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File: aaalw_08.txtMAY REQUIRE WOUND INSPECTION. ROUTINE DRESSINGS WILL BE PROVIDED BY AE CREWS; HOWEVER, FOR PATIENTS WITH EXCESSIVELY DRAINING WOUNDS, AND/OR UNIQUE TYPE DRESSINGS, THEY SHOULD BE PROVIDED. R. SEVERE EYE INJURY: PENETRATING EYE WOUNDS AND/OR SURGERY CAN SOMETIMES INTRODUCE AIR INTO THE GLOBE OF THE EYE AND IN THIS CASE AN ALTITUDE RESTRICTION MAY BE WARRANTED. THE EYE IS SUSCEPTIBLE TO OXYGEN DEFICIENCY AND DECREASED BAROMETRIC PRESSURE. PATIENTS WITH RETINAL DETACHMENTS USUALLY DO NOT REQUIRE ROUTINE ALTITUDE RESTRICTION. S. CARDIAC PATIENTS: PATIENTS WITH SEVERE CARDIOVASCULAR DISEASE USUALLY HAVE A REDUCED TOLERANCE TO HYPOXIA, BUT GENERALLY DO WELL INFLIGHT IF PROVIDED SUPPLEMENTAL OXYGEN. PATIENTS WITH A RECENT M1 CAN USUALLY BE MOVED BY AIRLIFT WITH APPROPRIATE PREPARATION AND MONITORING. UNSTABLE PATIENTS REQUIRING CARDIAC MONITORING INFLIGHT WILL BE MOVED WITH A MEDICAL ATTENDANT AND THE REFERRAL MTF WILL PROVIDE AN AE APPROVED MONITOR THROUGH THE JCS EQUIPMENT POOL. T. NEUROPSYCHIATRIC PATIENTS: SEVERE PSYCHIATRIC PATIENTS (CLASS A) REQUIRE A LITTER, LEATHER WRIST AND ANKLE RESTRAINTS, AND SEDATION. INTERMEDIATE SEVERITY (CLASS 1B) REQUIRE A LITTER PAGE 4 RHCUAAA9000 UNCLAS AND SEDATION PREFLIGHT ALONG WITH A SET OF RESTRAINTS AVAILABLE. PATIENTS SHOULD BE SEARCHED AND ALL SHARPS SUCH AS RAZOR BLADES, POCKET KNIVES, ETC. REMOVE. U. DRUG/ALCOHOL ABUSE PATIENTS: THESE PATIENTS SHOULD UNDERGO 3-5 DAYS OF DETOXIFICATION BEFORE THEY ARE AIRLIFTED. AN AEROVAC MISSION IS NOT EQUIPPED NOR MANNED TO DEAL WITH ACUTE WITHDRAWAL SYMPTOMS. V. NEUROLOGICAL PATIENTS: THE DECREASED PARTIAL PRESSURE OF OXYGEN AT ALTITUDE CAN CAUSE INCREASE INTRACRANIAL PRESSURE IN HEAD INJURY PATIENTS. LOW FLOW OXYGEN SHOULD BE CONSIDERED FOR FLIGHT. NOISE, VIBRATION, AND THERMAL STRESSES CAN PRECIPITATE SEIZURES, AND ADEQUATE ANTI-SEIZURE MEDICATION LEVELS SHOULD BE ESTABLISHED PREFLIGHT. THE VALSALVA MANEUVER INCREASES INTRACRANIAL PRESSURE, A PREFLIGHT DECONGESTANT AND PE TUBE INSERTION SHOULD BE CONSIDERED FOR COMATOSE PATIENTS. CRANIOTOMY PATIENTS SHOULD BE AT LEAST 48 HOURS STATUS POST SURGERY, AWAKE AND ALERT. SUBTLE CHANGES IN NEURO STATUS NORMALLY DISCOVERED DURING ROUTINE NEURO CHECKS, ARE VERY DIFFICULT TO DETECT INFLIGHT; PATIENTS REQUIRING CLOSE OBSERVATION ARE POOR CANDIDATES FOR AE. STABLE, COMATOSE PATIENTS CAN BE TRANSPORTED. PAGE 5 RHCUAAA9000 UNCLAS DECREASED HUMIDITY DICTATES THAT PATIENTS WITH LOSS OF CORNEAL BLINK REFLEX BE PROVIDED WITH BILATERAL EYE PATCHES AND EYE
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