Feasibility of prehospital rapid sequence intubation in the cabin of an AW169 Helicopter
| Autor: | Air Ambulance Kent Surrey Sussex, Allan S McHenry, Amy Halls, E. ter Avest, Malcolm Q. Russell, Joanne E Griggs, Sophie Mitchinson, Richard Lyon, Leigh Curtis |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Emergency Medical Services
Future studies Aircraft business.industry medicine.medical_treatment 030208 emergency & critical care medicine Endotracheal intubation Air Ambulances Successful completion 030204 cardiovascular system & hematology Emergency Nursing medicine.disease 03 medical and health sciences 0302 clinical medicine Intubation Intratracheal Emergency Medicine Emergency medical services Feasibility Studies Humans Medicine Intubation Medical emergency Rapid Sequence Induction and Intubation business |
| Popis: | Objective Prehospital rapid sequence intubation (RSI) is an important aspect of prehospital care for helicopter emergency medical services (HEMS). This study examines the feasibility of in-aircraft (aircraft on the ground) RSI in different simulated settings. Methods Using an AW169 aircraft cabin simulator at Air Ambulance Kent Surrey Sussex, 3 clinical scenarios were devised. All required RSI in a “can intubate, can ventilate” (easy variant) and a “can't intubate, can't ventilate” scenario (difficult variant). Doctor-paramedic HEMS teams were video recorded, and elapsed times for prespecified end points were analyzed. Results Endotracheal intubation (ETI) was achieved fastest outside the simulator for the easy variant (median = 231 seconds, interquartile range = 28 seconds). Time to ETI was not significantly longer for in-aircraft RSI compared with RSI outside the aircraft, both in the easy (p = .14) and difficult variant (p = .50). Wearing helmets with noise distraction did not impact the time to intubation when compared with standard in-aircraft RSI, both in the easy (p = .28) and difficult variant (p = .24). Conclusion In-aircraft, on-the-ground RSI had no significant impact on the time to successful completion of ETI. Future studies should prospectively examine in-cabin RSI and explore the possibilities of in-flight RSI in civilian HEMS services. |
| Databáze: | OpenAIRE |
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