Prehospital Battlefield Casualty Intervention Decision Cognitive Study.
Mil Med
; 185(Suppl 1): 274-278, 2020 01 07.
Article
em En
| MEDLINE
| ID: mdl-32074373
ABSTRACT
INTRODUCTION:
Airway compromise is the third most common cause of preventable battlefield death. Surgical cricothyroidotomy (SC) is recommended by Tactical Combat Casualty Care (TCCC) guidelines when basic airway maneuvers fail. This is a descriptive analysis of the decision-making process of prehospital emergency providers to perform certain airway interventions.METHODS:
We conducted a scenario-based survey using two sequential video clips of an explosive injury event. The answers were used to conduct descriptive analyses and multivariable logistic regression models to estimate the association between the choice of intervention and training factors.RESULTS:
There were 254 respondents in the survey, 176 (69%) of them were civilians and 78 (31%) were military personnel. Military providers were more likely to complete TCCC certification (odds ratio [OR] 13.1; confidence interval [CI] 6.4-26.6; P-value < 0.001). The SC was the most frequently chosen intervention after each clip (29.92% and 22.10%, respectively). TCCC-certified providers were more likely to choose SC after viewing the two clips (OR 1.9; CI 1.2-3.2; P-value 0.009), even after controlling for relevant factors (OR 2.3; CI 1.1-4.8; P-value 0.033).CONCLUSIONS:
Military providers had a greater propensity to be certified in TCCC, which was found to increase their likelihood to choose the SC in early prehospital emergency airway management.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Guerra
/
Cartilagem Cricoide
/
Serviços Médicos de Emergência
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article