Randomized trial of the i-gel supraglottic airway device versus tracheal intubation during out of hospital cardiac arrest (AIRWAYS-2): Patient outcomes at three and six months – Resuscitation

Randomized trial of the i-gel supraglottic airway device versus tracheal intubation during out of hospital cardiac arrest (AIRWAYS-2): Patient outcomes at three and six months – Resuscitation
— Read on www.resuscitationjournal.com/article/S0300-9572(20)30490-1/fulltext

Intubation during a medevac flight: safety and effect on total prehospital time in the helicopter emergency medical service system | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Full Text

The Helicopter Emergency Medical Service (HEMS) commonly intubates patients who require advanced airway support prior to takeoff. In-flight intubation (IFI) is avoided because it is considered difficult due to limited space, difficulty communicating, and vibration in flight. However, IFI may shorten the total prehospital time. We tested whether IFI can be performed safely by the HEMS. We conducted a retrospective cohort study in adult patients transported from 2010 to 2017 who received prehospital, non-emergent intubation from a single HEMS. We divided the cohort in two groups, patients intubated during flight (flight group, FG) and patients intubated before takeoff (ground group, GG). The primary outcome was the proportion of successful intubations. Secondary outcomes included total prehospital time and the incidence of complications. We analyzed 376 patients transported during the study period, 192 patients in the FG and 184 patients in the GG. The intubation success rate did not differ between the two groups (FG 189/192 [98.4%] vs. GG 179/184 [97.3%], p = 0.50). There were also no differences in hypoxia (FG 4/117 [3.4%] vs. GG 4/95 [4.2%], p = 1.00) or hypotension (FG 6/117 [5.1%] vs. GG 5/95 [5.3%], p = 1.00) between the two groups. Scene time and total prehospital time were shorter in the FG (scene time 7 min vs. 14 min, p — Read on sjtrem.biomedcentral.com/articles/10.1186/s13049-020-00784-z

Evaluation of Safety and Efficacy of Prehospital Paramedic Administration of Sub-Dissociative Dose of Ketamine in the Treatment of Trauma-Related Pain in Adult Civilian Population | Read by QxMD

Evaluation of Safety and Efficacy of Prehospital Paramedic Administration of Sub-Dissociative Dose of Ketamine in the Treatment of Trauma-Related Pain in Adult Civilian Population | Read by QxMD
— Read on read.qxmd.com/read/32782893/evaluation-of-safety-and-efficacy-of-prehospital-paramedic-administration-of-sub-dissociative-dose-of-ketamine-in-the-treatment-of-trauma-related-pain-in-adult-civilian-population

Physician staffed emergency medical service for children: a retrospective population-based registry cohort study in Odense region, Southern Denmark | Read by QxMD

Physician staffed emergency medical service for children: a retrospective population-based registry cohort study in Odense region, Southern Denmark | Read by QxMD
— Read on read.qxmd.com/read/32792443/physician-staffed-emergency-medical-service-for-children-a-retrospective-population-based-registry-cohort-study-in-odense-region-southern-denmark

Aeromedical evacuations during the COVID-19 pandemic: practical considerations for patient transport

Aeromedical evacuations during the COVID-19 pandemic: practical considerations for patient transport
— Read on www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/aeromedical-evacuations-during-the-covid19-pandemic-practical-considerations-for-patient-transport/EE0DD2AAE402CE166D08DD29D949E292/core-reader