Safe transfer of simulation-based intubation skills to patients in cardiac arrest
| Autor: | Per Henrik Lambert, Jacob Theilgaard Madsen, Annette Nørregaard, Peter Derek Christian Leutscher |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Resuscitation
medicine.medical_specialty business.industry medicine.medical_treatment Major trauma education 030208 emergency & critical care medicine Endotracheal intubation Airtraq medicine.disease Combat Medical Technician 03 medical and health sciences Patient safety 0302 clinical medicine 030202 anesthesiology Emergency medicine medicine Intubation business Emergency Care Practitioner |
| Zdroj: | Journal of Paramedic Practice. 10:104-110 |
| ISSN: | 2041-9457 1759-1376 |
| DOI: | 10.12968/jpar.2018.10.3.104 |
| Popis: | Background: Studies investigating the transfer of endotracheal intubation skills from simulation training to out-of-hospital patient scenarios are limited. Aims: The aim was to evaluate the outcome of endotracheal intubation simulation training among paramedics and the safe transfer of skills to out-of-hospital cardiac arrest (OHCA) patients. Methods: Paramedics participated in a 1-day simulation training course including five Airtraq endotracheal intubation attempts using three different types of mannequins (n=15 attempts). Performance and outcome of transfer of intubation skills to patients were monitored for the next 35 months. European Resuscitation Council international advanced cardiopulmonary resuscitation guidelines ( Nolan et al, 2005 ) were followed to ensure patient safety. Findings: Endotracheal intubation was attempted in a total of 417 patients with OHCA by 51 (96%) of the 53 participating paramedics. In 366 (88%) patients, intubation was successfully performed in the first or second attempt. Aspiration, airway secretion, a high modified Cormack Lehane score and insecure verification of tube placement were the most common reasons for failed intubation. Conclusion: Endotracheal intubation with Airtraq in adult patients with OHCA can be performed safely by paramedics after receiving a 1-day simulation-based training course. |
| Databáze: | OpenAIRE |
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