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First Nations & Inuit Health

Emergency Medical Transportation Guidelines for Nurses in Primary Care

2002
ISBN: 0-662-31850 -1
Catalogue Number: H35-4/21-2002E

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Table of Contents

Preface

Acknowledgments

Chapter 1: Principles and Process of Medical Evacuatio

Chapter 2: Aeromedical Evacuation

Chapter 3: General Nursing Care Considerations in Aeromedical Evacuations

Chapter 4: Primary Care during Transport

Chapter 5: Obstetrics and Care of Infants and Children

Chapter 6: Equipment and Supplies

Abbreviations

Bibliography


Preface

These First Nations and Inuit Health Branch Emergency Medical Transportation Guidelines for Nurses in Primary Care are intended primarily for use by qualified and licensed nurses working in nursing stations and treatment health centers located in semi-isolated and isolated First Nations and Inuit communities, where medical evacuation is often a necessary course of action.

The information presented here is intended to provide guidance in the assessment and management of the client requiring urgent or emergency transportation for appropriate medical care. It is important to note that while the guidelines contain useful information, they are not intended to be exhaustive. The manual is to be used for reference and educational purposes only and should not be used under any circumstances as a substitute for clinical judgment, independent research or the seeking of appropriate advice from qualified healthcare professionals.

Whenever possible the decision to transport a client for urgent or emergency care should be made in consultation with a physician. In addition, the First Nations and Inuit Health Branch Clinical Practice Guidelines for Nurses in Primary Care and the First Nations and Inuit Health Branch Pediatric Clinical Practice Guidelines for Nurses in Primary Care may be of assistance in reaching a decision to transport.

Although every effort has been made to ensure that the information contained in the guidelines is accurate and reflective of existing healthcare standards, it should be understood that the field of medical science is in constant evolution. In particular, all drug dosages, indications, contraindications and possible side effects should be verified and confirmed by consulting the Compendium of Pharmaceuticals and Specialties (CPS) or the manufacturer's drug insert. A drug's classification according to the National Nurses' Drug Classification System (NNDCS) should also be verified.

Finally, it should be noted that the information in the guidelines may have been superseded by a local policy or other guideline particular to a region or zone, by a common local medical practice or by the orders of a local medical practitioner. The reader is encouraged to verify the existence of these alternative sources of information.

Acknowledgments

The revision of this manual has been assisted by the following people:

Carol Sargo, RN(EC), Primary Care Nurse Practitioner, Barrie, Ont.
Penny Triggs, Director, Air Medical Operations, Keewatin Air/Critical Care International, Winnipeg, Man.
Karen Hindle, RNE, Saskatchewan Region
Dorothy Rutledge, RNE, Alberta Region
Daunett Tucker, RNE, Ontario Region
Sheila Thompson, A/RNE, Manitoba Region
Hélène Boyer, RNE, Quebec Region
Karen McGolgan, A/RNE, Pacific Region


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