F Ailed P Rehospital I Ntubations : A N a Nalysis of E Mergency D Epartment C Ourses and O Utcomes

Wang, Henry E.; Sweeney, Thomas A.; O’Connor, Robert E.; Rubinstein, Howard

doi:10.1080/10903120190939995

Cited by 81 publications

(25 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent data suggest an adverse effect of paramedic intubation on outcome, including a separate analysis using traumatic-brain-injury data from our own out-of-hospital system (Davis et al, unpublished data). [57][58][59][60][61][62][63][64][65][66] The potential reasons for improved outcomes in aeromedical patients warrant some discussion. The results reported here may reflect the benefit of greater experience with advanced procedures or optimal monitoring during ventilation of patients with severe traumatic brain injury.…”

Section: Discussionmentioning

confidence: 98%

The Impact of Aeromedical Response to Patients With Moderate to Severe Traumatic Brain Injury

Davis

Peay

Serrano

et al. 2005

Annals of Emergency Medicine

139

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 98%

The Impact of Aeromedical Response to Patients With Moderate to Severe Traumatic Brain Injury

Davis

Peay

Serrano

et al. 2005

Annals of Emergency Medicine

139

View full text Add to dashboard Cite

“…Unrecognized misplaced intubation has been documented as an issue in EMS since 1984, with early studies showing a unrecognized misplaced intubation rate of 0.4% to 8%. [1][2][3][4][5][6][7][8] A previous study from 1997, conducted at the same regional Level I trauma center emergency department (ED) as our study, reported an unrecognized misplaced intubation incidence of 25%. 9 Most recently, unrecognized misplaced intubation rates of 7% and 10% have been reported.…”

Section: Introduction Backgroundmentioning

confidence: 85%

The Effectiveness of Out-of-Hospital Use of Continuous End-Tidal Carbon Dioxide Monitoring on the Rate of Unrecognized Misplaced Intubation Within a Regional Emergency Medical Services System

Silvestri

Ralls

Krauss

et al. 2005

Annals of Emergency Medicine

194

108

View full text Add to dashboard Cite

“…The incidence of unrecognised oesophageal intubation is dependent on whether neuromuscular blocking agents have been used or not. In two studies of drug-assisted field intubation performed by paramedics, the reported rate was as low as 0.4% (55,56). Conversely, in other studies of paramedic field intubation where drugs were not used, the rate of unrecognised oesophageal intubation was 6% (57) and 16.7% (58), respectively.…”

Section: Complicationsmentioning

confidence: 91%

Pre‐hospital airway management: guidelines from a task force from the Scandinavian Society for Anaesthesiology and Intensive Care Medicine

Berlac

Hyldmo

Kongstad³

et al. 2008

Acta Anaesthesiol Scand

111

View full text Add to dashboard Cite

This article is intended as a generic guide to evidencebased airway management for all categories of pre-hospital personnel. It is based on a review of relevant literature but the majority of the studies have not been performed under realistic, pre-hospital conditions and the recommendations are therefore based on a low level of evidence (D). The advice given depends on the qualifications of the personnel available in a given emergency medical service (EMS). Anaesthetic training and routine in anaesthesia and neuromuscular blockade is necessary for the use of most techniques in the treatment of patients with airway reflexes. For anaesthesiologists, the Task Force commissioned by the Scandinavian Society of Anaesthesia and Intensive Care Medicine recommends endotracheal intubation (ETI) following rapid sequence induction when securing the pre-hospital airway, although repeated unsuccessful intubation attempts should be avoided independent of formal qualifications. Other physicians, as well as paramedics and other EMS personnel, are recommended the lateral trauma recovery position as a basic intervention combined with assisted mask-ventilation in trauma patients. When performing advanced cardiopulmonary resuscitation, we recommend that non-anaesthesiologists primarily use a supraglottic airway device. A supraglottic device such as the laryngeal tube or the intubation laryngeal mask should also be available as a backup device for anaesthesiologists in failed ETI. Accepted for publication 25 February 2008Key words: Pre-hospital; airway management; endotracheal intubation; laryngeal mask airway; laryngeal tube airway; combitube; emergency medical systems. Purpose T HIS article is intended as a guide to evidencebased pre-hospital airway management. The available litterature on pre-hospital airway management reflects vast differences in pre-hospital emergency medicine service (EMS) organisation, qualification levels, training programmes and even terminology. These differences make comparisons between systems and treatment protocols difficult at best. The conduct of clinical trials in pre-hospital airway management is hampered by the 2001/20/ EC directive of the European Parliament concerning informed consent. This paper describes selected equipment and techniques available for pre-hospital airway management. Advice given differs, depending on which category of personnel is available in a given EMS. Our baseline assumption is that a certain level of education and training is necessary for the safe use of a specific technique. Distinction must be made between personnel trained and experienced in providing and monitoring anaesthesia and other groups of personnel with limited or no anaesthetic skills. This distinction dictates which drugs and equipment that should be available in the prehospital setting. Differences between regions and systemsParamedic-based systems are the rule in the United States, whereas physician-based pre-hospital systems are common in Europe. Ideally, the best person to manage the pre-hospital airwa...

show abstract

F Ailed P Rehospital I Ntubations : A N a Nalysis of E Mergency D Epartment C Ourses and O Utcomes

Cited by 81 publications

References 14 publications

The Impact of Aeromedical Response to Patients With Moderate to Severe Traumatic Brain Injury

The Impact of Aeromedical Response to Patients With Moderate to Severe Traumatic Brain Injury

The Effectiveness of Out-of-Hospital Use of Continuous End-Tidal Carbon Dioxide Monitoring on the Rate of Unrecognized Misplaced Intubation Within a Regional Emergency Medical Services System

Pre‐hospital airway management: guidelines from a task force from the Scandinavian Society for Anaesthesiology and Intensive Care Medicine

Contact Info

Product

Resources

About