Air medical journal
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Air medical journal · May 2016
Randomized Controlled Trial Multicenter StudyIntubation Performance of Advanced Airway Devices in a Helicopter Emergency Medical Service Setting.
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. ⋯ Using HEMS providers, the Airtraq laryngoscope and the S.A.L.T. device showed the fastest and highest intubation success on the first attempt in difficult simulated HEMS airway scenarios.
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Air medical journal · Nov 2014
Randomized Controlled TrialIn-flight auscultation during medical air evacuation: comparison between traditional and amplified stethoscopes.
The aim of this study was to evaluate the capacity of a traditional stethoscope versus an electronically amplified one (expected to reduce background and ambient noise) to assess heart and respiratory sounds during medical transport. ⋯ This study showed that practitioners would be better helped in hearing cardiac and respiratory sounds with an electronically amplified stethoscope than with a traditional one during air medical transport in a medically configured Falcon 50 aircraft.
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Air medical journal · Jul 2011
Randomized Controlled TrialDifficult airway simulator intubation success rates using Commission on Accreditation of Medical Transport systems training standards.
This study was undertaken to evaluate difficult airway simulator intubation success rates using Commission on Accreditation of Medical Transport Systems (CAMTS) initial and maintenance intubation training standards on transport-RN novice intubators over a 1-year period. ⋯ Using initial and maintenance CAMTS standards, simulator difficult airway intubation success rates are low in novice intubators. Our results suggest that one intubation/quarter may be enough to maintain difficult airway intubation success rates. Training significantly improves intubation rates. Little advantage occurs in intubation rates after four attempts or 3.5 minutes.
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Air medical journal · Mar 2006
Randomized Controlled TrialVerification of endotracheal tube placement by prehospital providers: is a portable fiberoptic bronchoscope of value?
This study was designed to examine whether a handheld, battery-operated fiberoptic bronchoscope (FOB) used to verify endotracheal tube (ETT) placement would be as sensitive and specific as other modes and whether a combination of multiple modes would further enhance the sensitivity and specificity of ETT placement verification. ⋯ As a single mode for ETT verification, use of a handheld, battery-operated FOB device allowed for direct visualization and had an 87% sensitivity and 93% specificity. When combined with misting and ETCO(2), FOB allowed 100% successful verification of ETT placement.
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Air medical journal · Jan 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of the intubating laryngeal mask airway versus laryngoscopy in the Bell 206-L3 EMS helicopter.
The purpose of this study is to compare intubation success rate and time to intubation for the intubating laryngeal mask airway (I-LMA) versus direct laryngoscopy (DL) using a manikin model during a simulated in-flight scenario. ⋯ Intubation success was very high for both DL and the I-LMA, despite less flight crew experience with the I-LMA. Total time to intubation was longer with the I-LMA but still less than 1 minute. The flight crews considered both techniques easy to perform. The I-LMA appears to be a useful adjunct for airway management in the Bell 206-L3 helicopter.