Oxygen therapy in the pre-hospital setting for acute exacerbations of chronic obstructive pulmonary disease

Austin, Michael; Wood‐Baker, Richard

doi:10.1002/14651858.cd005534.pub2

Cited by 16 publications

(7 citation statements)

References 20 publications

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“…A 2006 Cochrane review of oxygen therapy for COPD in the prehospital setting found no relevant randomised studies but the paper by Austin et al 51 in 2010 has shown a reduced mortality in patients with COPD in prehospital care who were managed with titrated oxygen to achieve a target saturation of 88–92% compared with high-concentration oxygen therapy (RR 0.22) 445…”

Section: Section 9: Emergency Use Of Oxygen In Ambulances Community mentioning

confidence: 99%

BTS guideline for oxygen use in adults in healthcare and emergency settings

O’Driscoll

Howard

Earis

et al. 2017

Thorax

507

376

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Section: Section 9: Emergency Use Of Oxygen In Ambulances Community mentioning

confidence: 99%

BTS guideline for oxygen use in adults in healthcare and emergency settings

O’Driscoll

Howard

Earis

et al. 2017

Thorax

507

376

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“…[12][13][14] Oxygen is also recommended for compromised patients with chronic obstructive pulmonary diseases because studies have shown that the short period of higher oxygen saturation will not result in adverse ventilatory depression of the patient. 15,16 One surprising aspect identified during the course of the investigation was that this was the very first time many students had physically operated the supplemental oxygen equipment. Most had only received training in nitrous oxide analgesia during their second year and had not yet interacted with an actual patient requiring nitrous oxide/oxygen during a dental procedure.…”

Section: Discussionmentioning

confidence: 99%

Ability of Dental Students to Deliver Oxygen in a Medical Emergency

Scheller

Pinsky

et al. 2009

Journal of Dental Education

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This study was conducted to evaluate the ability of dental students to administer emergency oxygen to a patient during a simulated emergency. Forty third-year (D3) and fourth-year (D4) dental students were recruited and asked to demonstrate their ability in managing a simulated angina attack. Students were tested on their knowledge related to emergency medical protocols, the time taken to obtain oxygen, and operation of the oxygen equipment. Of the subjects tested, 68 percent independently identified the need for oxygen and the correct location of the equipment in the dental school. Only 15 percent of the students completed the experiment within a predetermined optimal time frame, and 50 percent of all students did not successfully operate the tank regulator to administer oxygen correctly. Although most participants in the study were able to verbalize the proper protocol for managing medical emergencies, the chairside execution in this situation demonstrates room for improvement. Incorporation of periodic simulation exercises, in addition to classroom education, is likely to improve the ability of dental students to manage medical emergencies.

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“…A report on prehospital thrombolysis showed a reduction in time to thrombolysis, but limited evidence of its safety or on its long‐term outcomes 4 . Finally, a report on the use of oxygen for patients with chronic obstructive pulmonary disease noted that, of 741 abstracts reviewed, only two were of randomised controlled trials, both of which were ongoing and lacking outcome data 5 . Much of the literature lacks an understanding of how its findings apply in the uncontrolled environment that characterises prehospital care.…”

Section: Relating Evidence To Practice In Uncontrolled Environmentsmentioning

confidence: 99%