Regulated En Route Care - A Scoping Review
Abstract
The goal of the Joint En Route Care (J-ERC) Consortium is to expand the operationally relevant ERC research, consistent with the research priorities identified by the J-ERC Steering Committee. One key aspect of this work is to identify research gaps specific to ERC. The purpose of this scoping study is to conduct a systematic, integrative review of the literature and survey to develop a state of the science summary and identify research gaps specific to regulated en route care. A scoping study was conducted including 1) a systematic review of the unclassified literature/documents specific to regulated ERC, 2) identification of research gaps, and 3) presentation of a gap analysis to the Committee on En Route Care (key stakeholders). A systematic review of relevant literature (e.g., PubMed, DTIC, military libraries, AMEDD website) and a hand search of military-specific conference proceedings (e.g., ATACC, MHSRS, ASMA, AMSUS, etc.) and clinical practice guidelines has been conducted. Over 1000 source documents were screened for appropriateness to the topic area and output organized to address current and future research gaps (e.g., time to transport, safe handoffs). Additional topics used for organization included aeromedical evacuation (AE) specific topics such as transport of a patient with entrapped air, hypobaria and hypoxia, and the association between these stresses of flight on morbidity (e.g., wound infections), as well as consideration of other stresses of flight. En route care including pain management and infection prevention and the use of technologies for the detection of hypoxia and compartment syndrome were also addressed. In addition to trauma patients, research gaps were identified for patients with cardiac or pulmonary dysfunction. Considerations of all theaters of operation and operational events (e.g., wartime, disaster) were also included.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 26, 2018
- Accession Number
- AD1054283
Entities
People
- Elizabeth Bridges