Publications by authors named "M Tommila"

Article Synopsis
  • An emergent front of neck airway (FONA) is essential in 'can't intubate, can't oxygenate' scenarios and can sometimes be the primary airway management method; surgical techniques for FONA are generally preferred.
  • This study analyzed FONA instances in Finnish helicopter emergency medical services (HEMS) from 2012 to 2019, finding a low overall incidence, with only 22 cases reported.
  • Although FONA was successful in all attempts, on-scene mortality was notable at 36%, and 30-day mortality reached 90%, highlighting the serious nature of situations requiring this intervention.*
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Background: Severity of illness scoring systems are used in intensive care units to enable the calculation of adjusted outcomes for audit and benchmarking purposes. Similar tools are lacking for pre-hospital emergency medicine. Therefore, using a national helicopter emergency medical services database, we developed and internally validated a mortality prediction algorithm.

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The use of audiovisual feedback devices to guide the quality of chest compressions during cardiopulmonary resuscitation has increased in recent years. Audiovisual feedback devices can be classified as integrated (eg, Zoll AED Plus defibrillator) or standalone (eg, CPRmeter). This study aimed to explore users' needs and factors affecting the acceptability of audiovisual feedback devices.

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Aims: Individual studies that investigated the effect of standalone audio-visual feedback (AVF) devices during laypersons' cardiopulmonary resuscitation (CPR) training have yielded conflicting results. This review aimed to evaluate the effect of standalone AVF devices on the quality of chest compressions during laypersons' CPR training.

Method And Result: Randomized controlled trials of simulation studies recruiting participants without actual patient CPR experience were included.

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Background: Lower intubation first-pass success (FPS) rate is associated with physiological deterioration, and FPS is widely used as a quality indicator of the airway management of a critically ill patient. However, data on FPS's association with survival is limited. We aimed to investigate if the FPS rate is associated with 30-day mortality or physiological complications in a pre-hospital setting.

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