Urinary Tract Infection
A urinary tract infection, or UTI, is an infection anywhere in the urinary tract. It carries more specific names depending on where it occurs in the urinary tract, such as the bladder (cystitis), one or both kidneys (pyelonephritis), ureters (rarely the site of infection), or the urethra (urethritis). Most UTIs are caused by bacteria that enter the urethra and then the bladder, where it sometimes spreads to the kidneys. Normally, the body is able to remove the bacteria by clearing it out during urination. However, sometimes the bacteria attach to the walls of the bladder and multiply quickly, overwhelming the body’s ability to destroy them, resulting in an infection. Symptoms include cloudy or bloody urine, which may have a foul or strong odor; low-grade fever in some people; pain or burning upon urination; pressure or cramping in the lower abdomen or back; and a strong need to urinate often, even right after the bladder has been emptied.
Anyone can get a UTI, but females are more prone to them than men because the female urethra is shorter and closer to the rectum, making it easier for bacteria to reach the bladder. Factors that can increase the risk of UTIs for both men and women include age, immobility, urinary tract surgery, pregnancy, bowel incontinence, diabetes, a urinary catheter, enlarged prostate, kidney stones, and a narrowed urethra. UTIs are treated with antibiotic medications to kill the bacteria and relieve pain and burning, with symptoms typically disappearing within 24-48 hours. Home treatments such as fluids, cranberry juice, and ascorbic acid (vitamin C) also may help relieve symptoms and cure the infection.
- Critical Care Transport Accreditation Site Visit
- Critical Care Transport Fun Facts
- Did its first transport in March 23, 1983 of quadruplets from UAB Hospital to Brookwood Medical Center.
- Has transported to 46 states and 38 countries
- Had the first civilian aircraft in the country with a liquid oxygen system; the oxygen canisters had serial numbers 1 and2.
- Has appeared on The Learning Channel, the National Geographic Channel, Discovery Channel, CNN, MSNBC and the film CCT team members starred in, “Johnny Flinton”, won an Oscar in 2003 for Best Short Films.
- Provided the medical team for President Bush's visit to Birmingham in 2001.
- Has performed up to 77 defibrillations on one transport. And the patient survived!
- Supplied one of the first 10 items writers for the Certified Flight Registered Nurse exam and served on the Exam Construction and Review Committee
- Has two brands of equipment that are still in use that have been used since the beginning of the program: the MVP-10 ventilator and Airborne isolette.
- Evacuated 21 patients during Hurricanes Katrina & Rita and provided staff, supplies, equipment and ambulances for NDMS (National Disaster Management System) twice in 2005
- Transported 8 babies simultaneously in the jet out of New Orleans during Hurricane Gustav in 2008
- Were the only civilian aircraft allowed back in the air on 9/11 returning a patient from Monroe, LA to UAB.
- Has the first Cessna Citation Bravo jet in the world to have a clam-shell type door installed
- Was the first U.S. aircraft to fly a new route over Cuban airspace to evacuate an earthquake victim following the earthquake in Haiti January 2010. This saved 30 critical minutes flight time, and the new medevac flight path was followed by many air ambulances afterward.
- “Ground transportation” on one international trip was a gondola in Venice.
- Supplied the ground content for ASTNA’s Transport Safety Position Paper in 2006 making it the first transport professional association to have all modes addressed in a safety position statement.
- Co-edited, authored and reviewed several chapters in ASTNA’s (Air and Surface Transport Nurses Association) Standards for Critical Care & Specialty Care Ground Transport, 2nd Edition” published in 2010. CCT also did the artwork for the book cover.
- Longest working full-time team member: Valorie Tucker, NNP, worked from 1999 – 2010, transported 1842 patients and traveled ~ 680,000 miles
- Most transports in one day – 23; Transport Coordinator Sheryl Pettis
- Most intra-aortic balloon pump transports in one day: 3 on multiple dates
- First nurse to transport 2,000 patients: John Doriety, RN, CCRN on 1-28-2016
- Critical Care Transport History
- Critical Care Transport's Jet Aircraft
- Research and Publications
- International Transports
- Frequently Asked Questions
- The Brain’s Way of Healing
- The Brain That Changes Itself
- Recovery Apps and Helpful Links
Critical Care Transport Accreditation Site Visit
The Commission on Accreditation of Medical Transport Systems will conduct an accreditation site visit of:
CRITICAL CARE TRANSPORT
On March 4 – 5, 2020
The purpose of the site visit will be to evaluate the program’s compliance with nationally established medical transport standards. The site visit results will be used to determine whether, and the conditions under which accreditation should be awarded to the program.CAMTS accreditation standards deal with issues of patient care and safety of the transport environment. Anyone believing that he or she has pertinent or valid information about such matters may request a public information interview with the CAMTS site surveyors at the time of the site visit. Information presented at the interview will be carefully evaluated for relevance to the accreditation process. Requests for public information interviews must be made in writing and sent to CAMTS no later than 10 business days before the site survey begins. The request should also indicate the nature of the information to be provided during the interview. Such request should be addressed to:
Office of the Executive Director
Commission on Accreditation of Medical Transport Systems PO Box 130
Sandy Springs, SC 29677
The Commission will acknowledge such written requests in writing or by telephone and will inform the program of the request for an interview. The Commission will, in turn, notify the interviewee of the date, time and place of the meeting.
This notice is posted in accordance with CAMTS requirements and shall not be removed until the site visit is completed.
Date Posted: 2-4-20
Critical Care Transport Fun Facts
Critical Care Transport…
Standing CCT Records:
Critical Care Transport History
Critical Care Transport's Jet Aircraft
This Cessna Citation Bravo twin-engine jet flies at 480 miles per hour and has an un-refueled cruising range of 1700 miles. It can accommodate two adult or neonatal patients and has seating for up to five team members. The aircraft features custom design with installed medical air, dual suction system and dual inverter; liquid oxygen, air, and inverter; sectional/removable bench seat for intra-aortic balloon pump transports; installed Air Cell telephone; interior compartment storage for medical equipment and supplies; cabin area Flight Status Panel showing air speed, distance to next stop, outside altimeter and interior cabin altimeter. It is the first Bravo in the world with a cargo door, 36 inches wide, to facilitate loading for patients on stretchers. All pilots undergo annual simuflite training and have achieved their ATP (Air Transport Pilot).
The aircraft is operated by AirMed International, Air Carrier Certificate # MDGA382G.
Research and Publications
Demmons, L., “Vehicle Specifications and Fleet Maintenance”, Treadwell, D., Santiago, J., (2019) ASTNA Standards for Critical Care and Specialty Transport, 2nd Edition, Aurora, CO, p. 102-106.
Demmons, L., Minton, R., Taylor, G., “Transporting the Deceased: Partnering with the Organ Recovery Center to Improve Transplant Outcomes”, Air Medical Journal, Nov-December 2018, 37:6, p. 374-379.
Demmons, L., “Infectious and Communicable Diseases”; Clark, D., Treadwell, D., et al (2017), ASTNA Critical Care Transport Core Curriculum, Air and Surface Transport Nurses Association, Aurora, CO, p. 423-434.
Demmons, L., James, S., (2010) ASTNA Standards for Critical Care and Specialty Ground Transport, 2nd Edition, Air and Surface Transport Nurses Association, Centennial, CO, Cottrell Printing Company.
Demmons, L., "Twenty-five Years Later: Critical Care Transport", Air Medical Journal, Nov - Dec 2008, Vol. 27, No. 6, p. 276-280.
Air and Surface Transport Nurses Association: Demmons, L, Stevens, L, High, K, Lin, J., "Transport Nurse Safety in the Transport Environment, Position Paper", Sept 2006.
Demmons, L., "Chasing Ambulance Safety", Air Medical Journal, May-June, 2005.
Gruszecki, A., Kahler, D., Smith, D., Vines, J., Lancaster, L., et al, "Utilization, Reliability and Clinical Impact of Point-of-care Testing during Critical Care Transport: Six Years of Experience", Clinical Chemistry, Vol. 49, No. 6, 2003.
Commission on Accreditation of Medical Transport Systems Best Practices, Volume II, 2001; Volume III, 2004; most cited program in Volume IV, 2007; Volume V, 2012; and Volume VI, 2017
Randolph, V., Kahler, D., Howard, C., Hortin, G., "Laboratories on the Move: Blood Gas Analysis", Laboratory Medicine, Vol. 31, No. 1, 2000.
Brunson M., Lancaster L., "Transport of Critically Ill Patients: How to Avoid Pitfalls", Clinical Pulmonary Review, Vol. 6, No. 4, July 1999.
Demmons, L., Cook,E., "Anxiety in Adult Fixed-Wing Air Transport Patients", Air Medical Journal, July - September 1997.
Worldwide transport service is available through Critical Care Transport. International transports are equipped and staffed as domestic transports
Some advance notice is required for international transports due to overnight requirements. Due to the length of some of the transports, an overnight stay may be required. All arrangements for the overnight stay, as well as all other components of the trip, will be arranged by the transport service.
Because international transports are usually not covered by insurance, financial arrangements must be secured prior to US departure.
Frequently Asked Questions
Q: Will insurance companies pay for the services of Critical Care Transport?
A: Most major commercial insurance companies will cover 50 to 80 percent if "medical necessity" terms are met. However, persons should check with their insurance company to discuss individual coverage.
Q: What about Medicare Coverage?
A: For medicare to cover ground/air transport, a patient must be in a condition that would justify the need for transport. "Medical necessity" must be established. In addition, for maximum coverage, Medicare requires that the patient be transported to the "nearest appropriate facility."
Q: How does CCT determine to fly or drive a patient for transport?
A: Generally, patients within 100 to 150 miles radius of Birmingham will be driven from one facility to another. The patients outside of the 125 mile radius will usually be flown from the referring facility to the receiving facility.
Q: Will Critical Care Transport move a patient to a hospital other that UAB?
A: Yes. However, for patients to be transported to a facility other than UAB, payment must be secured prior to the transport. We can bill the insurance of most patients who have Medicare or Blue Cross. Certified check, VISA, Master Card, Discover, or American Express can be used. Persons should ask the transport coordinator if their hospital or company has an agreement with CCT, as many do. If this agreement exists, then the requirements for pre-payment will be waived. Some insurance companies, with prior arrangements, will allow CCT to bill the insurance company directly.
Q. Do you have a service available if you are traveling in the U.S. or abroad, become sick or injured and want to get back home?
A. Yes. Critical Care Transport works with AirMed Intl. to provide these repatriation services for an annual fee. You may call (205) 443-4840 or go to www.AirMed.com/UAB for more information and to obtain your membership instantly.
We understand that you may have additional questions. Please feel free to contact the Critical Care Transport Coordinator at 1-800-822-6478 to have these questions answered.
The Brain’s Way of Healing
Now a New York Times Bestseller!
The bestselling author of The Brain That Changes Itself presents astounding advances in the treatment of brain injury and illness
In The Brain That Changes Itself, Norman Doidge described the most important breakthrough in our understanding of the brain in four hundred years: the discovery that the brain can change its own structure and function in response to mental experience—what we call neuroplasticity.
His revolutionary new book shows, for the first time, how the amazing process of neuroplastic healing really works. It describes natural, non-invasive avenues into the brain provided by the forms of energy around us—light, sound, vibration, movement—which pass through our senses and our bodies to awaken the brain’s own healing capacities without producing unpleasant side effects. Doidge explores cases where patients alleviated years of chronic pain or recovered from debilitating strokes or accidents; children on the autistic spectrum or with learning disorders normalizing; symptoms of multiple sclerosis, Parkinson’s disease, and cerebral palsy radically improved, and other near-miracle recoveries. And we learn how to vastly reduce the risk of dementia with simple approaches anyone can use.
The Brain That Changes Itself
What is neuroplasticity? Is it possible to change your brain? Norman Doidge’s inspiring guide to the new brain science explains all of this and more
An astonishing new science called neuroplasticity is overthrowing the centuries-old notion that the human brain is immutable, and proving that it is, in fact, possible to change your brain. Psychoanalyst, Norman Doidge, M.D., traveled the country to meet both the brilliant scientists championing neuroplasticity, its healing powers, and the people whose lives they’ve transformed—people whose mental limitations, brain damage or brain trauma were seen as unalterable. We see a woman born with half a brain that rewired itself to work as a whole, blind people who learn to see, learning disorders cured, IQs raised, aging brains rejuvenated, stroke patients learning to speak, children with cerebral palsy learning to move with more grace, depression and anxiety disorders successfully treated, and lifelong character traits changed. Using these marvelous stories to probe mysteries of the body, emotion, love, sex, culture, and education, Dr. Doidge has written an immensely moving, inspiring book that will permanently alter the way we look at our brains, human nature, and human potential.
Recovery Apps and Helpful Links
12 steps AA companion
Comprehensive recovery tool includes Big Book Reader, sobriety calculator, search and more
AA Big Book and More
Ultimate Recovery Resource-The text of the Big Book and more
Narcotics Anonymous App
Basic Text of Narcotics Anonymous
One Day at a Time
Comprehensive Recovery Tool
Find A Meeting
Alcoholics Anonymous - www.aa.org
Narcotics Anonymous - www.na.org
Al -anon - www.alanon.org
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