Multiple trauma, resuscitation, and 15 minutes of esophageal intubation: survival without neurologic deficit

Abstract

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Ease and difficulty of pre-hospital airway management in 425 paediatric patients treated by a helicopter emergency medical service: a retrospective analysis

“…Pre-hospital ETI by paramedics had high levels of misplacement (into the oesophagus or the hypopharynx) combined with a high mortality and morbidity rate [ 4 ], especially in the absence of end tidal carbon dioxide measurement [ 4 – 7 ]. Rates of successful ETI varied depending on the investigated patient group and the qualification of the intubating health care provider [ 8 – 12 ].…”

Schwieriger präklinischer Atemweg und Bergung an der Rettungswinde

“…Der Goldstandard für die Atemwegssicherung stellt auch gemäß der S3 Leitlinie "Polytrauma" zur Intubation [2] die endotracheale Intubation dar. Dieser Goldstandard ist aber nicht immer anwendbar und kann in der Hand des Unerfahrenen eine Gefährdung des Patienten darstellen [3], wenn nicht die Algorithmen zur Erkennung der sicheren endotrachealen Intubation abgearbeitet werden und bei Versagen nicht auf Alternativen ausgewichen wird.…”