The documentation of pain management during aeromedical evacuation missions.
Modern warfare has generated a significant increase in blast injuries, which demand careful management during planning and while undertaking air transfer. Pain management following multiple injuries can be challenging even when a patient is cared for in a stationary health care setting; this is further complicated by the additional stressors of flight. This article describes health care governance initiatives implemented by the Aeromedical Evacuation Squadron, based at Royal Air Force (RAF), United Kingdom. It focuses on quality and performance improvements via a program of clinical-effectiveness auditing.
Aeromedical Evacuation Cell-OC PA/AELO, The Royal Centre for Defence Medicine, Selly Oak Hospital, Raddlebarn Road, Birmingham, UK. Di.Lamb@uhb.nhs.uk
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D017732:Air Ambulances; D000465:Algorithms; D001291:Attitude of Health Personnel; D001753:Blast Injuries / Q000150:complications; D054869:Clinical Audit; D054976:Clinical Governance; D004282:Documentation / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D008888:Military Nursing / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009737:Nursing Records; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology*; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D010147:Pain Measurement / Q000379:methods* / Q000451:nursing / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D036301:Qualitative Research; D012189:Retrospective Studies; D017749:Total Quality Management; D014187:Transportation of Patients / Q000458:organization & administration*; D006113:United Kingdom