BACKGROUND: Endotracheal intubation (ETI) procedure in the combat area differs from prehospital trauma life support procedures because of the danger of gunfire and the dark environment. We aimed to determine the success, difficulty degree, and duration of ETI procedures with a classical laryngoscope (CL) in a bright room and with a modified laryngoscope (ML) model in a dark room.
Considering this finding, we still strongly recommend that it would be relatively safer to open the ML blade inside the mouth and to perform the procedures under a PL. In chaotic environments where it might become necessary to provide civilian health services for humanitarian aid purposes (Red Crescent, Red Cross, etc.) without NVGs, we believe that it would be relatively safer to open the CL blade inside the mouth and to perform the procedures under a PL.
Background: In Emergency Departments (EDs), procedural sedation analgesia, hematoma block, intravenous regional anaesthesia and peripheral nerve blocks are usually used for pain control in forearm fractures. We aimed to review the results of Visual Analog Scale (VAS) scores (during examination and reduction), post reduction neurovascular examinations and complications of forearm fractures which were applied US-guided axillary approach of brachial plexus block (AABPB). Patients and Methods: We described fourteen patients, who presented to the ED with forearm fractures, and were reduced using US-guided AABPB performed by emergency physicians. The same technique was used for all fourteen nerve blocks. We reviewed the results of VAS scores (during examination and reduction), post reduction neurovascular examinations and complications of forearm fractures who were applied AABPB. Results: Of the 14 patients admitted to study, the mean age was 59.92 ±12,81 (36.00-82.00). Mean VAS score of patients before procedures was 91.57 ± 3.99 (85,00-98.00) mm. The US-guided AABPB was performed by emergency physicians and nerve block fracture was reduced. 20 minutes after reduction, mean VAS score of patients was 10.21 ± 5.36 (0-19.00) mm. performed (Table 1). All patients were discharged after approximately eight hours' observation period and post-reduction neurovascular examinations were normal. There were no complications during block and reduction. Conclusion: US-guided axillary approach of brachial plexus block is a technique that can be applied easily in the ED by emergency physicians for forearm fractures. In this technique, the procedural success rate is high, and it was noticed a high level of patient and physician satisfaction.
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