Firefighters-paramedics who arrive at the incident scene often first provide help
to the victims even before the Emergency Medical Service teams arrive. Trauma patients
who have impaired awareness often have difficulty maintaining airway patency, therefore
firefighters are the ones who must protect the patency and when it is necessary support
breathing [
[1]
]. Cardiopulmonary resuscitation is the example of another situation when it is required
to use devices which maintain the airway patency [
[2]
,
[3]
]. The American Society of Cardiology guidelines indicate the need to minimize pauses
during the chest compressions which is achieved by the use of endotracheal intubation
or supraglottic airway devices (SAD) [
[4]
]. Various studies indicate that both medical professionals and non-medical personnel,
after completing just a short training, are able to secure the airways with SADs achieving
high efficiency [
- Atkins D.L.
- de Caen A.R.
- Berger S.
- Samson R.A.
- Schexnayder S.M.
- Joyner Jr., B.L.
- et al.
2017 American Heart Association focused update on pediatric basic life support and
cardiopulmonary resuscitation quality: an update to the American Heart Association
guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.
[3]
,
5
,
6
,
7
]. Thanks to SADs, it is possible to perform continuous chest compressions and monitor
respiratory parameters with capnometry [
[8]
].To read this article in full you will need to make a payment
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References
- A comparison of the Macintosh laryngoscope and blind intubation via I-gel in intubating an entrapped patient: a randomized crossover manikin study.Am J Emerg Med. 2017 May; 35: 787-789https://doi.org/10.1016/j.ajem.2016.11.048
- Simulation of blind tracheal intubation during pediatric cardiopulmonary resuscitation.Am J Respir Crit Care Med. 2014 Dec 1; 190: 1315https://doi.org/10.1164/rccm.201409-1635LE
- Comparison of direct intubation and Supraglottic airway laryngopharyngeal tube (S.A.L.T.) for endotracheal intubation during cardiopulmonary resuscitation. Randomized manikin study.Anaesthesiol Intensive Ther. 2015; 47: 195-199https://doi.org/10.5603/AIT.2015.0031
- 2017 American Heart Association focused update on pediatric basic life support and cardiopulmonary resuscitation quality: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.Circulation. 2018 Jan 2; 137: e1-e6https://doi.org/10.1161/CIR.0000000000000540
- Are nurses able to perform blind intubation? Randomized comparison of I-gel and laryngeal mask airway.Am J Emerg Med. 2017 May; 35: 786-787https://doi.org/10.1016/j.ajem.2016.11.046
- The LMA Fastrach® as a conduit for endotracheal intubation during simulated cardiopulmonary resuscitation.Am J Emerg Med. 2017 Jul; 35: 1020-1021https://doi.org/10.1016/j.ajem.2017.01.013
- Comparison of 4 supraglotttic devices used by paramedics during simulated CPR: a randomized controlled crossover trial.Am J Emerg Med. 2015 Aug; 33: 1084-1088https://doi.org/10.1016/j.ajem.2015.04.050
- Supraglottic devices — future or everyday life? Disaster.Emerg Med J. 2017; 2: 74-83https://doi.org/10.5603/DEMJ.2017.0015
Article Info
Publication History
Published online: April 12, 2018
Accepted:
April 11,
2018
Received:
April 10,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
