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Helicopter emergency medical services demonstrate reduced time to emergency anaesthesia in an undifferentiated trauma population: a retrospective observational analysis across three major trauma networks.
Scand J Trauma Resusc Emerg Med
December 2024
Air Ambulance Charity Kent Surrey Sussex, Redhill Aerodrome, Redhill, Surrey, RH1 5YP, UK.
Background: Early rapid sequence induction of anaesthesia (RSI) and tracheal intubation for patients with airway or ventilatory compromise following major trauma is recommended, with guidance suggesting a 45-min timeframe. Whilst on-scene RSI is recommended, the potential time benefit offered by Helicopter Emergency Medical Services (HEMS) has not been studied. We compared the time from 999/112 emergency call to delivery of RSI between patients intubated either in the Emergency Department or pre-hospital by HEMS.
View Article and Find Full Text PDFStandard Gum Elastic Bougie Versus Flexible Tip Bougie: Evaluation of Airway Adjuncts for Intubation by Paramedics in Entrapped Manikins with Difficult Airway Access-A Randomised, Controlled Trial.
Healthcare (Basel)
November 2024
Department of Anesthesiology and Intensive Therapy, Medical University of Lodz, 90-153 Lodz, Poland.
Airway management in pre-hospital settings is often challenging and difficult to perform. This is particularly true during tracheal intubation of entrapped patients with difficult airway access. There are various airway adjuncts available in the current practice.
View Article and Find Full Text PDFPrehospital airway management with a second generation laryngeal mask in a patient with severe tracheal stenosis.
Emergencias
June 2024
Servicio de Anestesiología y Cuidados Críticos, Hospital La Fe, Valencia, España.
Video laryngoscopy may improve the intubation outcomes in critically ill patients: a systematic review and meta-analysis of randomised controlled trials.
Emerg Med J
October 2024
Department of Critical Care Medicine, Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, Zhejiang, China
Background: The role of video laryngoscopy in critically ill patients requiring emergency tracheal intubation remains controversial. This systematic review and meta-analysis aimed to evaluate whether video laryngoscopy could improve the clinical outcomes of emergency tracheal intubation.
Methods: We searched the PubMed, Embase, Scopus and Cochrane databases up to 5 September 2024.
Intubating Laryngeal Mask Airway for Airway Management and Blind Tracheal Intubation Through It From 360° Around a Supine Patient: A Randomized Controlled Clinical Study in a Simulated Prehospital Emergency Scenario.
Cureus
August 2024
Anaesthesiology, Mahatma Gandhi Medical College and Research Institute, Jaipur, IND.
Article Synopsis
- In emergency situations, airway management is crucial, with endotracheal intubation being the standard method for unconscious patients, allowing for effective ventilation and removal of secretions.
- Supraglottic airways, such as the intubating laryngeal mask airway (ILMA), offer advantages like quicker insertion and less reliance on paralysis, making them useful as a backup or in difficult scenarios.
- This study aims to test the ILMA's effectiveness in prehospital settings, particularly when access around the patient's head is limited, and evaluates a new handle design for easier insertion from any angle.
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