Air Medical Journal
Volume 26, Issue 4 , Page 164, July 2007

“Lower extremity” amputation

  • Michael D. Riffle, RN, BSN, CFRN, CEN, LP

      Affiliations

    • Michael D. Riffle, RN, BSN, CFRN, CEN, LP, is a flight nurse at STAT Air 2 in Georgetown, Texas, with PHI. He has flown for a variety of both fixed- and rotor-wing programs throughout the past 25 years.
    • ,
  • David W. Ross, DO, FACEP

      Affiliations

    • David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors. Ross is the current medical director of numerous EMS agencies in the Colorado Springs area and an emergency physician at Penrose Hospital. Wichman, a former flight nurse, has been a site reviewer for the Commission on Accreditation for Medical Transport Systems and has coauthored a number of articles and textbook chapters. MacKinnon is a flight nurse and former paramedic trained in Nova Scotia, Canada. He initiated the case study section of the Flightweb for which he posts and then answers a monthly interactive case study.
    • ,
  • Carol Wichman, BSN, MSN

      Affiliations

    • David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors. Ross is the current medical director of numerous EMS agencies in the Colorado Springs area and an emergency physician at Penrose Hospital. Wichman, a former flight nurse, has been a site reviewer for the Commission on Accreditation for Medical Transport Systems and has coauthored a number of articles and textbook chapters. MacKinnon is a flight nurse and former paramedic trained in Nova Scotia, Canada. He initiated the case study section of the Flightweb for which he posts and then answers a monthly interactive case study.
    • ,
  • Mike MacKinnon, BSN, CEN, CCRN, CFRN

      Affiliations

    • David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors. Ross is the current medical director of numerous EMS agencies in the Colorado Springs area and an emergency physician at Penrose Hospital. Wichman, a former flight nurse, has been a site reviewer for the Commission on Accreditation for Medical Transport Systems and has coauthored a number of articles and textbook chapters. MacKinnon is a flight nurse and former paramedic trained in Nova Scotia, Canada. He initiated the case study section of the Flightweb for which he posts and then answers a monthly interactive case study.

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 The following case recounts an actual patient case involving air transport. Minor details of the case may be changed solely to protect the privacy of the patient. The initial presentation and treatment will be described, followed by several questions, in this issue. Readers are invited to submit responses to the questions and other comments to David Ross, DO, at DRDR0682@aol.com. In the next issue, relevant reader responses will be published.We will conclude the case in the next issue with a discussion of how the patient was actually managed, the outcome, and a review of the related medical literature, as well as interviews with medical/transport experts where appropriate. We strongly encourage reader participation.If you have a suitable subject for Case Review, please submit the details to David Ross at the above e-mail address.

PII: S1067-991X(07)00090-9

doi:10.1016/j.amj.2007.04.005

Air Medical Journal
Volume 26, Issue 4 , Page 164, July 2007

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