Document Detail


Feasibility of basic emergency medical technicians to perform selected advanced life support interventions.
MedLine Citation:
PMID:  16997785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Emergency medical technician-basic (EMT-B) providers often provide the initial care to victims of out-of-hospital cardiac arrest. While automated external defibrillators enable EMT-B providers to deliver rescue shocks, patients in cardiac arrest may require additional interventions that EMT-B providers may not presently deliver. We sought to evaluate the feasibility of training EMT-B providers to provide additional cardiac resuscitation procedures using the laryngeal mask airway (LMA) and intraosseous (IO) access. METHODS: In this prospective observational study, we trained 18 EMT-B providers to use the LMA and IO drill (EZ-IO) in a three-hour educational session. Working in two-person teams, the rescuers performed a simulated ventricular fibrillation resuscitation. We evaluated placement success as well as elapsed time to placement of the LMA and EZ-IO. RESULTS: EMT-B providers successfully placed the LMA in 14 of 18 scenarios (78%; 95% confidence interval, 52% to 94%), with a mean of two attempts for placement. Subjects successfully placed the EZ-IO in 17 of 18 scenarios (94%; 95% confidence interval, 73% to 100%), all on the first attempt. The median time to LMA placement following the third shock was 109 seconds (interquartile range, 58-158) and the median time to EZ-IO placement was 72 seconds (interquartile range, 50-93) after LMA placement. CONCLUSIONS: EMT-B providers demonstrated moderate success in performing advanced-level cardiac resuscitation interventions. These observations suggest potential for expanding the role of basic-level rescuers in cardiopulmonary resuscitation.
Authors:
Francis X Guyette; Jon C Rittenberger; Thomas Platt; Brian Suffoletto; David Hostler; Henry E Wang
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors     Volume:  10     ISSN:  1090-3127     ISO Abbreviation:  Prehosp Emerg Care     Publication Date:    2006 Oct-Dec
Date Detail:
Created Date:  2006-09-25     Completed Date:  2007-01-23     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  9703530     Medline TA:  Prehosp Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  518-21     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA. guyettefx@upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Allied Health Personnel / education*
Cardiopulmonary Resuscitation / education*
Feasibility Studies
Female
Heart Arrest / therapy*
Humans
Laryngeal Masks
Male
Patient Simulation
Prospective Studies
Grant Support
ID/Acronym/Agency:
5U01 HL077871-02/HL/NHLBI NIH HHS; K08 HS-013628/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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