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12 results

  • Inhaled Epoprostenol to Facilitate Safe Transport in Legionnaires’ Disease

  • Corrine Foster, Michael A. Frakes, Erica Puopolo, Francis McNulty, Mark S. Saia, Mike Hourihan, Margaret Flynn, Susan R. Wilcox
  • Journal:
    Prehospital and Disaster Medicine / Volume 35 / Issue 1 / February 2020
    Published online by Cambridge University Press:
    09 January 2020, pp. 109-114
    Print publication:
    February 2020

  • Hypoxemic patients often desaturate further with movement and transport. While inhaled epoprostenol does not improve mortality, improving oxygenation allows for transport of severely hypoxemic patients to tertiary care centers with a related improvement in mortality rates. Extracorporeal membrane oxygenation (ECMO) use is increasing in frequency for patients with refractory hypoxemia, and with increasing regionalization of care, safe transport of hypoxemic patients only becomes more important. In this series, four cases are presented of young patients with severe hypoxemic respiratory failure from Legionnaires’ disease transported on inhaled epoprostenol to ECMO centers for consideration of cannulation. With continued climate changes, Legionella and other pathogens are likely to be a continued threat. As such, optimizing oxygenation to allow for transport should continue to be a priority for critical care transport (CCT) services.

  • Giant of the West: Henry J. Kaiser and Regional Industrialization, 1930–1950

  • Mark S. Foster
  • Journal:
    Business History Review / Volume 59 / Issue 1 / Spring 1985
    Published online by Cambridge University Press:
    11 June 2012, pp. 1-23
    Print publication:
    Spring 1985

  • Many entrepreneurs have contributed to the economic growth of the Far West, from the railroad builders of the nineteenth century to the modern day pioneers in Silicon Valley. In this article, Professor Foster focuses on the career of Henry J. Kaiser—an entrepreneur who was unquestionably one of the key figures in the modernization of the region. Though Foster does not slight the economic and political factors that made possible Kaiser's achievement he stresses that Kaiser's imagination, energy, and personal commitment were key elements in the maturation of the region's industrial economy.