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GUIDELINES DERIVED FROM THE FALL MEETING OCTOBER 29TH 2004
STROKE
ISCHEMIC STROKE:
PUBLISHED GUIDELINES: 7 DAYS
ACTUAL: 4-5 DAYS
SOME CARRIERS: 72 HOURS
CEREBRAL HEMORRHAGE:
PUBLISHED GUIDELINES: 7-10 DAYS
ACTUAL: 7 DAYS +
TIA’s:
PUBLISHED GUIDELINES: 4-5 DAYS
SOME CARRIERS: 72 HOURS
SAH (NON-TRAUMATIC):
PRE-OP: AIR AMBULANCE
POST-OP: 10-14 DAYS
NO PROVEN CAUSE: 3 WEEKS UNESCORTED
PNEUMOTHORAX
UNTREATED PNEUMOTHORAX:
NO GO
<2 CM APICAL OK IF UNILATERAL
TREATED PNEUMOTHORAX:
7 DAYS AFTER TUBE RETRACTION WITH FULLY EXPANDED LUNG
3 DAYS IF PNEUMOTHORAX WAS MINOR
3-5 DAYS AFTER RETRACTION WITH ESCORT AND TUBULATION AT HAND
ANY TIME WITH TUBE IN SITU AND HEIMLICH VALVE, ESCORTED
THORACIC TRAUMA:
PLAIN CHEST X-RAY?
24 HOURS OBSERVATION BEFORE FLIGHT, NOT NECCESSARILY IN-HOSPITAL
CABIN PRESSURE AT SEA LEVEL = 1 atm MAY OVERRULE ANY OF ABOVE
PLEURODESIS:
THORACOTOMY - 7 DAYS
THORACOSCOPY 7 DAYS
ACUTE CORONARY SYNDROME
STEMI & NONSTEMI:
NO COMPLICATIONS, REVASCULARIZED, >45% EF. TRANSPORT AFTER 7DAYS.
+ COMPLICATIONS (RESIDUAL PAIN, ARRYTHMIAS, CHF): WAIT ANOTHER 7 DAYS.
STILL COMPLICATIONS CONSIDER MEDICAL ESCORT
UNSTABLE ANGINA:
TREATMENT FINAL, NO SYMPTOMS: TRANSPORT AFTER 7DAYS.
NOT FINAL OR SYMPTOMS: INDIVIDUAL ASSESSMENT CONSIDER AIR AMBULANCE
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