Advanced airway management is necessary in prehospital trauma patients

British Journal of Anaesthesia

Volumn 114, Issue 4, 2015, Pages 657-662

  Lockey, D J ^a,b   Healey, B ^a   Crewdson, K ^a   Chalk, G ^a   Weaver, A E ^a   Davies, G E ^a  

^a LONDON'S AIR AMBULANCE   (United Kingdom)

^b UNIVERSITY OF BRISTOL   (United Kingdom)

Author keywords

airway management; intubation; prehospital emergency care

Indexed keywords

OXYGEN;

ADOLESCENT; ADULT; AGED; AMBULANCE; ANESTHESIA; ARTICLE; CHILD; EMERGENCY CARE; ESOPHAGUS INTUBATION; FEMALE; HUMAN; INFANT; INJURY; MAJOR CLINICAL STUDY; MALE; NEWBORN; OBSERVATIONAL STUDY; PARAMEDICAL PERSONNEL; PRIORITY JOURNAL; RESPIRATION CONTROL; EMERGENCY HEALTH SERVICE; ENDOTRACHEAL INTUBATION; MIDDLE AGED; PATIENT CARE; PRESCHOOL CHILD; PROSPECTIVE STUDY; VERY ELDERLY; WOUNDS AND INJURIES;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; AIRWAY MANAGEMENT; ALLIED HEALTH PERSONNEL; CHILD; CHILD, PRESCHOOL; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; PATIENT CARE TEAM; PROSPECTIVE STUDIES; WOUNDS AND INJURIES;

EID: 84926613518     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aeu412     Document Type: Article

References (15)

1. Anderson ID, Woodford M, de Dombal FT, Irving M. Retrospective study of 1000 deaths from injury in England and Wales. Br Med J 1988; 296: 1305-8
2. ESPOSITO TJ, Sanddal ND, Hansen JD, Reynolds S. Analysis of preventable trauma deaths and inappropriate trauma care in a rural state. J Trauma 1995; 39: 955-62
3. Stocchetti N, Furlan A, Volta F. Hypoxemia and arterial hypotension at the accident scene in head injury. J Trauma 1996; 40: 764-7
4. Sise MJ, Shackford SR, Sise CB, et al. Early intubation in the management of trauma patients: indications and outcomes in 1,000 consecutive patients. J Trauma 2009; 66: 32-40
5. NCEPOD. Trauma: Who Cares? Report of National Confidential Enquiry into Patient Outcome and Death (NCEPOD). Available from www.ncepod.org.uk/2007report2/Downloads/SIP-report.pdf (accessed 5 July 2012)
6. Deakin CD, Clarke T, Nolan J, et al. A critical reassessment of ambulance service airway management in prehospital care: Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, June 2008. Emerg Med J 2010; 27: 226-33
7. Lockey DJ, Avery P, Harris T, Davies GE, Lossius HM. A prospective study of physician pre-hospital anaesthesia in traumapatients: oesophageal intubation, gross airway contamination and the 'quick look' airway assessment. BMC Anesthesiol 2013; 13: 21
8. Lockey DJ, Coats T, Parr MJ. Aspiration in severe trauma: a prospective study. Anaesthesia 1999; 54: 1097-8
9. Hubble MW, Wilfong DA, Brown LH, Hertelendy A, Benner RW. A meta-analysis of prehospital airway control techniques part II: alternative airway devices and cricothyrotomy success rates. Prehosp Emerg Care 2010; 14: 515-30. Available fromhttp://eutils. ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=20809690&retmode=ref&cmd=prlinks
10. Herff H,WenzelV, Lockey D. Prehospital intubation: the right tools in the right hands at the right time. Anesth Analg 2009; 109: 303-5
11. Wang HE, Davis DP, O'Connor RE, Domeier RM. Drug-assisted intubation in the prehospital setting (resource document to NAEMSP position statement). Prehosp Emerg Care 2006; 10: 261-71
12. Bozeman WP, Kleiner DM, Huggett V. A comparison of rapidsequence intubation and etomidate-only intubation in the prehospital air medical setting. Prehosp Emerg Care 2006; 10: 8-13
13. Lossius HM, Røislien J, Lockey DJ. Patient safety in pre-hospital emergency tracheal intubation: a comprehensive meta-analysis of the intubation success rates of EMS providers. Crit Care 2012; 16: R24
14. Lockey D, Crewdson K, Weaver A, Davies G. Observational study of the success rates of intubation and failed intubation airway rescue techniques in 7256 attempted intubations of trauma patients by pre-hospital physicians. Br J Anaesth 2014; 113: 220-5
15. Lockey D, Davies G, Coats T. Survival of trauma patients who have prehospital tracheal intubation without anaesthesia or muscle relaxants: observational study. Br Med J 2001; 323: 141