| Feasibility of basic emergency medical technicians to perform selected advanced life support interventions. | |
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MedLine Citation:
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PMID: 16997785 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Francis X Guyette; Jon C Rittenberger; Thomas Platt; Brian Suffoletto; David Hostler; Henry E Wang |
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Publication Detail:
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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:
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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:
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Created Date: 2006-09-25 Completed Date: 2007-01-23 Revised Date: 2007-12-03 |
Medline Journal Info:
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Nlm Unique ID: 9703530 Medline TA: Prehosp Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 518-21 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA. guyettefx@upmc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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