Adverse Effect of Helicopter Flight on the Ability to Palpate Carotid Pulses
Study objective: To determine if the air medical helicopter environment compromises the ability to palpate carotid pulses. Design: Using a carotid pulse model, flight nurses were tested for their ability to palpate the simulated carotid pulse at normal (120/80 mm Hg) and low (80/60 mm Hg) blood pres...
Saved in:
Published in | Annals of emergency medicine Vol. 24; no. 2; pp. 190 - 193 |
---|---|
Main Authors | , , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
New York, NY
Mosby, Inc
01.08.1994
Elsevier |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Study objective: To determine if the air medical helicopter environment compromises the ability to palpate carotid pulses.
Design: Using a carotid pulse model, flight nurses were tested for their ability to palpate the simulated carotid pulse at normal (120/80 mm Hg) and low (80/60 mm Hg) blood pressures on the ground and during helicopter flight.
Setting: Palpation tests were performed during flight in an MBB BO-105 twin-turbine engine, single-rotor air medical helicopter; control palpation tests were performed on the ground.
Type of participants: Ten flight nurses.
Measurements and main results: Tracings of pulsatile pressure from the carotid pulse model verified its ability to simulate a wide range of arterial pressures. Analyses of variance for repeated measures, including polynomial contrasts, were performed to compare the number of correct detections of the presence or absence of pulse pressures in flight with the number of correct detections in the two control conditions for both carotid pulse pressures. The mean in-flight number of correct detections was lower than both the preflight and postflight control tests, which were themselves nearly equal, at each simulated carotid pulse pressure. The quadratic terms for both the 120/80 mm Hg trial (F
1,14 =9.28;
P=.0087) and the 80/60 mm Hg trial (F
1,18 =5.69;
P=.0283) were statistically significant.
Conclusion: Factors associated with transport of patients in an MBB BO-105 helicopter impair the ability of flight nurses to detect carotid pulses in a simulated physiologic model. [Hunt RC, Carroll RG, Whitley TW, Bryan-Berge DM, Dufresne DA: Adverse effect of helicopter flight on the ability to palpate carotid pulses.
Ann Emerg Med August 1994;24:190-193.] |
---|---|
AbstractList | STUDY OBJECTIVETo determine if the air medical helicopter environment compromises the ability to palpate carotid pulses.DESIGNUsing a carotid pulse model, flight nurses were tested for their ability to palpate the simulated carotid pulse at normal (120/80 mm Hg) and low (80/60 mm Hg) blood pressures on the ground and during helicopter flight.SETTINGPalpation tests were performed during flight in an MBB BO-105 twin-turbine engine, single-rotor air medical helicopter; control palpation tests were performed on the ground.TYPE OF PARTICIPANTSTen flight nurses.MEASUREMENTS AND MAIN RESULTSTracings of pulsatile pressure from the carotid pulse model verified its ability to simulate a wide range of arterial pressures. Analyses of variance for repeated measures, including polynomial contrasts, were performed to compare the number of correct detections of the presence or absence of pulse pressures in flight with the number of correct detections in the two control conditions for both carotid pulse pressures. The mean in-flight number of correct detections was lower than both the preflight and postflight control tests, which were themselves nearly equal, at each simulated carotid pulse pressure. The quadratic terms for both the 120/80 mm Hg trial (F1,14 = 9.28; P = .0087) and the 80/60 mm Hg trial (F1,18 = 5.69; P = .0283) were statistically significant.CONCLUSIONFactors associated with transport of patients in an MBB BO-105 helicopter impair the ability of flight nurses to detect carotid pulses in a simulated physiologic model. Study objective: To determine if the air medical helicopter environment compromises the ability to palpate carotid pulses. Design: Using a carotid pulse model, flight nurses were tested for their ability to palpate the simulated carotid pulse at normal (120/80 mm Hg) and low (80/60 mm Hg) blood pressures on the ground and during helicopter flight. Setting: Palpation tests were performed during flight in an MBB BO-105 twin-turbine engine, single-rotor air medical helicopter; control palpation tests were performed on the ground. Type of participants: Ten flight nurses. Measurements and main results: Tracings of pulsatile pressure from the carotid pulse model verified its ability to simulate a wide range of arterial pressures. Analyses of variance for repeated measures, including polynomial contrasts, were performed to compare the number of correct detections of the presence or absence of pulse pressures in flight with the number of correct detections in the two control conditions for both carotid pulse pressures. The mean in-flight number of correct detections was lower than both the preflight and postflight control tests, which were themselves nearly equal, at each simulated carotid pulse pressure. The quadratic terms for both the 120/80 mm Hg trial (F 1,14 =9.28; P=.0087) and the 80/60 mm Hg trial (F 1,18 =5.69; P=.0283) were statistically significant. Conclusion: Factors associated with transport of patients in an MBB BO-105 helicopter impair the ability of flight nurses to detect carotid pulses in a simulated physiologic model. [Hunt RC, Carroll RG, Whitley TW, Bryan-Berge DM, Dufresne DA: Adverse effect of helicopter flight on the ability to palpate carotid pulses. Ann Emerg Med August 1994;24:190-193.] To determine if the air medical helicopter environment compromises the ability to palpate carotid pulses. Using a carotid pulse model, flight nurses were tested for their ability to palpate the simulated carotid pulse at normal (120/80 mm Hg) and low (80/60 mm Hg) blood pressures on the ground and during helicopter flight. Palpation tests were performed during flight in an MBB BO-105 twin-turbine engine, single-rotor air medical helicopter; control palpation tests were performed on the ground. Ten flight nurses. Tracings of pulsatile pressure from the carotid pulse model verified its ability to simulate a wide range of arterial pressures. Analyses of variance for repeated measures, including polynomial contrasts, were performed to compare the number of correct detections of the presence or absence of pulse pressures in flight with the number of correct detections in the two control conditions for both carotid pulse pressures. The mean in-flight number of correct detections was lower than both the preflight and postflight control tests, which were themselves nearly equal, at each simulated carotid pulse pressure. The quadratic terms for both the 120/80 mm Hg trial (F1,14 = 9.28; P = .0087) and the 80/60 mm Hg trial (F1,18 = 5.69; P = .0283) were statistically significant. Factors associated with transport of patients in an MBB BO-105 helicopter impair the ability of flight nurses to detect carotid pulses in a simulated physiologic model. |
Author | Bryan-Berge, Dolly M Dufresne, Deborah Ann Hunt, Richard C Carroll, Robert G Whitley, Theodore W |
Author_xml | – sequence: 1 givenname: Richard C surname: Hunt fullname: Hunt, Richard C – sequence: 2 givenname: Robert G surname: Carroll fullname: Carroll, Robert G – sequence: 3 givenname: Theodore W surname: Whitley fullname: Whitley, Theodore W – sequence: 4 givenname: Dolly M surname: Bryan-Berge fullname: Bryan-Berge, Dolly M – sequence: 5 givenname: Deborah Ann surname: Dufresne fullname: Dufresne, Deborah Ann |
BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4158107$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/8037383$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkE1rGzEQhkVISZ2kPyGgQynpYdPRrlYrnYox-QJDA03PQpZGicp65UpyIP--Smx8zWmGeZ8ZieeUHE9xQkIuGFwxYOLHb2BKNCA4v1T8-wCsVY04IjMGamjEIOCYzA7IZ3Ka818AULxlJ-REQjd0spuR5dy9YMpIr71HW2j09A7HYOOmYKI3Y3h6rsOJlmek81UYQ3mlJdIHM25MQbowKZbg6MN2zJjPySdvavNlX8_In5vrx8Vds_x1e7-YLxvbSVWafpDSO2NZ71Axw1emNyhVZwW4FhwI6U3He98K63vAVcecVLwGzvrWtLI7I992dzcp_ttiLnodssVxNBPGbdaDEMB7ySvY70CbYs4Jvd6ksDbpVTPQbxb1u0X9pkgrrt8talH3LvYPbFdrdIetvbaaf93nJlsz-mQmG_IB46yXDIaK_dxhWGW8BEw624CTRRdSla1dDB985D_e6I99 |
CODEN | AEMED3 |
CitedBy_id | crossref_primary_10_1080_10903129708958808 crossref_primary_10_1007_s10877_009_9195_7 crossref_primary_10_1016_j_resuscitation_2009_10_007 crossref_primary_10_1097_00005373_199712000_00013 crossref_primary_10_1111_j_1553_2712_2011_01124_x crossref_primary_10_1016_0735_6757_94_90025_6 crossref_primary_10_1097_00005373_199910000_00038 crossref_primary_10_1161_01_HYP_0000150859_47929_8e crossref_primary_10_1161_01_CIR_0000154900_76284_F6 |
Cites_doi | 10.1016/S1046-9095(05)80395-2 10.1001/jama.1991.03460150086029 |
ContentType | Journal Article Conference Proceeding |
Copyright | 1994 Mosby, Inc. 1994 INIST-CNRS |
Copyright_xml | – notice: 1994 Mosby, Inc. – notice: 1994 INIST-CNRS |
DBID | IQODW CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1016/S0196-0644(94)70129-6 |
DatabaseName | Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1097-6760 |
EndPage | 193 |
ExternalDocumentID | 10_1016_S0196_0644_94_70129_6 8037383 4158107 S0196064494701296 |
Genre | Research Support, Non-U.S. Gov't Journal Article |
GroupedDBID | --- --K --M .1- .FO .GJ .XZ .~1 0R~ 1B1 1CY 1P~ 1RT 1~. 1~5 23M 354 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 6J9 7-5 71M 8F7 8P~ 9JM AABNK AACTN AAEDT AAEDW AAIAV AAIKJ AAKAS AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AAWTL AAXUO AAYOK ABBLC ABBQC ABFNM ABFRF ABJNI ABLVK ABMAC ABMZM ABOCM ABXDB ABYKQ ACDAQ ACGFO ACGFS ACRLP ADBBV ADEZE ADMUD ADZCM AEBSH AEFWE AEKER AENEX AEVXI AFCTW AFFNX AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AIEXJ AIKHN AITUG AIVDX AJBFU AJOXV AJRQY AJUYK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV C45 CAG COF CS3 EBS EFJIC EFLBG EJD EO8 EO9 EP2 EP3 EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HDV HMK HMO HVGLF HZ~ IHE J1W J5H K-O KOM LCYCR LX1 M27 M41 MO0 N4W N9A O-L O9- OAUVE OBH OB~ ODZKP OGIMB OHH OM0 OVD OZT P-8 P-9 P2P PC. Q38 R2- RIG ROL RPZ SAE SDF SDG SDP SEL SES SEW SJN SPCBC SSH SSZ T5K TEORI UGJ UHS UKR UQY UV1 WOW YFH YOC Z5R ZA5 ZGI ZXP ZY1 ~G- 08R ABPIF AKALU IQODW AAXKI AFJKZ AKRWK CGR CUY CVF ECM EIF NPM AAYXX ACRPL ADNMO CITATION 7X8 |
ID | FETCH-LOGICAL-c389t-5788fdac15de91a4ba5ae893c60d20d068fa345f26cf50eb31d8940d0dcf2a283 |
ISSN | 0196-0644 |
IngestDate | Fri Aug 16 23:59:57 EDT 2024 Fri Dec 06 05:56:01 EST 2024 Sat Sep 28 08:36:20 EDT 2024 Sun Oct 22 16:05:25 EDT 2023 Fri Feb 23 02:30:53 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2 |
Keywords | Palpation Helicopter Medical transport Carotid Interaction Models Arterial pulse |
Language | English |
License | CC BY 4.0 https://www.elsevier.com/tdm/userlicense/1.0 |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c389t-5788fdac15de91a4ba5ae893c60d20d068fa345f26cf50eb31d8940d0dcf2a283 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
PMID | 8037383 |
PQID | 76604584 |
PQPubID | 23479 |
PageCount | 4 |
ParticipantIDs | proquest_miscellaneous_76604584 crossref_primary_10_1016_S0196_0644_94_70129_6 pubmed_primary_8037383 pascalfrancis_primary_4158107 elsevier_sciencedirect_doi_10_1016_S0196_0644_94_70129_6 |
PublicationCentury | 1900 |
PublicationDate | 1994-08-01 |
PublicationDateYYYYMMDD | 1994-08-01 |
PublicationDate_xml | – month: 08 year: 1994 text: 1994-08-01 day: 01 |
PublicationDecade | 1990 |
PublicationPlace | New York, NY |
PublicationPlace_xml | – name: New York, NY – name: United States |
PublicationTitle | Annals of emergency medicine |
PublicationTitleAlternate | Ann Emerg Med |
PublicationYear | 1994 |
Publisher | Mosby, Inc Elsevier |
Publisher_xml | – name: Mosby, Inc – name: Elsevier |
References | (bib1) 1992; 11 Stott (bib2) 1988 Hunt, Bryan, Brinkley (bib3) 1991; 265 Larson (bib4) 1992; 11 Hunt (10.1016/S0196-0644(94)70129-6_bib3) 1991; 265 (10.1016/S0196-0644(94)70129-6_bib1) 1992; 11 Larson (10.1016/S0196-0644(94)70129-6_bib4) 1992; 11 Stott (10.1016/S0196-0644(94)70129-6_bib2) 1988 |
References_xml | – start-page: 185 year: 1988 end-page: 199 ident: bib2 article-title: Vibration publication-title: contributor: fullname: Stott – volume: 265 start-page: 1982 year: 1991 end-page: 1984 ident: bib3 article-title: Inability to assess breath sounds during air medical transport by helicopter publication-title: contributor: fullname: Brinkley – volume: 11 start-page: 28 year: 1992 end-page: 29 ident: bib4 article-title: Mid-year report and fleet survey publication-title: contributor: fullname: Larson – volume: 11 start-page: 27 year: 1992 ident: bib1 publication-title: 1991 Transport Statistics – start-page: 185 year: 1988 ident: 10.1016/S0196-0644(94)70129-6_bib2 article-title: Vibration contributor: fullname: Stott – volume: 11 start-page: 28 issue: July year: 1992 ident: 10.1016/S0196-0644(94)70129-6_bib4 article-title: Mid-year report and fleet survey publication-title: J Air Med Transport doi: 10.1016/S1046-9095(05)80395-2 contributor: fullname: Larson – volume: 11 start-page: 27 issue: March year: 1992 ident: 10.1016/S0196-0644(94)70129-6_bib1 publication-title: J Air Med Transport – volume: 265 start-page: 1982 year: 1991 ident: 10.1016/S0196-0644(94)70129-6_bib3 article-title: Inability to assess breath sounds during air medical transport by helicopter publication-title: JAMA doi: 10.1001/jama.1991.03460150086029 contributor: fullname: Hunt |
SSID | ssj0009421 |
Score | 1.5418459 |
Snippet | Study objective: To determine if the air medical helicopter environment compromises the ability to palpate carotid pulses.
Design: Using a carotid pulse model,... To determine if the air medical helicopter environment compromises the ability to palpate carotid pulses. Using a carotid pulse model, flight nurses were... STUDY OBJECTIVETo determine if the air medical helicopter environment compromises the ability to palpate carotid pulses.DESIGNUsing a carotid pulse model,... |
SourceID | proquest crossref pubmed pascalfrancis elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 190 |
SubjectTerms | Aircraft Analysis of Variance Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Pressure Carotid Arteries - physiology Emergency and intensive care: techniques, logistics Emergency Nursing Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Manikins Medical sciences Models, Cardiovascular Palpation - nursing Pulse |
Title | Adverse Effect of Helicopter Flight on the Ability to Palpate Carotid Pulses |
URI | https://dx.doi.org/10.1016/S0196-0644(94)70129-6 https://www.ncbi.nlm.nih.gov/pubmed/8037383 https://search.proquest.com/docview/76604584 |
Volume | 24 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFLaqTUJIPHDZRGEDP_AAqhKS1HGSx24MCusKCq02niwnsSWkKonW9IV_wL_mOHacjnWaoA9W5Vws-Xw5_nx8Lgi9ySiVsA3InIR7sUOEDJws5NDQIoSfyMO2FsHFnE6X5MtVeDUY_N7yWto0mZv_2hlX8j9ShT6Qq4qS_QfJ2pdCB_wH-UILEob2tox3LjV9_mNh4yhvHpeb-1Td5XXnvqEZ4gpAUKsciXKldujm2GCkE3e3pLTmqxq4qEpfXTU_i1G9gYXUkvDpcr5oJeT2ptbTSZp-nc1Mt63bdTn9vAAm3ILDHVmzzkn6YzJ3Ts7ST61P5gfX2GYLE5ZHrA-cMY2ZdXzbUqm8m6lO7ugKrV29JHJopAsIdOpXh1AbmAVbutTXdUTNsuzrQoq3NL42Pny3wwEvT6BJImVhc3Zk2f5r9bM-icBkYl_lJdhXWeFAx-9PztPL8z6DMwlMcUs9UB8O9r4f_W1C3pmR7yI6j2q-hs9P6ropd29sWoKzeIwO-tBP_M0i7QkaiPIpenBhIPUMzQySsEYSriTukYQ1knBVYkASNkjCTYUNkrBBEtZIOkDLj2eL06ljKnI4ORDbxgH1HsuC535YiMTnJOMhF8B4c-oVgVd4NJZ8TEIZ0FyGnsjGfgHSgAtFLgMOTPYQ7ZVVKZ4j7HHYKflRHnFCCRBFToEXRUEe8LGfeUE2RG43fazWiVfYlkdiQpmab5YQ1s43o0MUd5PMDHvUrJABVO579PiGUOyABhND9LoTEgPtq47UeCmqzZpFlLaeBkN0qGVnH409lTNs_OKeV79ED_vP6QjtNdcbcQw0t8leGQD-Aadqn4E |
link.rule.ids | 309,310,314,780,784,789,790,23930,23931,25140,27924,27925 |
linkProvider | Library Specific Holdings |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=proceeding&rft.title=Annals+of+emergency+medicine&rft.atitle=Adverse+effect+of+helicopter+flight+on+the+ability+to+palpate+carotid+pulses&rft.au=HUNT%2C+R.+C&rft.au=CARROLL%2C+R.+G&rft.au=WHITLEY%2C+T.+W&rft.au=BRYAN-BERGE%2C+D.+M&rft.date=1994-08-01&rft.pub=Elsevier&rft.issn=0196-0644&rft.eissn=1097-6760&rft.volume=24&rft.issue=2&rft.spage=190&rft.epage=193&rft_id=info:doi/10.1016%2FS0196-0644%2894%2970129-6&rft.externalDBID=n%2Fa&rft.externalDocID=4158107 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0196-0644&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0196-0644&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0196-0644&client=summon |