Air Ambulance - Special Treatments

1) Head and Neck;

a) Balloons: All balloons e.g. nasal balloons for posterior nasal bleed shall be filled with water whenever possible.

b) Trapped air: Aircraft pressure may need to be adjusted for patient comfort due to the expansion of trapped air in sinuses, dental cavities, or middle ear blockage. Patients with intracranial or intracerebral air will need to be flown at or near a sea level equivalent pressure. Patients prone to middle ear block will be offered chewing gum and/or afrin nasal spray if clinically appropriate.
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