Christopher Manacci: Narrative Bio

ManacciChristopher Manacci, MSN, ACNP-C, CCRN is the founding director of the Advanced Practice Flight Nurse Program at the Frances Payne Bolton School of Nursing at Case Western Reserve University. In addition, he maintains a full time critical care practice as the managing nurse practitioner of critical care transport at the Cleveland Clinic, where he is responsible for operational and clinical practice oversight. He has practiced in air medical arena for nearly three decades. He developed the concept of utilizing specially trained nurse practitioners in unstructured environments, including air medical service, and developed the world’s first university-based graduate-level educational program. In addition he has developed and put into practice the first critical care air rescue and evacuation service, utilizing acute care nurse practitioners as the central clinician of a dynamic team. This model places the diagnostician and the prescribing clinician at the side of patient during a turbulent time of transition. This often relies on time-sensitive intervention and ongoing pharmacologic evaluation and adjustment to prescribed therapies.

Mr. Manacci is the recipient of numerous national and international awards and honors in his 25-plus years of nursing practice. They include the prestigious Cushing-Robb Prize for Exceptional Academic Performance and The Madeline Zaworski Award for Outstanding Leadership, bestowed by Case Western Reserve University. He is also the recipient of the International Crew Member of the Year Award for exemplary dedication to clinical practice and commitment to the air medical community. He has also received the Barbara Hess Award for exceptional contributions to research and education in air medical services. He is a two-time recipient of the Innovator Award of Excellence at the Cleveland Clinic for his design of patient comfort strategies and development of the first Advanced Practice Air Medical Service Program.

Formerly, he has served as a Sarah Cole Hirsh Research Scholar and has held faculty appointments as Consulting Professor of Critical Care, Department of Navy, Operational Medicine Institute and Subject Matter Expert for NASA. His research is centered on clinical practice in air medical service as well as developing educational strategies utilizing synthetic natural environments and augmented reality for the purpose of developing clinical expertise in the fourth dimension. Another area of expertise is within the realm of evaluation and development of critical care systems that utilize a patient-centric, community-based system of care. He is a member of Sigma Theta Tau, International Honor Society of Nursing and other professional organizations. His work is published in peer-review journals, textbooks, and computerized educational formats. He has presented hundreds of lectures on topics specific to air medical practice, critical care clinical management, along with critical care transport system development at many national and international scientific symposia and professional meetings.

In 2007 Mr. Manacci was invited by the leadership of the Aichi Medical University School of Nursing in Nagoya, Japan to extend his pioneering program and to help train and educate a cadre of flight nurses to enhance the human condition of their citizens. This partnership has established the first international cultural exchange of knowledge, science, and clinical practice expertise for the purposes of saving the lives of the most vulnerable population of patients, those in extreme clinical compromise.

Through his role at the university, Christopher Manacci has been instrumental in securing significant private and public funding to support advanced practice in flight nursing. Mr. Manacci continues to be a role model to the graduate students and plays a direct role, guiding and mentoring the students with their preceptors through their clinical experiences.

One of the many successful endeavors that Chris Manacci established was the development of the annual summer camp, which brings in nurses across the world to train in unstructured environments and expand their knowledge in advance practices, as well as flight nursing. This week-long camp brings together 30 to 40 students yearly from across the globe.

Critical Care Transport Advanced Practice Model (Manacci,, 2007)
Click to enlarge.

In his role as director of the Advanced Practice Flight Nurse Program, he places education and research on the top of his agenda. For nearly a decade Mr. Manacci has sponsored the Scientific Assembly at the Air Medical Transport Conference (AMTC) to promote research in the air medical industry on a global scale. Mr. Manacci shares his expertise in clinical practice and experience in research to serve as a judge of the scientific assembly. He has written or contributed to the body of scientific knowledge by way of peer-review journals, textbooks, and several white papers regarding the proper care of the critically ill or injured patient in austere conditions.

Mr. Manacci has routinely presided over discussion panels that relate to the newest technology and advancements in the critical care industry. His commitment to patients, nurses, and practitioners has led him to service as an expert in the review of legal proceedings.

In addition, Mr. Manacci has a 10-year service history as a volunteer firefighter and paramedic in his hometown of Auburn (Chagrin Falls), Ohio and as a member of the Geauga County Hazardous Materials Unit. His involvement in the fire rescue service resulted in his appointment as director of emergency medical services, responsible for all aspects of rescue, from residential to industrial rescue operations. He holds multiple certifications related to disaster management and relief operations through his activities as a Registered Nurse with the American Red Cross. He has trained hundreds of people in lifeguarding and water rescue techniques. He is a Third Degree Knight with the Catholic fraternity, The Knights of Columbus, honoring his faith and Italian heritage.

In 2010 Chris Manacci, through his association with Medical Security International, joined forces with ITM International in partnership, by way of a strategic alliance, to continue his work across the globe. This is accomplished through direct clinical practice, educating those who are called to serve and researching alternatives in the delivery of critical care for the enhancement of the human condition. Currently he serves on the board of advisors of The First Dragon, Ltd.  

He believes the synergy of his life’s work and the mission of The First Dragon Ltd. projects are parallel regarding the contributions to mankind throughout the world. His belief is that there are many dimensions to each individual existence that transcend the interpretation of their reality, to which humility and grace can alter the course of their destiny. He believes that the difference between difficult and impossible is a matter of education, interpretation, and intervention.

Mr. Manacci’s publications include but are not limited to the following:

  • Manacci, C., Steiner, S. “Cardiovascular Emergencies”, (Book Chapter) Transport Nursing Practice and Principles (2010). Edit by Holleran, R, Mosby, New York.
  • Manacci, C. The educational process in advanced practice flight nursing. (conference proceeding). International Society of Aeromedical Services & Flight Nurses Australia 20th Scientific Meeting (2008). Adelaide, South Australia.
  • Manacci, C. et al. Elimination of controlled flight into terrain crash potential for air medical services (conference proceeding). 37th Annual Critical Care Congress.(2008).The Society of Critical Care Medicine. Honolulu, Hawaii.
  • Manacci, C. The use of human simulation in the education of advanced practice nurses in air medical service (conference proceeding). Achi Medical University School of Nursing (2008). Nagoya, Japan.
  • Steiner, S. Manacci, C. The brain heart phenomenon. (conference proceeding). Innovations in Neuroscience Nursing. (2007) The Cleveland Clinic. Cleveland, Ohio.
  • Rutherford, K., Manacci, C. Toxicology. (book contribution). Transport Certification Review Manual II. (2007). Air and Surface Transport Nurses Association. Greenwood Village, Colorado.
  • Vidak, A, Manacci, C., Neurologic Emergencies. (book contribution). Transport Certification Review Manual II. (2007). Air and Surface Transport Nurses Association. Greenwood Village, Colorado.
  • Nieman CT, Manacci CF, Super DM, et al. Use of the Broselow tape may result in the under resuscitation of children. Journal of Academic Emergency Medicine. (2006)13:1011–1019.
  • C. Manacci, MSN, C. Little, MSN, Cwynar, BSN, M.Banbury, MD.(conference proceeding). The Attending Nurse Practitioner: A practice model analysis in acute care. (2006) National Organization of Nurse Practitioner Faculties. Orlando Florida.
  • Clochesy JM, Reimer AP, Holloway DD, Manacci C & Nieman C. (2004). Environmental cues used by advanced practice nurses in air medical services. .American Journal of Critical Care, 13, 261.
  • Clochesy, J, Manacci, C. Taking critical care from the bedside to the roadside. (conference proceeding). Sigma Theta Tau International. (2003).
  • Novotny, J., Lippman, D., et al, Manacci, C. Flight Nursing. (Book) 101 Careers in Nursing. (2003). Springer Publishing Company. New York, New York.
  • Manacci C, Clochesy JM, Wykle ML, Narsavage GL & Anvari M. (2003).Educating flight nurses for air transport management: Advanced visualization methods. Cooperative education programs and aviation education. Symposium conducted at the Aviation Management Education and Research Conference, Montreal, Quebec.
  • Nieman, C, Manacci, C., et;al. (2003).Case Western Reserve University. Reseach Showcase: ”The use of the Broslew Tape can result in the under resuscitation of children”.
  • Kovach, B., Manacci, C., Mancuso, C. “Cardiovascular Emergencies”, (Book Chapter) Transport Nursing Practice and Principles (2002).Edit by Holleran, R, Mosby, New York.
  • Nieman, C, Manacci, C., et;al. (2002) “The use of the Broslew Tape can result in the under resuscitation of children”. (in press). Presented Scientific Assembly, AAMS, Kansas City, MO
  • Manacci, C., Rogers K., Kovach, B., Martin, G., Mancuso, C., Fallon, W. “Efficacy of twenty-four hour shifts: Prepared or impaired? A prospective study. Air Medical Journal, January-March 1999