Fase de transporte
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Mapeo de las competencias del enfermero aeroespacial en el contexto de desastres
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ANTES DEL VUELO
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Conocer la fisiología de vuelo y los procedimientos de emergencia aeronáuticos para brindar una atención de enfermería de calidad ( 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...
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Conocer las prácticas de seguridad de vuelo, del paciente y del profesional relacionadas con aeronaves en tierra o en vuelo ( 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...
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Conocer las aeronaves utilizadas en el transporte aéreo y comprender el uso del equipamiento médico relacionado ( 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...
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Saber preparar la aeronave para la misión ( 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...
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Realizar la checklist de los materiales y medicamentos estandarizados para uso en la 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...
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Proporcionar los materiales, equipos y oxígeno necesarios ( 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...
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Poseer perfil de liderazgo y capacidad para la toma de decisiones ( 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...
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Actuar como formador profesional desarrollando programas en equipo para garantizar que el equipo tenga habilidades, competencias y conocimientos actualizados ( 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...
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Poseer habilidades técnicas para enfrentar desastres, habilidades de comunicación y capacidad para lidiar con múltiples víctimas ( 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...
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Tener buenas habilidades de comunicación oral y escrita para discutir casos con el equipo y realizar los informes necesarios ( 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...
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Comprobar que sea necesario el uso de la aeronave, identificando la naturaleza de la emergencia a través del estado, número de víctimas y lugar del hecho ( 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...
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Planificar toda la misión junto con el equipo multidisciplinario ( 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...
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Realizar la evaluación del paciente (Historia Clínica de Enfermería) participar en la decisión de trasladar o no al paciente por vía aérea ( 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...
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Realizar procedimientos de diversa complejidad durante la preparación del paciente para el transporte, según el cuadro 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...
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DURANTE EL VUELO
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Tener conocimiento de los procedimientos de emergencia de la aeronave en la que se realiza el 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...
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Tener la capacidad de desarrollar y gestionar acciones del plan de respuesta a desastres en un entorno 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...
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Tener buena comunicación escrita para realizar registros y notas de enfermería ( 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/...
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Tener la capacidad de liderar el equipo de atención durante el vuelo ( 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/...
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Gestionar el flujo de pacientes, recursos humanos, materiales, equipamiento y suministros durante el vuelo ( 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...
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Tener la capacidad de gestionar complicaciones durante el vuelo ( 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...
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Utilizar instrumentos que garanticen la seguridad y salud del profesional (EPP y 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...
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Realizar anamnesis y examen físico dirigido, y establecer el proceso de Enfermería ( 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...
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Brindarle apoyo psicoemocional al paciente durante el 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...
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Realizar procedimientos de diversa complejidad durante el vuelo, según la condición clínica del 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...
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Realizar intubación orotraqueal si es necesario ( 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...
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DESPUÉS EL VUELO
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Tener buena comunicación escrita para completar la documentación del paciente en un formulario o sistema específico, organizar y archivar los registros según el orden cronológico de los eventos ( 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...
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Desarrollar una comunicación técnica clara mediante la descripción detallada del caso del paciente al equipo de salud en tierra, indicando todos los cambios e intervenciones realizadas antes y durante el vuelo ( 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...
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Desinfectar el equipamiento sanitario y reponer los materiales previstos para la próxima misión ( 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/...
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