Document Page: First | Prev | Next | All | Image | This Release | Search

HEMODYNAMIC AND RESPIRATORY STABILIZATION HAS BEEN OBTAINED AND 
PRIOR TO SEPTIC COMPLICATIONS.  EXTRA BURN DRESSINGS FOR 
REINFORCEMENT INFLIGHT SHOULD BE PROVIDED.
          (2)     TOTAL PARENTERAL NUTRITION  (TPN):    LIMITED  INFUSION  
PUMPS AND POOR REFRIGERATION INFLIGHT PRECLUDES USE OF TPN.  D10W 
WITH NECESSARY ELECTROLYTES SHOULD BE ORDERED.  AS SHORT TERM 
SUBSTITUTE FOR AEROVAC.    
          (3)      PHOSPHOROUS INJURIES:    COVER INJURIES  WITH  SALINE
SOAKED DRESSINGS.    IF BED-TO-BED TRANSFER WILL REQUIRE MORE THAN 
12 HOURS.    USE A LIBERAL APPLICATION OF TOPICAL ANTIMICROBIAL 
AGENTS TO PREVENT MICROBIAL PROLIFERATION.
          (4)      LARGE VESICLES, BULLAE AND BURNS:    SHOULD BE PROTECTED 
INFLIGHT BY USE OF LARGE BULKY DRESSINGS.  
 K.    ABDOMINAL INJURIES:    PREMATURE EVACUATION OF VIETNAM 
ABDOMINAL SURGICAL CASES CARRIED A HIGH MORBIDITY  (ONE OF   SIX
 REQUIRING REPEAT SURGERY,  THE HIGHEST INCIDENCE IN THOSE MOVED 
BETWEEN DAYS 4 AND 7.)   POST OPERATIVE ABDOMINAL CASES ARE BEST 
WITHHELD FROM MOVEMENT UNTIL COMPLICATIONS HAVE BEEN CONTROLLED,   





PAGE   6  RHCUAAA8999   UNCLAS  
GASTROINTESTINAL MOTILITY HAS RETURNED,  AND THE WOUND IS HEALING;
 SELDOM IN FEWER THAN 7 DAYS.  PATIENTS REQUIRING MOVEMENT SHOULD 
BE CAREFULLY EVALUATED BY A GENERAL SURGEON DURING OVERNIGHT STOPS 
AT AEROMEDICAL STAGING FACILITIES.   FOR SMALL/LARGE INTESTINE 
INJURIES, A COLOSTOMY, ILLEOSTOMY, AND/OR EXTERNALIZED BOWEL MAY 
PREVENT THE COMPLICATIONS OF EXCESSIVE AIR EXPANSION OF TRAPPED  
GASES DURING EVACUATION.    USE OF A NASOGASTRIC  OR   RECTAL   TUBE 
FOR THESE PATIENTS SHOULD ALSO BE CONSIDERED TO AVOID DISTENTION FREQUENTLY ENCOUNTERED WITH A NON-FUNCTIONING BOWEL.  
 L.    NASOGASTRIC TUBES:    PREFLIGHT NG TUBE INSERTION IS 
RECOMMENDED FOR PATIENTS WITH ABDOMINAL WOUNDS, ABSCESSES OR OBSTRUCTION, QUADRIPLEGIA OR PARAPLEGIA, OR THE POTENTIAL FOR 
PROBLEMS COMPOUNDED BY EXPANSION OF TRAPPED GAS AT ALTITUDE CAN 
CAUSE  SEVERE PAIN, NAUSEA, VOMITING AND ASPIRATION.    
 INTERMITTENT SUCTION IS NOT AVAILABLE FOR AEROMEDICAL USE AND THE 
DISTAL  END  OF THE TUBE MAY BE LEFT TO GRAVITY DRAINAGE IN A GLOVE
OR BAG.   ORDERS FOR NG TUBE IRRIGATION MAY BE NECESSARY TO KEEP 
TUBES PATIENT. 
 M..     URINARY CATHETERS:    INDWELLING CATHETERS AND DRAINAGE BAGS 
BT
#8999

Document Page: First | Prev | Next | All | Image | This Release | Search