May/June 2020 Forum
Identifieur interne : 000173 ( Pmc/Corpus ); précédent : 000172; suivant : 000174May/June 2020 Forum
Auteurs :Source :
- Air Medical Journal [ 1067-991X ] ; 2020.
Url:
DOI: 10.1016/j.amj.2020.04.002
PubMed: NONE
PubMed Central: 7151297
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PMC:7151297Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">May/June 2020 Forum</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7151297</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151297</idno><idno type="RBID">PMC:7151297</idno><idno type="doi">10.1016/j.amj.2020.04.002</idno><idno type="pmid">NONE</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000173</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000173</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">May/June 2020 Forum</title></analytic><series><title level="j">Air Medical Journal</title><idno type="ISSN">1067-991X</idno><idno type="eISSN">1532-6497</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader></TEI><pmc article-type="brief-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Air Med J</journal-id><journal-id journal-id-type="iso-abbrev">Air Med. J</journal-id><journal-title-group><journal-title>Air Medical Journal</journal-title></journal-title-group><issn pub-type="ppub">1067-991X</issn><issn pub-type="epub">1532-6497</issn><publisher><publisher-name>Published by Elsevier Inc. on behalf of Air Medical Journal Associates.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7151297</article-id><article-id pub-id-type="publisher-id">S1067-991X(20)30073-0</article-id><article-id pub-id-type="doi">10.1016/j.amj.2020.04.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>May/June 2020 Forum</article-title></title-group><pub-date pub-type="pmc-release"><day>11</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>11</day><month>4</month><year>2020</year></pub-date><permissions><copyright-statement>© 2020 Published by Elsevier Inc. on behalf of Air Medical Journal Associates.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder></copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions></article-meta></front><body><sec id="sec0001"><title>AAMS</title><sec id="sec0002"><title>COVID-19 Response</title><p id="para0001">As we face these uncertain times, it's hard to think about anything other than how our critical care transport community is responding to COVID-19 and, as we write this, it's likely our lives will continue to be impacted when this is published in May. Our top priority is the safety and well-being of all of you, along with patients and families who are counting on our industry to take care of them when they need us the most. To that end, I'm including our official statement on COVID-19 with the hope that it is no longer relevant when this issue is published.</p><p id="para0002"><italic>The Association of Air Medical Services (AAMS), representing the critical care transport industry – both air and ground – encompasses vast resources capable of caring for and transporting a variety of patients, including those with infectious disease</italic>.</p><p id="para0003"><italic>We continue to monitor the COVID-19 pandemic in partnership with the EMS COVID-19 (Coronavirus) Working Group, hosted by the NHTSA Office of EMS and includes CDC, DHS, and DHHS Office of Preparedness, as well as multiple National EMS affiliated associations. We are also staying apprised of updates from the Centers for Disease Control and Prevention (CDC) and will provide updates as they become available</italic>.</p><p id="para0004"><italic>Due to the expanded scope of practice of critical care transport providers, our members are often required to assist patients exceeding the capabilities of our community ground Advanced and Basic Life Support (ALS/BLS) EMS colleagues. These may include infectious disease patients requiring complex ventilator management or those on ECMO (extracorporeal membrane oxygenation), and our most fragile pediatric patients to cite a few examples</italic>.</p><p id="para0005"><italic>Our knowledge and understanding of COVID-19 is ever evolving. Healthcare systems are developing strategies that may call for managing these patients in place, rather than transporting them to more preferable locations. Even with these tactics, we anticipate some patients will require transport to other appropriate facilities. As well, a variety of patients may need transport to specialty care not related to their potential COVID-19 exposure or infection</italic>.</p><p id="para0006"><italic>Our AAMS members are working diligently to ensure the transportation needs of our patients can and will continue to be met. In some cases this may dictate changing the mode of transport based on a number of factors including severity of the patient, distance to be traveled, capability of supporting staff and resource availability</italic>.</p><p id="para0007"><italic>As an integral part of the health care delivery system, AAMS members are dedicated and committed to serving the people in their communities and will continue to do so during this crisis to the best of our ability</italic>.</p><p id="para0008">Past reports, including a letter to Vice President Pence, and additional updates on the COVID-19 response can be found on our website at <ext-link ext-link-type="uri" xlink:href="https://aams.org/covid-19-updates/" id="interref0001">https://aams.org/covid-19-updates/</ext-link>.</p><p id="para0009">The ability for all critical care transport providers to come together in a crisis shows that we all have the same unifying goal—to provide care when it's needed most, where it's needed most. It is an honor and a privilege to work on behalf of the people in this industry.</p><p id="para0010"><italic>Cameron Curtis, President & CEO, AAMS</italic></p><p id="para0011"><italic>Deborah Boudreaux, Chairman and Region IV Director, AAMS, and President & CEO, Teddy Bear Transport, Cooks Children Medical Center</italic></p></sec></sec><sec id="sec0003"><title>AMPA</title><sec id="sec0004"><title>Grow Your Team</title><p id="para0012">The ability to work together as a team and to relate skillfully to our entire spectrum of customers is inherent to our success as critical care transport medicine practitioners, and the key to performing those skills expertly well lies in our sincere desire to care for and do the best right thing for our patients. I like to call this being on the team. As Eisenhower proclaimed, “We succeed only as we identify in life, or in war, or in anything else, a single overriding objective, and make all other considerations bend to that one objective.” In order to do the best right thing for our patients, our team needs to make that their single overriding objective.</p><p id="para0013">Many corollaries stream from that single overriding objective. When faced with multiple apparently beneficial paths, our team needs to be able to select those that are the safest and most effective. In order to safely and effectively care for our patients, our team needs to care for each other and for themselves. In order for our team to succeed, we need to be on the team with them. In order to grow our team, we need to sow team members who believe in our team's objective, we need to teach and exemplify our team culture throughout the onboarding process, and we need to continuously support our team culture, through both our own example and through the compassionate intolerance of off team behavior.</p><p id="para0014"><italic>Brendan Berry, President</italic></p></sec></sec><sec id="sec0005"><title>ASTNA</title><sec id="sec0006"><title>Sharing Your Expertise</title><p id="para0015">In these unprecedented times we want to thank the members of our organization and those with whom we work for their understanding of the decision to cancel CCTMC. Although we have lost this amazing educational opportunity, the safety and well-being of those attending is paramount. We are diligently working with AMPA and IAFCCP in making plans for next year's conference and hope to see you all then. You won't want to miss it!</p><p id="para0016">Like many of you, I continue to transport patients on a full-time basis. With ever-changing COVID-19 information and recommendations, each day continues to create new challenges and difficulties for medical transport. I implore you all to take care of yourselves and your loved ones so that we may continue to be an integral part of the front lines of health care. Stay safe!</p><p id="para0017">The ASTNA board of directors will hold their annual strategic planning meeting around the Air Medical Memorial ceremonies in Denver, CO, at the end of July. We hope that you are able to attend the Air Medical Memorial ceremonies, as it is a wonderful way to honor those lost in the line of duty.</p><p id="para0018">I recently joined other transport professionals who comprise the AMTC Education Committee to review lecture submissions for AMTC 2020. This committee brings together members from all organizations who participate in this wonderful fall conference. After reviewing dozens of submissions, we have the opportunity to choose those lectures that we feel would meet the educational needs of those in attendance. Each year I'm amazed at how many amazing lectures are presented and the expertise our industry contains. The knowledge shared can truly impact both new and experienced personnel in any facet of the transport industry.</p><p id="para0019">I'd like to take a moment and encourage anyone who has ever wanted to take the jump and submit to present at a conference to please do so! I recall the first time I ever presented at AMTC in Seattle. Not only was I a nervous wreck, but I didn't want to disappoint myself, my program, or my colleagues. That experience changed how I view education and gave me an understanding of what it really takes to share knowledge related to our industry. We have so many new people who have joined the ranks of transport nursing with such depth and breadth of knowledge, and we need to foster those people and encourage them to share their experiences to help make us better.</p><p id="para0020">I look forward to seeing everyone in Nashville this year. Stay safe!</p><p id="para0021"><italic>Josh Wall, President</italic></p></sec></sec><sec id="sec0007"><title>IAFCCP</title><sec id="sec0008"><title>It's OK to Not Be OK</title><p id="para0022">This isn't just another cliché. In fact, I want to tell you and I want you to acknowledge and understand that it's OK to tell us and talk to us; that it's to ask for help. If you need it, I'm pleading with you to accept help. I promise you that the support is there. How you ask? Because I've used it. It works. It is manageable. It may save your life.</p><p id="para0023">I spent the last year on behalf of the IAFCCP working with the MedEvac Foundation International on the “Taking Care of Our Own” tour. We traveled to several cities across the United States for over 6 months. We made many friends on the way. Participants included every discipline within HEMS to include communications, aviation, medical, and administration. We also had the opportunity to include ground EMS, nursing, firefighters, and law enforcement. The feedback we received only echoed what we already thought and is steering the focus of that program for this year. That focus will be on the mental health of us, the clinicians. The demand for awareness, PEER support access, fitness-for-duty, resiliency training, and treatment of critical stress/post-traumatic stress was acknowledged at every single location. We also were able to overcome the significant difficulty of how to make all of this happen. To say it was rewarding for us would be a definite understatement.</p><p id="para0024">The most important result of this program wasn't anticipated; it just occurred. We got people talking. We listened to personal stories, with some outwardly sharing their experiences, good or bad, some of which came in emails or by way of a phone call after the event. I can't speak for my partner on this tour (Sharon Purdom, past president of ASTNA), but I personally communicated with 3 that asked for help. People I'd only met one time came to me, asking for help. A fourth found me through the network of this program. I listened to them, related where appropriate, and then we found a way to find a counselor (and in some cases a way to pay for it). Since, 2 have reached back out to say thank you, “thank you for saving my life.” That statement leveled me both times. I cried both times.</p><p id="para0025">I have my own story that I shared on this tour. Undoubtedly these people saw the open door to walk through and ask for help. The network that helped me was unreal. They are sincere, see value in an employee, and invest in those employees. My current program is the same. I have an open door to my psychologist. I simply make a phone call, and I'm sitting on the couch and able to talk.</p><p id="para0026">This last fall, days after our final tour stop in Charlotte, I was in New Orleans (NOLA) for the EMS World Conference. I was tired; I felt out of sorts. My peers noticed. They were concerned, and I was avoiding them. I denied that anything was wrong. I went for a run, hoping to get out of it and came to sit on a bench looking across the Mississippi River. In my search for resolve, I had a realization. <italic>This is it.</italic> This must be what people feel when they can't do it anymore. This must be the place they end up before they take their own life. Acknowledging this, knowing that my peers recognized my struggle and were supporting me, knowing that my family was supporting me, and knowing that I had tools available from my organization, I made a phone call, and I had an appointment scheduled with my psychologist before I left NOLA. Everyone should have this. Everyone should have the resources to talk to someone. Everyone.</p><p id="para0027">It has been 9 days as I write this that a colleague/peer/friend killed himself. He was battling a head full of demons. In 2 tours downrange as a very proud Marine, he lost friends. He was already suffering when he lost his brother to disease. Now serving as the chief of a fire department, he led and was an icon to his community. Always there to help everyone else. He saw what we see. He compensated with alcohol, finally costing him his family. He began posting crazy rants on social media, screaming for help. Several of us answered. We offered an ear and resources. I gave him my psychologist's contact, assuring him that they focused on “us.”</p><p id="para0028">Two weeks before he died, he told me he was seeing them; that things were better. I believed him. We now believe that he never reached out for that help. His pride was too much. Ashamed to appear weak, he simply told me what I wanted to hear. Instead of accepting the help, he surrendered.</p><p id="para0029">How is it that someone who has seen me 1 time can ask for and accept the help, but the person we think will be the easiest to help takes their own life? I don't have the answer to this question, and I may never get it. What I do know is that we need to do much more. The first thing every single person must do without exception is to acknowledge that there is a problem and that it is OK to feel this way—you are not alone. The only thing that needs to die is the perception, the stigma of a person's character when they ask for help.</p><p id="para0030">Without citing statistics, roughly a third of EMS professionals have at least considered suicide. Look around at your next staff meeting. That's either the person on your left, you, or the person on your right. Don't be OK with this.</p><p id="para0031">IT IS OK to not be OK. Acknowledge it. Take care of each other. Take care of yourself. If you don't know how, call me at 254.718.1395 or email me at P.Ward@IAFCCP.ORG.</p><p id="para0032"><italic>Phil Ward, Vice President</italic></p></sec></sec><sec id="sec0009"><title>NEMSPA</title><sec id="sec0010"><title>Everyone Goes Home</title><p id="para0033">Over the past days, I have seen and read many emails filled with information about the Covid-19 virus. I am by no means an expert on infectious diseases. I, like you, am trying to learn all I can to protect myself, my crew, and my family. That being said, I want to remind us all not to forget our number one job: Everyone Goes Home must be our priority. We are facing a new “normal” that is definitely not normal. We have many distractions we could not have guessed we would be dealing with 6 or even 3 months ago. We must challenge ourselves to stay as educated as we can. This is when we must be our most vigilant.</p><p id="para0034">As our respective companies continue to develop processes and protocols, we must follow them and be diligent at staying on top of the latest expectations. Take extra time as needed. Talk openly to your crew. Make sure you are equipped with what you need to complete your flight safely. At the end of the day, don't let pressure push you to make decisions you can't live with. Everyone Goes home must stay our goal.</p><p id="para0035"><italic>Miles Dunagan, President</italic></p></sec></sec></body></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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