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Tony Kyle, S le Clerc, A Thomas, I Greaves, V Whittaker, J E Smith
BACKGROUND: The insertion of a surgical airway in the presence of severe airway compromise is an uncommon occurrence in everyday civilian practice. In conflict, the requirement for insertion of a surgical airway is more common. Recent military operations in Afghanistan resulted in large numbers of severely injured patients, and a significant proportion required definitive airway management through the insertion of a surgical airway. OBJECTIVE: To examine the procedural success and survival rate to discharge from a military hospital over an 8-year period...
December 2016: Journal of the Royal Army Medical Corps
John W Hafner, Blake W Perkins, Joshua D Korosac, Alayna K Bucher, Jean C Aldag, Kelly L Cox
OBJECTIVE: This study attempts to determine if newer indirect laryngoscopes or intubating devices are superior to a standard laryngoscope for intubation success among helicopter emergency medical service (HEMS) personnel. METHODS: Flight nurses and paramedics intubated standardized mannequins with a normal airway, a trauma airway, and a difficult airway using a standard laryngoscope, a gum elastic bougie, the Airtraq laryngoscope (King System Corp, Noblesville, IN), the Glidescope Ranger laryngoscope (Verathon Inc, Bothell, WA), and the S...
May 2016: Air Medical Journal
Jia-Qiang Zhang, Fu-Shan Xue, Fan-Min Meng
No abstract text is available yet for this article.
August 2016: Journal of Anesthesia
Bruno Petinaux, Anthony G Macintyre, Joseph A Barbera
OBJECTIVE: A variety of hazards can precipitate the full or partial collapse of occupied structures. The rescue of entrapped survivors in these situations can be complex, require a multidisciplinary approach, and last for many hours. METHODS: The modern discipline of Urban Search and Rescue, which includes an active medical component, has evolved to address such situations. This case series spans several decades of experience and highlights the medical principles in the response to collapsed structure incidents...
February 2014: Disaster Medicine and Public Health Preparedness
Patrick Schober, Ralf Krage, Dick van Groeningen, Stephan A Loer, Lothar A Schwarte
BACKGROUND: Airway management in entrapped casualties with restricted access to the head is challenging. If tracheal intubation is required and conventional laryngoscopy is not possible, intubation must be attempted in a face-to-face approach. Traditionally, this is performed with a standard laryngoscope held in the right hand with the blade facing upward. Recently, alternative methods have been developed to facilitate difficult intubations, and we hypothesised that such techniques are also useful for face-to-face intubations...
December 2014: Emergency Medicine Journal: EMJ
Ewelina Gaszynska, Piotr Samsel, Michał Stankiewicz-Rudnicki, Andrzej Wieczorek, Tomasz Gaszynski
Four devices were compared in a simulated scenario of a vehicle-entrapped patient: standard Macintosh laryngoscope, intubating laryngeal mask (ILMA), AirTraq optical laryngoscope, and KingVision videolaryngoscope. A group of 30 final-year paramedic students intubated a manikin placed in a sitting position under a desk simulating the roof of a car. Time of endotracheal intubation and success ratio were recorded. The baseline time of intubation was measured in a manikin lying down flat on the ground. The mean time to intubation was 13...
February 2014: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Anders R Nakstad, Mårten Sandberg
BACKGROUND: Alternatives to endotracheal intubation (ETI) are required when access to the cranial end of the patient is restricted. In this study, the success rate and time duration of standard intubation techniques were compared with two different supraglottic devices. Two different manikins were used for the study, and the training effect was studied when the same manikin was repeatedly used. METHODS: Twenty anaesthesiologists from the Air Ambulance Department used iGEL™, laryngeal tube LTSII™ and Macintosh laryngoscopes in two scenarios with either unrestricted (scenario A) or restricted (scenario B) access to the cranial end of the manikin...
2011: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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