Leclerc T, Hoffmann C, Forsans E, Cirodde A, Boutonnet M, Jault P, Tourtier J-P, Bargues L, Donat N
Centre de traitement des brûlés, HIA Percy, Clamart, France.
Service d'anesthésie-réanimation, HIA Val de Grâce, Paris, France.
Ann Burns Fire Disasters. 2015 Mar 31;28(1):57-66.
The best treatment for victims of severe burns is provided in highly specialised burn centres. Due to the paucity of these centres, long distance aeromedical evacuation is often required. However, published data regarding such transfers are scarce. In this review, in order to help optimize patient management when air transportation is decided or even only considered, we propose simple principles derived from this limited literature and backed by the practical experience of the French military. We first describe how specific flight conditions may impact transportation of severe burn patients aboard aircraft. We then focus on the planning and organisation of these transfers discussing the risks associated with air transportation of such patients and their implications on indication, timing and modality of transport. Finally, provide an end-to-end view of the process from pre-flight equipment preparation, pre-boarding patient assessment and conditioning, to in-flight care.
严重烧伤患者的最佳治疗是在高度专业化的烧伤中心进行。由于此类中心数量稀少，通常需要进行长途航空医疗后送。然而，关于此类转运的已发表数据很少。在本综述中，为了在决定甚至仅考虑航空运输时帮助优化患者管理，我们提出了一些简单的原则，这些原则源于这一有限的文献，并得到了法国军方实践经验的支持。我们首先描述特定的飞行条件可能如何影响严重烧伤患者在飞机上的运输。然后，我们专注于这些转运的规划和组织，讨论此类患者航空运输相关的风险及其对运输指征、时机和方式的影响。最后，提供从飞行前设备准备、登机前患者评估和预处理到飞行中护理的全过程视图。
