Feasibility of Prehospital Rapid Sequence Intubation in the Cabin of an AW169 Helicopter.
Air Med J
; 39(6): 468-472, 2020.
Article
em En
| MEDLINE
| ID: mdl-33228896
ABSTRACT
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 (medianâ¯=â¯231 seconds, interquartile rangeâ¯=â¯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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Resgate Aéreo
/
Serviços Médicos de Emergência
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article