title: An airborne intensive care facility (fixed wing).
abstract: A fixed-wing aircraft (Beechcraft KingAir B200 C) fitted as an airborne intensive care facility is described. It completed 2000 missions from 1987-1992 for distances up to 1300 km. Features include: 1. Space for carriage of two stretchers, medical cabin crew of up to five persons and equipment and two-pilot operation if necessary. A third stretcher may be carried in emergencies. 2. Two CARDIOCAP (TM) fixed monitors for ECG, invasive and noninvasive pressures pulse oximetry and end-tidal C02 plus SIEMENS 630(TM)/PROPAQ(TM) compact monitors for the ground transport phase of missions, or the total duration. 3. A medical oxygen reservoir of 4650 litres sufficient for two patients on IPPV with FiO2 = 1.0 for a four-hour trip. The medical suction system is powered from the engine or a vacuum pump. 4. Other medical equipment and drugs in portable packs, for ground transport and resuscitation needs and for replenishment by nursing staff at the parent hospitals. 5. Stretchers compatible with helicopter and road ambulance vehicles used. 6. A stretcher loading device energized from the aircraft, operating through a wide (cargo) door. 7. Provision of 24Ov AC (alternating current) and 28v DC (direct current) electrical energy. 8. Pressurization and climate control. 9. Satisfactory aviation performance for conditions encountered, with single-pilot operation.
authors.affiliation: Department of Anaesthesia and Intensive Care, Royal Adelaide Hospital, Adelaide, Australia.
authors.forename: J E
authors.initials: JE
authors.lastname: Gilligan
authors.forename: P
authors.initials: P
authors.lastname: Goon
authors.forename: G
authors.initials: G
authors.lastname: Maughan
authors.forename: W
authors.initials: W
authors.lastname: Griggs
authors.forename: R
authors.initials: R
authors.lastname: Haslam
authors.forename: A
authors.initials: A
authors.lastname: Scholten
mesh_terms: D017732:Air Ambulances; D001315:Australia; D001359:Aviation; D001513:Beds; D015924:Blood Pressure Monitors; D002245:Carbon Dioxide / Q000032:analysis; D003422:Critical Care; D004560:Electricity; D004562:Electrocardiography / Q000295:instrumentation; D004780:Environment, Controlled; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000295:instrumentation; D008503:Medical Staff; D008991:Monitoring, Physiologic / Q000295:instrumentation; D010092:Oximetry / Q000295:instrumentation; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation; D010360:Patient Transfer; D004364:Pharmaceutical Preparations; D012151:Resuscitation / Q000295:instrumentation; D013396:Suction / Q000295:instrumentation; D013990:Tidal Volume
chemical_list: D004364:Pharmaceutical Preparations; D002245:Carbon Dioxide