Critical Care Air Transport Team and traumatic brain injury
Viroj Wiwanitkit1
1. Hainan Medical University, China
Correspondence
Professor Viroj Wiwanitkit
Email: wviroj@yahoo.com
I read this article on the "Critical Care Air Transport Team and traumatic brain injury" with a great interest [1]. Boyd et al. noted that "Air transport personnel must be prepared to provide standard critical care but also care specific to TBIs, including ICP control and management of diabetes insipidus. Although these patients and their potential complications are traditionally managed by neurosurgeons, those providers without neurosurgical backgrounds can be provided this training to help fill a wartime need." I agree that in the critical situation and resource limited (such as remote area or war zone), the use of available facilities and personnel is better than doing nothing or waiting for the specialty. For the military clinical practice, the question is on the skill of the medical military personnel. There should a specific training for any medical military personnel on this specific subject, which is different from non-military ones. Another interesting question that I and many readers might want to know is on the safety management of the medical personnel and military team in the war zone. The summary of experience on self-protection during caring the others will be a useful data. Referring...
Critical Care Air Transport Team and traumatic brain injury
Viroj Wiwanitkit1
1. Hainan Medical University, China
Correspondence
Professor Viroj Wiwanitkit
Email: wviroj@yahoo.com
I read this article on the "Critical Care Air Transport Team and traumatic brain injury" with a great interest [1]. Boyd et al. noted that "Air transport personnel must be prepared to provide standard critical care but also care specific to TBIs, including ICP control and management of diabetes insipidus. Although these patients and their potential complications are traditionally managed by neurosurgeons, those providers without neurosurgical backgrounds can be provided this training to help fill a wartime need." I agree that in the critical situation and resource limited (such as remote area or war zone), the use of available facilities and personnel is better than doing nothing or waiting for the specialty. For the military clinical practice, the question is on the skill of the medical military personnel. There should a specific training for any medical military personnel on this specific subject, which is different from non-military ones. Another interesting question that I and many readers might want to know is on the safety management of the medical personnel and military team in the war zone. The summary of experience on self-protection during caring the others will be a useful data. Referring to the terrorism in many areas around the world, the medical personnel are often focused as a target for attacking.
Conflict of interest
None
References
1. Boyd LR, Borawski J, Lairet J, Limkakeng AT Jr. Critical Care Air Transport Team severe traumatic brain injury short-term outcomes during flight for Operation Iraqi Freedom/Operation Enduring Freedom. J R Army Med Corps. 2017 Apr 6. pii: jramc-2016-000743. doi: 10.1136/jramc-2016-000743. [Epub ahead of print]
Critical Care Air Transport Team and traumatic brain injury
Viroj Wiwanitkit1
1. Hainan Medical University, China
Correspondence
Professor Viroj Wiwanitkit
Email: wviroj@yahoo.com
I read this article on the "Critical Care Air Transport Team and traumatic brain injury" with a great interest [1]. Boyd et al. noted that "Air transport personnel must be prepared to provide standard critical care but also care specific to TBIs, including ICP control and management of diabetes insipidus. Although these patients and their potential complications are traditionally managed by neurosurgeons, those providers without neurosurgical backgrounds can be provided this training to help fill a wartime need." I agree that in the critical situation and resource limited (such as remote area or war zone), the use of available facilities and personnel is better than doing nothing or waiting for the specialty. For the military clinical practice, the question is on the skill of the medical military personnel. There should a specific training for any medical military personnel on this specific subject, which is different from non-military ones. Another interesting question that I and many readers might want to know is on the safety management of the medical personnel and military team in the war zone. The summary of experience on self-protection during caring the others will be a useful data. Referring...
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