scholarly journals Prehospital Cardiac Arrest Airway Management: An NAEMSP Position Statement and Resource Document

2022 ◽  
Vol 26 (sup1) ◽  
pp. 54-63
Author(s):  
Jestin N. Carlson ◽  
M. Riccardo Colella ◽  
Mohamud R. Daya ◽  
Valerie J. De Maio ◽  
Philip Nawrocki ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Airway Management ◽  
Position Statement ◽  
Prehospital Cardiac Arrest

scholarly journals Use of supraglottic airway devices by paramedics in the management of adult prehospital cardiac arrest patients.

2017 ◽  
Vol 14 (1) ◽  
Author(s):  
Stephen Barr ◽  
Gavin Smith ◽  
Shaunagh Darroch
Keyword(s):  
Cardiac Arrest ◽  
Airway Management ◽  
Best Practice ◽  
Current Evidence ◽  
Cochrane Library ◽  
Supraglottic Airway ◽  
Next Generation ◽  
Supraglottic Airway Devices ◽  
Airway Devices ◽  
Prehospital Cardiac Arrest

IntroductionCurrent best practice for paramedic airway management of prehospital cardiac arrest is being continually reviewed following changes to the emphasis on intubation as a primary intervention within international resuscitation guidelines. Subsequently, there is increased enthusiasm for the use of next generation supraglottic airway devices. This review aimed to identify the current evidence for the safety and effectiveness of supraglottic airways for the management of prehospital cardiac arrest. MethodsA search of the electronic databases Medline, PubMed, Science Direct and Cochrane Library was conducted. Papers were excluded if they did not examine airway management in the prehospital cardiac arrest setting, involved the use of sedative or paralysing agents, involved paediatric patients, animals or cadavers. ResultsOf the 689 articles identified, 22 peer-reviewed articles were included for analysis. All 22 articles were from the following countries: America (3), America and Canada (1), Australia (2), Austria (1), Finland (1), Germany (4), Korea (1), Japan (4), The Netherlands (1), Norway (1), Taiwan (1), and United Kingdom (2). DiscussionThis review revealed large variances in both device effectiveness and patient outcome, particularly between geographical locations. Second-generation supraglottic airway devices demonstrated considerable improvement in effectiveness over their predecessors. Interestingly, the use of bag-valve mask ventilation reported better outcomes than any other form of advanced airway intervention. Studies also highlighted the diversity of airway management techniques and devices across global EMS systems. ConclusionDespite favourable indications of the effectiveness and safety of the next generation supraglottic airway devices, the paucity of prehospital-specific research (particularly randomised controlled trials) challenges decision making regarding prehospital airway management best practice.

Journal club: The use of the esophageal obturator airway versus the endotracheal tube in prehospital cardiac arrest

1987 ◽  
Vol 5 (1) ◽  
pp. 79-84
Author(s):  
Howard A. Werman ◽  
Eric A. Davis ◽  
Douglas A. Rund ◽  
Gregory P. Hess ◽  
Frank Birinyi ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Endotracheal Tube ◽  
Journal Club ◽  
Prehospital Cardiac Arrest

scholarly journals Association of Prehospital Advanced Airway Management With Neurologic Outcome and Survival in Patients With Out-of-Hospital Cardiac Arrest

JAMA ◽  
2013 ◽  
Vol 309 (3) ◽  
pp. 257 ◽  
Author(s):  
Kohei Hasegawa ◽  
Atsushi Hiraide ◽  
Yuchiao Chang ◽  
David F. M. Brown
Keyword(s):  
Cardiac Arrest ◽  
Airway Management ◽  
Neurologic Outcome ◽  
Advanced Airway ◽  
Hospital Cardiac Arrest

scholarly journals Airway management in cardiac arrest—Not a question of choice but of quality?

Resuscitation ◽  
2018 ◽  
Vol 133 ◽  
pp. A5-A6 ◽  
Author(s):  
Christopher M. Smith ◽  
Joyce Yeung
Keyword(s):  
Cardiac Arrest ◽  
Airway Management

scholarly journals Variation in Out-of-Hospital Cardiac Arrest Management

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Jason M. Jones ◽  
Joseph A. Tyndall ◽  
Christine M. Van Dillen
Keyword(s):  
Cardiac Arrest ◽  
Airway Management ◽  
Prehospital Care ◽  
Management Strategies ◽  
Retrospective Chart Review ◽  
Airway Device ◽  
Care Providers ◽  
One Airway ◽  
Time And Energy ◽  
Hospital Cardiac Arrest

Objective. To evaluate variation in airway management strategies in one suburban emergency medical services system treating patients experiencing out-of-hospital cardiac arrest (OHCA). Method. Retrospective chart review of all adult OHCA resuscitation during a 13-month period, specifically comparing airway management decisions. Results. Paramedics demonstrated considerable variation in their approaches to airway management. Approximately half of all OHCA patients received more than one airway management attempt (38/77 [49%]), and one-quarter underwent three or more attempts (25/77 [25%]). One-third of patients arrived at the emergency department with a different airway device than initially selected (25/77 [32%]). Conclusion. This study confirmed our hypothesis that paramedics’ selection of ventilation strategies in cardiac arrest varies considerably. This observation raises concern because airway management diverts time and energy from interventions known to improve outcomes in OHCA management, such as cardiopulmonary resuscitation and defibrillation. More research is needed to identify more focused airway management strategies for prehospital care providers.

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