Improved success rate and esophageal intubation incidence in out-of-hospital tracheal intubation performed by paramedics by use of video-laryngoscope: three-year experience of Hiroshima City emergency medical services

2021 ◽

Vol 104 (Suppl. 1) ◽

pp. S8-S11

Keyword(s):

Laryngeal Mask Airway ◽

Airway Management ◽

Oxygen Saturation ◽

Emergency Medical Services ◽

Success Rate ◽

Laryngeal Mask ◽

High Success Rate ◽

Medical Services ◽

Supraglottic Airway ◽

Emergency Medical

Background: Airway management is an important aspect of care in emergency medical services (EMS) used to prevent obstruction of the respiratory track and inadequate oxygenation. The laryngeal mask airway (LMA) is an easy-to-use supraglottic airway device developed in 1988 that has a high success rate in both adults and children. However, there have yet been no studies regarding LMA use in EMS in Thailand. Objective: To determine the success rate of LMA in EMS and factors associated with successful LMA insertion. Materials and Methods: This was a cross-sectional study consisting of Srinagarind Hospital EMS patients over 18 years of age who underwent LMA airway management between March 2016 and March 2020. Data were collected from the Srinagarind Hospital EMS operation database and hospital information database system. Results: A total of 154 patients were enrolled with a mean age of 43.1+8.5 years, 89 (57.8%) of whom were male. Non trauma patients accounted for 72.7% of all cases. The average oxygen saturation before and after LMA use were 71.4+12.3% and 94.4+3.2%, respectively (p = 0.022). Students in their first and third year of residency training were able to successfully perform LMA airway management on the first attempt in 83.3% and 98.4% of cases, respectively (p = 0.025). Conclusion: Airway management using the LMA had a high success rate on the first attempt, required less time for insertion than other comparable devices, and resulted in a high level of oxygen saturation. Keywords: Laryngeal mask airway, Emergency medical services, Airway management, Internship and residency

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1st Attempt Success Rate of Ultrasound-Guided Peripheral IV Access of Emergency Medical Services Health Care Providers on the Pre-Hospital Simulation Model

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.s01.12151 ◽

2021 ◽

Vol 104 (Suppl. 1) ◽

pp. S35-S39

Keyword(s):

Health Care ◽

Simulation Model ◽

Emergency Medical Services ◽

Success Rate ◽

Health Care Providers ◽

Work Experience ◽

Medical Services ◽

Care Providers ◽

Ultrasound Guided ◽

Emergency Medical

Background: Ultrasound guided peripheral intravenous access (USGPIV) has derived benefits for the Emergency and Pre-hospital Management. However, no studies have yet been conducted that have focused upon Emergency Medical Services (EMS) personnel in Thailand. Objective: To introduce USGPIV cannulation to the health care providers of Emergency Medical Services and to examine the success rates of the first attempts at PIV cannulation. Materials and Methods: This prospective observational study was conducted with 49 EMS providers in August 2020. All respondents had been participants in a USGPIV workshop. Afterwards, the participants’ skills were evaluated in a Pre-hospital simulation model, which was conducted in a moving ambulance. The data, which was recorded, noted the number of attempts required to successfully obtain USGPIV access, as well as the participants’ opinions about using ultrasound in this procedure. Results: Among the 49 participants, the first attempt success rate was found to be at 57.14%. The participants’ genders, their years of work experience, their experience of performing PIV with real patients, and the categories of the Emergency Medical Services health care providers were determined not to be factors that had contributed to the success rate of the first attempts at USGPIV. Our study demonstrated a “High” level of satisfaction with regard to performing USGPIV with this ultrasound device (4 out of 5). However, the participants noted that some elements of the environment in the ambulance may have affected the success rate of performing this procedure. Conclusion: In this study, the success rate of the first attempts was found to be lower than in other studies. However, in regard to this simulation, implementing this procedure represents the first step towards assisting Thai EMS personnel to perform ultrasound procedures. Keywords: Ultrasound, Peripheral IV cannulation, Emergency medicine, Emergency medical services, Emergency medical personnel

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Experiential Learning for Psychomotor Skills Development of Emergency Medical Services (EMS) Students: An Action Research

10.21203/rs.3.rs-506348/v1 ◽

2021 ◽

Author(s):

Daifallah Alrazeeni ◽

Ahtisham Younas ◽

Subia Parveen Rasheed

Keyword(s):

Action Research ◽

Experiential Learning ◽

Emergency Medical Services ◽

Success Rate ◽

Medical Services ◽

Skills Development ◽

Research Approach ◽

Psychomotor Skills ◽

Emergency Medical ◽

Wide Range

Abstract Background Experiential learning is useful for fostering the development of a wide range of clinical and relational skills. This study aimed to determine the usefulness of experiential learning for psychomotor skills development of emergency medical system (EMS) students. Methods An action research approach was used because it is useful for linking theory with action and practice. FISDAP tool was used to assess and monitor students’ performance and competencies achievement in psychomotor skills. The study was conducted at Prince Sultan College for Emergency Medical Services (PSCEMS), King Saud University (KSU). Skills Performance of 71 EMS students were analysed in the experiential learning implemented throughout the curriculum over 3 years. Results The finding indicates that the students’ skills performance fall below the minimum requirement during the clinical practicum and significantly improved during the time of internship period. The overall success rate across range between 26.58–35.74% across all the psychomotor skills. Whereas during the internship year student’s success rate range between 85.49–99.4% across all the psychomotor skills. Conclusions The findings of this study are promising and show that experiential learning is useful and effective way to develop psychomotor skills and competencies in EMS students. Educators and policy makers can use the findings for strategizing policies for curriculum planning and development.

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