Evidence map›Paper›PMID 35248351›Full record

ArticleAir medical journal

Risk Analysis by Failure Modes, Effects and Criticality Analysis and Biosafety Management During Collective Air Medical Evacuation of Critically Ill Coronavirus Disease 2019 Patients.

Lionel Koch, Olivier Nespoulous, Jean Turc, Cyril Linard, Patrick Martigne, Madeleine Beaussac, Sophie Murris, Olivier Ferraris, Marc Grandadam, Gaelle Frenois-Veyrat and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Air medical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. [Simulation analysis of adaptability of large airborne negative pressure isolation cabin to aviation conditions].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Lionel KochBacteriology Unit, French Armed Forces Biomedical Research Institute, Paris, France. Electronic address: Lionel.koch.irba@gmail.com.
Olivier NespoulousAeromedical Research and Training Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Jean TurcDepartment of Anesthesiology and Intensive Care Unit, Military Teaching Hospital, Lyon, France; Department of Anesthesiology and Intensive Care Unit, Edouard Herriot Hospital, Lyon, France.
Cyril LinardAnalytics Developments and Bioanalysis Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Patrick MartigneRadiobiology Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Madeleine Beaussac160th Military Medical Unit, Istres, France.
Sophie Murris148th Military Medical Unit, Hyeres, France.
Olivier FerrarisVirology Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Marc GrandadamVirology Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Gaelle Frenois-VeyratVirology Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Anne-Aurélie LopesPediatric Emergency Department, AP-HP, Robert Debre Hospital, Sorbonne University, Paris, France.
Mathieu BoutonnetDepartment of Anesthesiology and Intensive Care Unit, Military Teaching Hospital Percy, Clamart, France; Val-de-Grâce Military Medicine Academy, Paris, France.
Fabrice BiotBacteriology Unit, French Armed Forces Biomedical Research Institute, Paris, France.
Service de Santé des Armées · FRHôpital Edouard Herriot · FRMilitary Hospital · PKSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In March 2020, coronavirus disease 2019 (COVID-19) caused an overwhelming pandemic. To relieve overloaded intensive care units in the most affected regions, the French Ministry of Defence triggered collective air medical evacuations (medevacs) on board an Airbus A330 Multi Role Tanker Transport of the French Air Force. Such a collective air medevac is a big challenge regarding biosafety; until now, only evacuations of a single symptomatic patient with an emergent communicable disease, such as Ebola virus disease, have been conducted. However, the COVID-19 pandemic required collective medevacs for critically ill patients and involved a virus that little is known about still. Thus, we performed a complete risk analysis using a process map and FMECA (Failure Modes, Effects and Criticality Analysis) to assess the risk and implement mitigation measures for health workers, flight crew, and the environment. We report the biosafety management experienced during 6 flights with a total of 36 critically ill COVID-19-positive patients transferred with no casualties while preserving both staffs and aircraft.

Indexed as

Air AmbulancesCOVID-19Containment of BiohazardsCritical IllnessHumansPandemicsRisk AssessmentSARS-CoV-2

Identifiers

PMID35248351
PMCPMC8529270
OpenAlexW3208363793

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.