Cric in the Dark: Surgical Cricothyrotomy in Low Light Tactical Environments.
J Spec Oper Med
; 22(4): 50-54, 2022 Dec 16.
Article
en En
| MEDLINE
| ID: mdl-36525012
ABSTRACT
BACKGROUND:
Surgical cricothyrotomy (SC) is a difficult procedure with high failure rates in the battlefield environment. The difficulty of this procedure is compounded in a low-light tactical environment in which white light cannot be used. This study compared the use of red-green (RG) light and red (R) light in the performance of SC in a low-light environment. MATERIALS ANDMETHODS:
Tactical Combat Casualty Care-certified navy corpsmen (n = 33) were provided 15 minutes of standardized instruction followed by hands-on practice with the Tactical CricKit and the H&H bougie-assisted Emergency Cricothyrotomy Kit. Participants acclimated to a dark environment for 30 minutes before performing SC on a mannequin with both devices using both R and RG light in a randomized order. Application time, success, participant preference, and participant confidence were analyzed.RESULTS:
There were similarly high levels of successful placement (>87.5%) in all four cohorts. Light choice did not appear to affect placement time with either of the two kits. On Likert-scale surveys, participants reported that RG decreased difficulty (p < .0001) and increased confidence (p < .0001) in performing the procedure.CONCLUSION:
RG light increased confidence and decreased perceived difficulty when performing SC, though no differences in placement time or success were observed.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Servicios Médicos de Urgencia
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Maniquíes
Tipo de estudio:
Clinical_trials
Límite:
Humans
Idioma:
En
Revista:
J Spec Oper Med
Asunto de la revista:
MEDICINA MILITAR
Año:
2022
Tipo del documento:
Article