División de Sanidad, Fuerza Aérea de Chile, Santiago, Chile.
Unidad de Cuidados Intensivos, Hospital Clínico Fuerza Aérea de Chile Gral. Dr. Raúl Yazigi J., Santiago, Chile.
Enferm Intensiva (Engl Ed). 2023 Jan-Mar;34(1):27-42. doi: 10.1016/j.enfie.2021.11.001. Epub 2023 Feb 3.
Aeromedical evacuation missions to transport highly infectious critical COVID-19 patients involve multiple factors, therefore planning is essential in their preparation. The management of specialist nurses is cross-cutting, as they participate in the planning, organisation and implementation of aero-evacuation protocols, delivery of care and operational safety procedures throughout the operation, with an integrated aeromedical crew working as a team alongside the air crew.
To study the management of nurses specialised in the aero-evacuation of highly infectious critical patients during the COVID-19 pandemic.
Through a systematic search of the biomedical literature, this study was conducted according to the standards of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. The literature search included articles published from 2019 to August 2020 and meta-search engines, yielding a total of 142 articles, and a triangulation of information was performed. A total of 11 articles were eventually included in the review, and the validity of each article was determined according to the guidelines of the Joanna Briggs Institute level of evidence.
The systematic review identified 11 studies that use different methodological considerations for conducting an aeromedical evacuation and covering key aspects for a successful operation.
The management of specialist nurses has a direct impact on the aeromedical evacuation of the critical patient. It covers planning, organisation, and operational safety, applied in the instruction, training, execution and strict monitoring of the work of the aeromedical crew as a solid team. This contributes to the success of the aero-evacuation mission and the infectious patient's high likelihood of survival during the COVID-19 pandemic.
运送高度传染性的重症 COVID-19 患者的航空医疗后送任务涉及多个因素，因此在准备过程中进行规划至关重要。专科护士的管理具有跨学科性，因为他们参与了航空后送协议的规划、组织和实施，在整个操作过程中提供护理和运营安全程序，与航空机组人员一起作为一个综合的航空医疗机组工作。
研究在 COVID-19 大流行期间，专门从事高度传染性重症患者航空后送的护士的管理。
通过对生物医学文献的系统检索，本研究按照 Cochrane 干预系统评价手册和 PRISMA 的标准进行。文献检索包括从 2019 年至 2020 年 8 月发表的文章和元搜索引擎，共产生了 142 篇文章，并进行了信息三角剖分。最终有 11 篇文章被纳入综述，根据 Joanna Briggs 研究所证据水平指南确定了每篇文章的有效性。
系统评价确定了 11 项研究，这些研究使用不同的方法考虑因素进行航空医疗后送，并涵盖了成功操作的关键方面。
专科护士的管理对重症患者的航空医疗后送有直接影响。它涵盖了规划、组织和运营安全，应用于航空医疗机组人员的指导、培训、执行和严格监控，作为一个坚实的团队。这有助于航空后送任务的成功，以及在 COVID-19 大流行期间感染患者高存活率的实现。
