HomeNewsArticle Display

Air Force continues to improve care in the air

JOINT BASE BALAD, Iraq – Members of the 332nd Expeditionary Medical Group unload a patient from an Iraqi helicopter during medical evacuation training for the Iraqi Air Force Dec. 21, 2009. (U.S. Air Force photo/Senior Airman Brittany Y. Bateman)

Members of the 332nd Expeditionary Medical Group unload a patient from an Iraqi helicopter during medical evacuation training for the Iraqi air force at Joint Base Balad, Iraq, Dec. 21, 2009. (U.S. Air Force photo/Senior Airman Brittany Y. Bateman)

U.S. Air Force Tech. Sgt. Alexander Finn and Tech. Sgt. Johnny Busby, 455th Expeditionary Aeromedical Evacuation Squadron technicians, transport a patient from a C-130 Hercules to an ambulance in Southwest Asia, April 19, 2015. (U.S. Air Force photo by Staff Sgt. Whitney Amstutz)

Tech. Sgts. Alexander Finn and Johnny Busby, both 455th Expeditionary Aeromedical Evacuation Squadron aeromedical evacuation technicians, transport a patient from a C-130 Hercules to an ambulance April 19, 2015, in Southwest Asia. Airmen with the 455th EAES are charged with the responsibility of evacuating the sick and wounded from U.S. Central Command to higher echelons of medical care. (U.S. Air Force photo/Staff Sgt. Whitney Amstutz)

The Air Force is committed to research and development for advancements in en route patient care.

The Air Mobility Command Surgeon General’s office and researchers across the Air Force, to include the 711th Human Resource Wing at Wright Patterson Air Force Base, Ohio, have been working together to improve how the Air Force provides care in the air. The AMC/SG is responsible for clinical oversight of the Air Force aeromedical evacuation (AE) system.

“Over the last 15 years, the joint community has made tremendous strides in providing care to our wounded warriors,” said Col. Susan Dukes, the En Route Care Research Division chief for the Air Force School of Aerospace Medicine at Wright Patterson AFB.

“We now have programs of research specific to en route care. It’s very important to clinicians and researchers to capture lessons learned in order to improve our policies and procedures for patient care,” Dukes added.

About every 12 to18 months, AMC conducts a capability based assessment which informs the surgeon general’s office where gaps are across the en route care spectrum. Gaps are categorized in areas such as doctrine, personnel, and facilities, and assist AMC/SG with focusing its research efforts, said Col. Andrea Gooden, the En route Medical Care Division chief for AMC/SG.

Many of the questions asked by researchers require a series of studies to reach an evidence-based approach that informs policy or changes clinical practice, Dukes said.

Researchers are studying the stresses of flight and the various impacts of transport, such as hypoxia and vibration, she said. Findings from these studies will help identify what needs to be done differently while caring for patients in the en route care system compared to care provided to patients in the hospital environment.

Dukes said over the years, another aspect of researched care has been pain control. Research has shown that if severe pain is not controlled early on, it can lead to problems with chronic pain. Controlling severe pain following devastating injuries has also been suggested to protect against the development of post-traumatic stress syndrome.

“The Air Force is trying to look at better ways to manage pain within the en route care system,” Dukes said. “Identifying pain management challenges was the first step. We are now looking at interventions, to include the use of regional anesthesia for our critical care and AE patients. We are also researching diversion and music therapy as non-pharmacological measures for pain control in our non-critical patients.”

She said studies have been completed by other researchers to assess the effectiveness of alternative pain management methods, such as acupuncture.

Another documented research gap is the need to understand the relationship between the time of the injury and the time to transport. A study recently released by researchers at the University Of Maryland School Of Medicine revealed evidence suggesting air evacuations of traumatic brain injury (TBI) patients may pose a significant added risk, potentially causing additional damage to already injured brains. Identifying the impact of transport and the best time to transport patients with different disease processes or injuries are questions military researchers have been studying for several years, Dukes said.

This study was looking at the timing of simulated transport with different amounts of oxygen administered using an animal model, Dukes noted. Additional studies are needed before these findings can be applied to policy.

“We are taking it into consideration as we look at how we care for our TBI patients,” Gooden said. “Our flight surgeons evaluate each patient individually as they are validated for movement. We are taking the research seriously, but we really need to replicate in a human model before we change policy.”

The Defense Department is also developing a new electronic health record to be pushed across all services soon. The AMC Surgeon General’s office aims to provide a solution to the disconnect between ground medical capabilities to the AE capability, Gooden said. Currently, there is an electronic record of care received on the ground, but not in the air.

“If you consider where you are taking off from and what agencies are delivering the patient and then subsequently receiving the patients, if they are not all using the same program, it quickly becomes complex,” said Lt. Col. William Thoms, the aeromedical evacuation clinical operations chief for AMC/SG. “When we land to pick up our patients, AE and critical care teams need to be able to receive the data seamlessly to provide further positive outcomes.”

The goal is for the AE crews to be able to telecommute or reach out to communicate to ground sources, he said. This will enable the providers on the ground to give AE personnel definitive and clear guidance on how to take care of any crisis taking place in the air.

How AE Airmen train also plays in an integral role in operational readiness and improved care. AMC/SG recently led a high performance team focused on clinical sustainment training for AE, patient staging and critical care. The results identified research is needed on the use and effectiveness of simulation in clinical training.

“Our number one priority is incorporating simulation into our clinical training requirements,” Gooden said. “We are trying to incorporate and standardize training across the total force: AE, patient staging and critical care elements. Eventually having the ability to cross train the services would benefit every en route care node.”

For instance, the command is hoping to create clinical training centers for excellence which would include en route care research along with the AE, patient staging and critical care disciplines, said Lt. Col. James Speight, the chief of AE clinical training for AMC/SG.

The research lab is looking at using virtual environments, gaming and personalized training to keep AE members proficient.

“We are hoping to understand how much simulation is effective to properly train the critical care, AE and patient staging personnel,” Speight said.

It is a huge undertaking to standardize simulation training across the spectrum, he said.

“There’s an initiative moving forward to incorporate training and networking across the services because, when we look at the en route care system, it’s not just the Air Force,” Speight said. “We have initiatives underway to help provide standardized integrated training and preparation so the entire en route care process can be as safe as possible for our patients.”

The DOD, through many initiatives, has improved the survival rate of wounded warriors since the advent of operations in U.S. Central Command. Continually improving care through the use of evidence-based practice is a key area supporting these improvements. As a result of research and innovative training, care in the air will continue to improve in the future.

Engage

Twitter
RT @SecDef: As America’s 26th Secretary of the Air Force, Frank Kendall III’s decades of expertise and impact in service to our national se…
Twitter
RT @SecAFOfficial: Mr. Frank Kendall has been confirmed by the Senate as the 26th Secretary of the Air Force! In this role, he will lead ho…
Twitter
RT @SecAFOfficial: The Honorable Gina Ortiz Jones has arrived! “Serving as the Under Secretary of the Air Force is an absolute honor! I’m…
Twitter
A little #MondayMotivation from the 33rd Fighter Wing “Nomads,” @TeamEglin flight line ops-- are the graduate flyin… https://t.co/Ua0opwxkWH
Twitter
The 571st Mobility Support Advisory Squadron conducted a mobile training team engagement with the Jamaican Defense… https://t.co/mLoRIEZxu1
Twitter
Another week clear for take off. #AirPower A crewchief marshals an F-16 Fighting Falcon during Combat Raider Exerc… https://t.co/avL8z6c33J
Twitter
One step closer... #AirForce Officer Training School candidates complete a four-phase, nine-and-a-half week progra… https://t.co/gQNQ2IMlim
Twitter
You got this! 💪 https://t.co/WnevIeJbQ4
Twitter
Not a bad way to cool off in the summer. The 815th Airlift Squadron's Reserve #Airmen visited Alaska to airlift o… https://t.co/DElqEx4JwJ
Twitter
RT @USAFRecruiting: Built different 😤 These @airforcespecwar exercises will put your strength to the test and show you what muscles these…
Twitter
Another Air Force week complete, and we've got it in photos! View the rest here: https://t.co/OkjRFKvDjz https://t.co/HXcWkJN35U
Twitter
RT @GenCQBrownJr: On behalf of our #Airmen and families, congrats and welcome to Ms. Jones, our new Under Secretary of the @usairforce. #…
Twitter
Jumping into the weekend Tactical Air Control Party Airmen assigned to the 14th Air Support Operations Squadron pe… https://t.co/VLRxCb90mw
Twitter
RT @HQ_AFMC: Getting ready for the big leap into civilian life? #Airmen preparing to separate from active duty service can take steps towar…
Twitter
RT @SecAFOfficial: Acting Secretary Roth on the confirmation of Gina Ortiz Jones to serve as the Under Secretary of the Air Force. ⬇️ https…
Twitter
RT @SecAFOfficial: Confirmed yesterday by the Senate, Gina Ortiz Jones will be the next Under Secretary of the Air Force! Read more ⬇️ @US
Twitter
The Senate unanimously confirmed Gina Ortiz Jones to be Under Secretary of the Air Force, clearing the way for the… https://t.co/Q8SFw2fq45
Twitter
Hundreds of Airmen participated alongside @USArmy Soldiers in the inaugural Pacific Warriorz 2021 Joint and Total… https://t.co/fAPp4UGjmW
Twitter
RT @US_EUCOM: #JF21-2 is designed to test simulated emergency response procedures, ballistic missile defense & crisis response assistance i…
Facebook
The newest Air Force Podcast recently dropped. Listen to a small snippet of CMSAF Kaleth O. Wright talk with Staff Sgt. New about resiliency. Listen to the entire podcast on Youtube: https://go.usa.gov/xpnAD or Subscribe to The Air Force Podcast on iTunes: https://podcasts.apple.com/podcast/the-air-force-podcast/id1264107694?mt=2
Facebook
Our mantra, "Always ready!" It's the spirit we fly by! #B2Tuesday
Facebook
Need some motivation to get your week started off right? Listen as CMSAF Kaleth O. Wright weighs in...
Facebook
The U.S. Air Force Academy gives its cadets some unique opportunities. Ride along one of this opportunities.
Facebook
A United States Air Force KC-135 Stratotanker refuels an F-22 Raptor over northern Iraq, Nov. 6, 2019. U.S. Central Command operations deter adversaries and demonstrate support for allies and partners in the region. (Video by Staff Sgt. Daniel Snider)
Facebook
Although the Silver Star is the third-highest military medal, it's not given often. Today, TSgt Cody Smith was the 49th Special Tactics Airman to receive this medal since Sept. 11th, 2001. Read more of TSgt Smith's amazing story: https://www.airforcespecialtactics.af.mil/News/Article-Display/Article/2024815/special-tactics-airman-battled-through-injuries-awarded-silver-star/fbclid/IwAR2LZWwx1VHdTnQe39rIEBOuJS_0JvMQBBGt7I-E6zsxxn-Lx9387yu43Bc/ Cannon Air Force Base Air Force Special Operations Command United States Special Operations Command (USSOCOM) U.S. Department of Defense (DoD)
Facebook
Tune in as our Air Force musicians along with other military musicians are awarded the National Medal of Arts.
Facebook
Like Us
Twitter
1,354,457
Follow Us