tailieunhanh - Báo cáo khoa học: "Prehospital advanced trauma life support: how should we manage the airway, and who should do it"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Prehospital advanced trauma life support: how should we manage the airway, and who should do it? | Available online http content 8 1 3 Commentary Prehospital advanced trauma life support how should we manage the airway and who should do it Ansgar M Brambrink1 and Ines P Koerner2 Visiting Associate Professor Department of Anesthesiology and Peri-Operative Medicine Oregon Health and Science University Portland Oregon USA 2Postdoctural Fellow Department of Anesthesiology and Peri-Operative Medicine Oregon Health and Science University Portland Oregon USA Correspondence Ansgar M Brambrink brambrin@ Published online 29 December 2003 Critical Care 2004 8 3-5 DOI cc2420 This article is online at http content 8 1 3 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Adequate oxygenation at all times is of paramount importance to the critically injured patient to avoid secondary damage. The role of endotracheal intubation in out-of-hospital advanced trauma life support however remains controversial. Initiated by a recent observational study this commentary discusses risks and benefits associated with prehospital intubation the required personnel and training and ethical implications. Recent evidence suggests that comprehensive ventilatory care already initiated in the field and maintained during transport may require the presence of a physician or another adequately skilled person at the scene. Benefits of such as service need to be balanced against increased costs. Keywords airway management costs emergency care systems emergency physicians ethical implications out-of-hospital endotracheal intubation paramedics prehospital advanced trauma life support Introduction The British Medical Journal recently published a report by Christensen and Hoyer 1 on prehospital tracheal intubation in severely injured patients. This retrospective observational study identified 220 severely injured patients injury severity score 15 who were treated by the anaesthesiologist staffed mobile emergency care unit in Aarhus Denmark .