita, para discutir casos com a equipe e realizar os relatórios necessários ⁽ ⁷7. Conselho Federal de Medicina (BR). Medicina aeroespacial: orientações gerais para médicos a bordo [Internet]. Brasília: CFM; 2018 [cited 2022 Jan 13];2(1):152-71. Available from: http://portal.cfm.org.br/images/PDF/cartilhaaeroespcaial2018.pdf http://portal.cfm.org.br/images/PDF/cart... ^, ³⁵35. Schweitzer G, Nascimento ER, Nascimento KC, Moreira AR, Bertoncello KC. Nursing care protocol for trauma patients in the aerospace environment: during and post-flight care. Texto Contexto Enferm. 2011;20(3):478-85. https://doi.org/10.1590/S0104-07072011000300008 https://doi.org/10.1590/S0104-0707201100... ^, ³⁷37. Scuissiato DR, Boffi LV, Rocha RR, Montezeli JH, Bordin MT, Peres AM. Flight nurses’ comprehension about their role in the multiprofesional team of aero-medical transport. Rev Bras Enferm. 2012;65(4):614-20. https://doi.org/10.1590/S0034-71672012000400010 https://doi.org/10.1590/S0034-7167201200... ^, ⁴⁵45. Hughes V. Air Force Nursing Executive leadership impact on health care 2004–2008. Nurs Outlook. 2019;67(2):161-8. https://doi.org/10.1016/j.outlook.2018.11.006 https://doi.org/10.1016/j.outlook.2018.1... ⁾ .
	Realizar a verificação da necessidade do uso do aeronave, identificando o caráter da emergência por meio do estado, quantidade de vítimas e local da ocorrência ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁸18. Tacahashi DM. Assistência de Enfermagem pré-hospitalar às emergências: um novo desafio para enfermagem. Rev Bras Enferm. 1991;44:113-5. https://doi.org/10.1590/S0034-71671991000200014 https://doi.org/10.1590/S0034-7167199100... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^, ⁴⁴44. Yanagawa Y, Ishikawa K, Takeuchi I, Nagasawa H, Jitsuiki K, Ohsaka H, et al. Should helicopters transport patients who become sick after a chemical, biological, radiological, nuclear, and explosive attack? Air Med J. 2018;37(2):124-5. https://doi.org/10.1016/j.amj.2017.11.010 https://doi.org/10.1016/j.amj.2017.11.01... ⁾ .
	Planejar, junto com a equipe multiprofissional, toda a missão ⁽ ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^, ⁴⁴44. Yanagawa Y, Ishikawa K, Takeuchi I, Nagasawa H, Jitsuiki K, Ohsaka H, et al. Should helicopters transport patients who become sick after a chemical, biological, radiological, nuclear, and explosive attack? Air Med J. 2018;37(2):124-5. https://doi.org/10.1016/j.amj.2017.11.010 https://doi.org/10.1016/j.amj.2017.11.01... ^, ⁵¹51. Thompson G, Miller B, Lenz TJ. Comparing intubation success between flight nurses and flight paramedics in helicopter emergency medical services. Air Med J. 2023;42(6):436-9. https://doi.org/10.1016/j.amj.2023.07.004 https://doi.org/10.1016/j.amj.2023.07.00... ⁾ .
	Realizar a avaliação do paciente (Histórico de Enfermagem) e participar da decisão sobre a indicação de remoção ou não do paciente por meio aéreo ⁽ ²⁰20. Wrobleski DS, Vukov LF. Training of flight nurses on fixed-wing air ambulance services. Air Med J. 1996;15(4):158-62. https://doi.org/10.1016/S1067-991X(96)90023-1 https://doi.org/10.1016/S1067-991X(96)90... ^, ²⁵25. Grissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med. 2005;33(1):S13-21. https://doi.org/10.1097/01.CCM.0000151063.85112.5A https://doi.org/10.1097/01.CCM.000015106... ^, ³⁵35. Schweitzer G, Nascimento ER, Nascimento KC, Moreira AR, Bertoncello KC. Nursing care protocol for trauma patients in the aerospace environment: during and post-flight care. Texto Contexto Enferm. 2011;20(3):478-85. https://doi.org/10.1590/S0104-07072011000300008 https://doi.org/10.1590/S0104-0707201100... ^, ³⁸38. Franco YE, De Lorenzo RA, Salyer SW. Emergent interfacility evacuation of critical care patients in combat. Air Med J. 2012;31(4):185-8. https://doi.org/10.1016/j.amj.2011.09.004 https://doi.org/10.1016/j.amj.2011.09.00... ⁾ .
	Realizar procedimentos de diversas complexidades no preparo do paciente para o transporte, de acordo com o quadro clínico ⁽ ⁷7. Conselho Federal de Medicina (BR). Medicina aeroespacial: orientações gerais para médicos a bordo [Internet]. Brasília: CFM; 2018 [cited 2022 Jan 13];2(1):152-71. Available from: http://portal.cfm.org.br/images/PDF/cartilhaaeroespcaial2018.pdf http://portal.cfm.org.br/images/PDF/cart... ^, ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^- ²³23. Rocha PK, Prado ML, Radünz V, Wosny AM. Nursing care in pre-hospital attendiment service and airmedical removal. Rev Bras Enferm. 2003;56(6):695-8. https://doi.org/10.1590/S0034-71672003000600022 https://doi.org/10.1590/S0034-7167200300... ^, ²⁵25. Grissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med. 2005;33(1):S13-21. https://doi.org/10.1097/01.CCM.0000151063.85112.5A https://doi.org/10.1097/01.CCM.000015106... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^- ²⁸28. Klein KR, Nagel NE. Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport. Disaster Manage Response. 2007;5(2):56-61. https://doi.org/10.1016/j.dmr.2007.03.001 https://doi.org/10.1016/j.dmr.2007.03.00... ^, ³⁰30. Collins ST. Emergency medical support units to critical care transport teams in Iraq. Crit Care Nurs Clin North Am. 2008;20(1):1-11. https://doi.org/10.1016/j.ccell.2007.10.005 https://doi.org/10.1016/j.ccell.2007.10.... ^, ⁴⁹49. Guénot P, Coudreuse M, Lely L, Granger-Veyron N. Helicopter rescue missions for emergency medical aid at sea: a new assignment for the French military medical service? Air Med J. 2021;40(4):225-31. https://doi.org/10.1016/j.amj.2021.03.016 https://doi.org/10.1016/j.amj.2021.03.01... ^- ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾ .
VOO	Possuir conhecimento sobre os procedimentos de emergência da aeronave em que realiza o transporte ⁽ ²⁵25. Grissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med. 2005;33(1):S13-21. https://doi.org/10.1097/01.CCM.0000151063.85112.5A https://doi.org/10.1097/01.CCM.000015106... ^- ²⁶26. Leppäniemi A, Vuola J, Vornanen M. Surgery in the air - Evacuating Finnish tsunami victims from Thailand. Scand J Surg. 2005;94(1):5-8. https://doi.org/10.1177/145749690509400103 https://doi.org/10.1177/1457496905094001... ⁾ .
	Ter a capacidade de desenvolver e gerenciar ações do plano de resposta de desastres em ambiente aéreo ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^, ³⁹39. Minnick JM, Bebarta VS, Stanton M, Lairet JR, King J, Torres P, et al. The incidence of fever in US Critical Care Air Transport Team combat trauma patients evacuated from the theater between March 2009 and March 2010. J Emerg Nurs. 2013;39(6):e101-6. https://doi.org/10.1016/j.jen.2013.02.001 https://doi.org/10.1016/j.jen.2013.02.00... ⁾ .
	Possuir boa comunicação escrita para realizar registros e anotações de Enfermagem ⁽ ²¹21. Gentil RC. Historical and organizational aspect of aeromedical transport: the assistance dynamics. Rev Esc Enferm USP. 1997;31:452-67. https://doi.org/10.1590/S0080-62341997000300008 https://doi.org/10.1590/S0080-6234199700... ^- ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ⁾ .
	Possuir capacidade de liderança da equipe de cuidados durante o voo ⁽ ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ⁾ .
	Gerenciar o fluxo de pacientes, recursos humanos, materiais, equipamentos e suprimentos durante o voo ⁽ ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^, ²⁶26. Leppäniemi A, Vuola J, Vornanen M. Surgery in the air - Evacuating Finnish tsunami victims from Thailand. Scand J Surg. 2005;94(1):5-8. https://doi.org/10.1177/145749690509400103 https://doi.org/10.1177/1457496905094001... 27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... ^- ²⁸28. Klein KR, Nagel NE. Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport. Disaster Manage Response. 2007;5(2):56-61. https://doi.org/10.1016/j.dmr.2007.03.001 https://doi.org/10.1016/j.dmr.2007.03.00... ^, ³¹31. Hudson TL, Morton R. Critical care transport in a combat environment: building tactical trauma transport teams before and during deployment. Crit Care Nurse. 2010;30(6):57-66. https://doi.org/10.4037/ccn2010390 https://doi.org/10.4037/ccn2010390... ^- ³²32. De Jong MJ, Benner R, Benner P, Richard ML, Kenny DJ, Kelley P, et al. Mass casualty care in an expeditionary environment: developing local knowledge and expertise in context. J Trauma Nurs. 2010;17(1):45-58. https://doi.org/10.1097/JTN.0b013e3181d914ed https://doi.org/10.1097/JTN.0b013e3181d9... ^, ⁴²42. Sandström L, Nilsson C, Juuso P, Engström Å. The helicopter as a caring context: experiences of people suffering trauma. Int Emerg Nurs. 2017;32:34-8. https://doi.org/10.1016/j.ienj.2016.09.006 https://doi.org/10.1016/j.ienj.2016.09.0... ^, ⁴⁴44. Yanagawa Y, Ishikawa K, Takeuchi I, Nagasawa H, Jitsuiki K, Ohsaka H, et al. Should helicopters transport patients who become sick after a chemical, biological, radiological, nuclear, and explosive attack? Air Med J. 2018;37(2):124-5. https://doi.org/10.1016/j.amj.2017.11.010 https://doi.org/10.1016/j.amj.2017.11.01... ⁾ .
	Possuir capacidade de gerenciar as intercorrências durante o voo ⁽ ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ⁾ .
	Utilizar os instrumentos que garantam a segurança e a saúde profissional (EPI e EPC) ⁽ ⁷7. Conselho Federal de Medicina (BR). Medicina aeroespacial: orientações gerais para médicos a bordo [Internet]. Brasília: CFM; 2018 [cited 2022 Jan 13];2(1):152-71. Available from: http://portal.cfm.org.br/images/PDF/cartilhaaeroespcaial2018.pdf http://portal.cfm.org.br/images/PDF/cart... ^, ⁴⁰40. Morton R, Krakover B, Hudson T, Alexander B. Casualty evacuation: an innovative role for emergency nurses. J Emerg Nurs. 2013;39(6):576-80. https://doi.org/10.1016/j.jen.2013.08.005 https://doi.org/10.1016/j.jen.2013.08.00... ⁾ .
	Realizar anamnese e exame físico direcionado, estabelecendo o processo de Enfermagem ⁽ ²⁰20. Wrobleski DS, Vukov LF. Training of flight nurses on fixed-wing air ambulance services. Air Med J. 1996;15(4):158-62. https://doi.org/10.1016/S1067-991X(96)90023-1 https://doi.org/10.1016/S1067-991X(96)90... ^, ²⁵25. Grissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med. 2005;33(1):S13-21. https://doi.org/10.1097/01.CCM.0000151063.85112.5A https://doi.org/10.1097/01.CCM.000015106... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^, ³⁸38. Franco YE, De Lorenzo RA, Salyer SW. Emergent interfacility evacuation of critical care patients in combat. Air Med J. 2012;31(4):185-8. https://doi.org/10.1016/j.amj.2011.09.004 https://doi.org/10.1016/j.amj.2011.09.00... ^- ³⁹39. Minnick JM, Bebarta VS, Stanton M, Lairet JR, King J, Torres P, et al. The incidence of fever in US Critical Care Air Transport Team combat trauma patients evacuated from the theater between March 2009 and March 2010. J Emerg Nurs. 2013;39(6):e101-6. https://doi.org/10.1016/j.jen.2013.02.001 https://doi.org/10.1016/j.jen.2013.02.00... ^, ⁴¹41. Elliott B. Military nurses’ experiences returning from war. J Adv Nurs. 2015;71(5):1066-75. https://doi.org/10.1111/jan.12588 https://doi.org/10.1111/jan.12588... ⁾ .
	Oferecer apoio psicoemocional ao paciente durante o transporte ⁽ ⁴4. Lourenço MB, Pinto CM, Silva OC Junior, Lourenço LH, Paes GO, Oliveira AB. The inclusion of Brazilian flight female nurses in the second world war: challenges and achievements. Esc Anna Nery. 2017;21(4):e20170008. https://doi.org/10.1590/2177-9465-EAN-2017-0008 https://doi.org/10.1590/2177-9465-EAN-20... ^, ²¹21. Gentil RC. Historical and organizational aspect of aeromedical transport: the assistance dynamics. Rev Esc Enferm USP. 1997;31:452-67. https://doi.org/10.1590/S0080-62341997000300008 https://doi.org/10.1590/S0080-6234199700... ^- ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^, ⁴²42. Sandström L, Nilsson C, Juuso P, Engström Å. The helicopter as a caring context: experiences of people suffering trauma. Int Emerg Nurs. 2017;32:34-8. https://doi.org/10.1016/j.ienj.2016.09.006 https://doi.org/10.1016/j.ienj.2016.09.0... ⁾ .
	Realizar procedimentos de diversas complexidades durante o voo, de acordo com o quadro clínico do paciente ⁽ ⁷7. Conselho Federal de Medicina (BR). Medicina aeroespacial: orientações gerais para médicos a bordo [Internet]. Brasília: CFM; 2018 [cited 2022 Jan 13];2(1):152-71. Available from: http://portal.cfm.org.br/images/PDF/cartilhaaeroespcaial2018.pdf http://portal.cfm.org.br/images/PDF/cart... ^, ⁹9. Haberland DF, Silva TA, Kneodler TS, Guilherme FJ, Borges LL, Oliveira AB. Competencies for aeromedical evacuation practices in emergencies and disasters: a scoping review. Texto Contexto Enferm. 2023;32:e20220315. https://doi.org/10.1590/1980-265X-TCE-2022-0315pt https://doi.org/10.1590/1980-265X-TCE-20... ^, ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^- ²³23. Rocha PK, Prado ML, Radünz V, Wosny AM. Nursing care in pre-hospital attendiment service and airmedical removal. Rev Bras Enferm. 2003;56(6):695-8. https://doi.org/10.1590/S0034-71672003000600022 https://doi.org/10.1590/S0034-7167200300... ^, ²⁵25. Grissom TE, Farmer JC. The provision of sophisticated critical care beyond the hospital: lessons from physiology and military experiences that apply to civil disaster medical response. Crit Care Med. 2005;33(1):S13-21. https://doi.org/10.1097/01.CCM.0000151063.85112.5A https://doi.org/10.1097/01.CCM.000015106... ^, ²⁷27. AORN guidance statement: mass casualty, triage, and evacuation. AORN J. 2007;85(4):792-800. https://doi.org/10.1016/s0001-2092(07)60154-9 https://doi.org/10.1016/s0001-2092(07)60... 28. Klein KR, Nagel NE. Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport. Disaster Manage Response. 2007;5(2):56-61. https://doi.org/10.1016/j.dmr.2007.03.001 https://doi.org/10.1016/j.dmr.2007.03.00... 29. Björnsson HM, Kristjánsson M, Möller AD. Converted charter plane for mass transport of patients after a tsunami. Air Med J. 2008;27(6):293-8. https://doi.org/10.1016/j.amj.2008.06.004 https://doi.org/10.1016/j.amj.2008.06.00... ^- ³⁰30. Collins ST. Emergency medical support units to critical care transport teams in Iraq. Crit Care Nurs Clin North Am. 2008;20(1):1-11. https://doi.org/10.1016/j.ccell.2007.10.005 https://doi.org/10.1016/j.ccell.2007.10.... ^, ³⁶36. Schweitzer G, Nascimento ER, Moreira AR, Bertoncello KC. Protocol of nursing care to traumatized patients in the aerospace environment: care before flight. Rev Bras Enferm. 2011;64(6):1056-66. https://doi.org/10.1590/S0034-71672011000600011 https://doi.org/10.1590/S0034-7167201100... ^, ³⁹39. Minnick JM, Bebarta VS, Stanton M, Lairet JR, King J, Torres P, et al. The incidence of fever in US Critical Care Air Transport Team combat trauma patients evacuated from the theater between March 2009 and March 2010. J Emerg Nurs. 2013;39(6):e101-6. https://doi.org/10.1016/j.jen.2013.02.001 https://doi.org/10.1016/j.jen.2013.02.00... ^, ⁴¹41. Elliott B. Military nurses’ experiences returning from war. J Adv Nurs. 2015;71(5):1066-75. https://doi.org/10.1111/jan.12588 https://doi.org/10.1111/jan.12588... ^, ⁴⁸48. Masterson S, Deasy C, Doyle M, Hennelly D, Knox S, Sorensen J. What clinical crew competencies and qualifications are required for helicopter emergency medical services? A review of the literature. Scand J Trauma Resusc Emerg Med. 2020;28:1-9. https://doi.org/10.1186/s13049-020-00722-z https://doi.org/10.1186/s13049-020-00722... 49. Guénot P, Coudreuse M, Lely L, Granger-Veyron N. Helicopter rescue missions for emergency medical aid at sea: a new assignment for the French military medical service? Air Med J. 2021;40(4):225-31. https://doi.org/10.1016/j.amj.2021.03.016 https://doi.org/10.1016/j.amj.2021.03.01... ^- ⁵⁰50. Cheung AC, Lam RP, Fok PW, Ng EP, Chaang VK, Rainer TH. Predictors for in-flight medical interventions during helicopter interfacility transport in Hong Kong. Hong Kong J Emerg Med. 2022;29(5):296-304. https://doi.org/10.1177/10249079211030110 https://doi.org/10.1177/1024907921103011... ⁾ .
	Realizar intubação orotraqueal, em casos necessários ⁽ ⁵¹51. Thompson G, Miller B, Lenz TJ. Comparing intubation success between flight nurses and flight paramedics in helicopter emergency medical services. Air Med J. 2023;42(6):436-9. https://doi.org/10.1016/j.amj.2023.07.004 https://doi.org/10.1016/j.amj.2023.07.00... ⁾ .
PÓS-VOO	Possuir boa comunicação escrita para realizar o preenchimento da documentação do paciente em formulário ou sistema próprio, organizar e protocolar os registros em ordem cronológica dos acontecimentos ⁽ ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^, ²⁶26. Leppäniemi A, Vuola J, Vornanen M. Surgery in the air - Evacuating Finnish tsunami victims from Thailand. Scand J Surg. 2005;94(1):5-8. https://doi.org/10.1177/145749690509400103 https://doi.org/10.1177/1457496905094001... ^, ³⁵35. Schweitzer G, Nascimento ER, Nascimento KC, Moreira AR, Bertoncello KC. Nursing care protocol for trauma patients in the aerospace environment: during and post-flight care. Texto Contexto Enferm. 2011;20(3):478-85. https://doi.org/10.1590/S0104-07072011000300008 https://doi.org/10.1590/S0104-0707201100... ^, ⁴⁰40. Morton R, Krakover B, Hudson T, Alexander B. Casualty evacuation: an innovative role for emergency nurses. J Emerg Nurs. 2013;39(6):576-80. https://doi.org/10.1016/j.jen.2013.08.005 https://doi.org/10.1016/j.jen.2013.08.00... ⁾ .
	Desenvolver comunicação técnica clara por meio da descrição detalhada do caso do paciente para a equipe de saúde em solo, indicando todas as alterações e intervenções realizadas no pré-voo e durante o voo ⁽ ¹⁹19. Bader GB, Terhorst M, Heilman P, DePalma JA. Characteristics of flight nursing practice. Air Med J. 1995;14(4):214-8. https://doi.org/10.1016/1067-991X(95)90005-5 https://doi.org/10.1016/1067-991X(95)900... ^, ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ^, ²⁶26. Leppäniemi A, Vuola J, Vornanen M. Surgery in the air - Evacuating Finnish tsunami victims from Thailand. Scand J Surg. 2005;94(1):5-8. https://doi.org/10.1177/145749690509400103 https://doi.org/10.1177/1457496905094001... ^, ⁴⁰40. Morton R, Krakover B, Hudson T, Alexander B. Casualty evacuation: an innovative role for emergency nurses. J Emerg Nurs. 2013;39(6):576-80. https://doi.org/10.1016/j.jen.2013.08.005 https://doi.org/10.1016/j.jen.2013.08.00... ⁾ .
	Realizar a desinfecção dos equipamentos de saúde, e repor a previsão de materiais para a próxima missão ⁽ ²²22. Thomaz RR, Miranda MF, Souza GA, Gentil RC. Enfermeiro de bordo: uma profissão no ar. Acta Paul Enferm [Internet]. 1999 [cited 2022 Jan 10];12(1):86-96. Available from: https://acta-ape.org/wp-content/uploads/articles_xml/1982-0194-ape-S0103-2100199900012000298/1982-0194-ape-S0103-2100199900012000298.pdf https://acta-ape.org/wp-content/uploads/... ⁾ .