Air Medical Journal
Volume 26, Issue 6 , Pages 264-266, November 2007

Conflicting treatment goals in a critically injured trauma patient

  • Michael Sahjian, RN, BSN, CFRN, CCRN

      Affiliations

    • Michael Sahjian, RN, BSN, CFRN, CCRN, is a flight nurse/paramedic with Hartford Hospital LIFE STAR in Hartford, Conn. He has experience in cardiothoracic intensive care, ED, interventional radiology, and ground EMS.
    • ,
  • Jeffrey Heath, RRT, EMT

      Affiliations

    • Jeffrey Heath, RRT, EMT, has been a registered respiratory therapist for 14 years and a flight respiratory therapist with Hartford Hospital LIFE STAR for the past 7 years. He has experience in adult cardiothoracic, pediatric, neonatal, and medical ICUs. He also has 8 years' ground EMS experience in Washington.

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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 email address.David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors. They can be reached at DRDR0682@aol.com.

PII: S1067-991X(07)00221-0

doi:10.1016/j.amj.2007.09.004

Air Medical Journal
Volume 26, Issue 6 , Pages 264-266, November 2007

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