Intraosseous Pressure Monitoring in Healthy Volunteers.

Study Objective: Invasively monitoring blood pressure through the IO device has not been thoroughly demonstrated. This study attempted to establish baseline values of IO pressure in a healthy human population.

Methods: This was a prospective, healthy volunteer, observational study.

Comparison of success rates between two video laryngoscope systems used in a prehospital clinical trial.

Objectives: The primary aims of this study were to compare paramedic success rates and complications of two different video laryngoscopes in a prehospital clinical study.

Methods: This study was a multi-agency, prospective, non-randomized, cross over clinical trial involving paramedics from four different EMS agencies. Following completion of training sessions, six Storz CMAC™ video laryngoscopes and six King Vision™ (KV) video laryngoscopes were divided between agencies and placed into service for 6 months.

Supraglottic airway device use as a primary airway during rapid sequence intubation.

Introduction: This study compared first-attempt placement success rates of the King LTS-D as a primary airway for patients requiring medication-assisted airway management (MAAM) against historical controls.

Setting: Rotor-wing division of a single critical care transportation company

Methods: 53 providers (RNs/EMT-P) consented to participation and were trained in the use of the King LTS-D. All patients in need of MAAM per agency treatment guidelines were screened for inclusion and exclusion criteria.

The emergency department experience with prehospital ketamine: a case series of 13 patients.

Background: There are no published reports examining the effects that ketamine administered prior to hospital arrival has on patients after their transfer to the emergency department (ED).

Objective: In order to better understand the risk-benefit ratio for the prehospital use of ketamine, we examined the ED courses of 13 patients to whom emergency medical services (EMS) had administered ketamine for chemical restraint.

Methods: This project was undertaken as part of our EMS system's continuous quality improvement (CQI) process.

Laryngospasm and hypoxia after intramuscular administration of ketamine to a patient in excited delirium.

An advanced life support emergency medical services (EMS) unit was dispatched with law enforcement to a report of a male patient with a possible overdose and psychiatric emergency. Police restrained the patient and cleared EMS into the scene. The patient was identified as having excited delirium, and ketamine was administered intramuscularly.

Comparison of prehospital insertion success rates and time to insertion between standard endotracheal intubation and a supraglottic airway.

Objective: To compare paramedic insertion success rates and time to insertion between standard ETI and a supraglottc airway device (King LTS-D™) in patients needing advanced airway management.

Methods: Between June 2008 and June 2009, consented paramedics from 4 EMS systems performed ETI or placed a King LTS-D according to a predetermined randomization calendar. Data collection occurred following each placement via telephone.

Use of the King LTS-D during medication-assisted airway management.

Objective: This case series evaluated provider use of the King LTS-D as a primary airway in patients requiring rapid-sequence intubation (RSI).

Methods: Twenty-seven paramedics completed a one-hour training session on the use of the device. All patients meeting the service's standard criteria for medication-assisted airway management were included in the study.