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10.1097/CCM.0000000000000213 http://scihub22266oqcxt.onion/10.1097/CCM.0000000000000213 C4902016!4902016!24589641     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Crit+Care+Med 2014 ; 42 (6): 1372-8 Nephropedia Template TP {{tp|p=24589641|t=2014. The Process of Prehospital Airway Management: Challenges and Solutions During Paramedic Endotracheal Intubation |pdf=|usr=}}{{24589641}} gab.com Text The Process of Prehospital Airway Management: Challenges and Solutions During Paramedic Endotracheal Intubation JO: Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=24589641 #FOAvip Objective: Endotracheal intubation success rates in the prehospital setting are variable. Our objective was to describe the challenges encountered and corrective actions taken during the process of endotracheal intubation by paramedics. Design: Analysis of prehospital airway management using a prospective registry that was linked to an emergency medical services (EMS) administrative database. Setting: EMS system serving King County, Washington, 2006-2011. Paramedics in this system have the capability to administer neuromuscular blocking agents to facilitate intubation (i.e. rapid sequence intubation). Patients: A total of 7,523 patients >12 years old in whom paramedics attempted prehospital endotracheal intubation. Interventions: None Measurements and Main Results: An intubation attempt was defined as the introduction of the laryngoscope into the patient's mouth, and the attempt concluded when the laryngoscope was removed from the mouth. Endotracheal intubation was successful on the first attempt in 77% and ultimately successful in 99% of patients (7,433 of 7,523). Paramedics used a rapid sequence intubation strategy on 54% of first attempts. Among the subset with a failed first attempt (N=1,715), bodily fluids obstructing the laryngeal view (50%), obesity (28%), patient positioning (17%), and facial or spinal trauma (6%) were identified as challenges to intubation. A variety of adjustments were made to achieve intubation success, including upper airway suctioning (used in 43% of attempts resulting in success), patient repositioning (38%), rescue bougie use (19%), operator change (16%), and rescue rapid sequence intubation (6%). Surgical cricothyrotomy (0.4%, N=27) and bag-valve-mask ventilation (0.8%, N=60) were rarely performed by paramedics as final rescue airway strategies. Conclusions: Airway management in the prehospital setting has substantial challenges. Success can require a collection of adjustments that involve equipment, personnel, and medication often in a simultaneous fashion. Twit Text FOAVip The Process of Prehospital Airway Management: Challenges and Solutions During Paramedic Endotracheal Intubation ????Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=24589641 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=24589641 #FOAvip English Wikipedia <ref>{{Cite pmid|24589641}}</ref> The Process of Prehospital Airway Management: Challenges and Solutions During Paramedic Endotracheal Intubation #MMPMID24589641 Prekker ME; Kwok H; Shin J; Carlbom D; Grabinsky A; Rea TD Crit Care Med 2014[Jun]; 42 (6): 1372-8 PMID24589641show ga Objective: Endotracheal intubation success rates in the prehospital setting are variable. Our objective was to describe the challenges encountered and corrective actions taken during the process of endotracheal intubation by paramedics. Design: Analysis of prehospital airway management using a prospective registry that was linked to an emergency medical services (EMS) administrative database. Setting: EMS system serving King County, Washington, 2006-2011. Paramedics in this system have the capability to administer neuromuscular blocking agents to facilitate intubation (i.e. rapid sequence intubation). Patients: A total of 7,523 patients >12 years old in whom paramedics attempted prehospital endotracheal intubation. Interventions: None Measurements and Main Results: An intubation attempt was defined as the introduction of the laryngoscope into the patient's mouth, and the attempt concluded when the laryngoscope was removed from the mouth. Endotracheal intubation was successful on the first attempt in 77% and ultimately successful in 99% of patients (7,433 of 7,523). Paramedics used a rapid sequence intubation strategy on 54% of first attempts. Among the subset with a failed first attempt (N=1,715), bodily fluids obstructing the laryngeal view (50%), obesity (28%), patient positioning (17%), and facial or spinal trauma (6%) were identified as challenges to intubation. A variety of adjustments were made to achieve intubation success, including upper airway suctioning (used in 43% of attempts resulting in success), patient repositioning (38%), rescue bougie use (19%), operator change (16%), and rescue rapid sequence intubation (6%). Surgical cricothyrotomy (0.4%, N=27) and bag-valve-mask ventilation (0.8%, N=60) were rarely performed by paramedics as final rescue airway strategies. Conclusions: Airway management in the prehospital setting has substantial challenges. Success can require a collection of adjustments that involve equipment, personnel, and medication often in a simultaneous fashion. äThe Process of Prehospital Airway Management: Challenges and Solutions(epmc).pdf DeepDyve Pubget Overpricing