Purpose : Airway maintenance and oxygen administration provided to emergency patients at prehospital stage are basic treatment measures for most patients, except for few diseases. If the airway is not being maintained or is threatened, airway management with advanced equipment is necessary. Since si...
Purpose : Airway maintenance and oxygen administration provided to emergency patients at prehospital stage are basic treatment measures for most patients, except for few diseases. If the airway is not being maintained or is threatened, airway management with advanced equipment is necessary. Since situations that require an advanced airway management (AAM) is diverse, determining and providing AAM by emergency medical technicians (EMTs) at prehospital stage are considered important.
Methods : Among patients who were transported by Jeonbuk Emergency Medical Service to regional emergency medical center in “J” University Hospital between January 1 and December 31, 2015, the study selected 97 patients who received prehospital AAM performed by EMTs or those who did not received AAM by EMTs, but received immediate AAM upon admission to the emergency medical center. The study excluded 7 patients with missing records, and ultimately included 90 patients in the study population.
Results : The number of patients who received prehospital AAM from EMTs was 18 (20.0%), which was performed only in cases that involved cardiac arrest. With respect to the advanced airway equipment used under such situations, supraglottic airway device was used in 12 cases (13.3%), while endotracheal intubation was used in 6 cases (6.7%). With respect to the type of patients who required prehospital AAM for conditions that included cardiac arrest, cerebral hemorrhage was most common (n=8, 24.2%), followed by traumatic brain injury (n=7, 21.2%), acute respiratory failure (n=6, 18.2%), hemorrhagic shock (n=5, 15.2%), cerebral infarction (n=3, 9.1%), drug overdose (n=3, 9.1%), and facial fracture (n=1, 3.0%).
Conclusion : In order for EMTs to determine situations that require prehospital AAM due to inclusion of cardiac arrest, practical training and assessment that fit the situations in the field must be developed, while legal reform is also needed to allow AAM to be performed even in situations that do not involve cardiac arrest.
Purpose : Airway maintenance and oxygen administration provided to emergency patients at prehospital stage are basic treatment measures for most patients, except for few diseases. If the airway is not being maintained or is threatened, airway management with advanced equipment is necessary. Since situations that require an advanced airway management (AAM) is diverse, determining and providing AAM by emergency medical technicians (EMTs) at prehospital stage are considered important.
Methods : Among patients who were transported by Jeonbuk Emergency Medical Service to regional emergency medical center in “J” University Hospital between January 1 and December 31, 2015, the study selected 97 patients who received prehospital AAM performed by EMTs or those who did not received AAM by EMTs, but received immediate AAM upon admission to the emergency medical center. The study excluded 7 patients with missing records, and ultimately included 90 patients in the study population.
Results : The number of patients who received prehospital AAM from EMTs was 18 (20.0%), which was performed only in cases that involved cardiac arrest. With respect to the advanced airway equipment used under such situations, supraglottic airway device was used in 12 cases (13.3%), while endotracheal intubation was used in 6 cases (6.7%). With respect to the type of patients who required prehospital AAM for conditions that included cardiac arrest, cerebral hemorrhage was most common (n=8, 24.2%), followed by traumatic brain injury (n=7, 21.2%), acute respiratory failure (n=6, 18.2%), hemorrhagic shock (n=5, 15.2%), cerebral infarction (n=3, 9.1%), drug overdose (n=3, 9.1%), and facial fracture (n=1, 3.0%).
Conclusion : In order for EMTs to determine situations that require prehospital AAM due to inclusion of cardiac arrest, practical training and assessment that fit the situations in the field must be developed, while legal reform is also needed to allow AAM to be performed even in situations that do not involve cardiac arrest.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.