Implementing new advanced airway management standards in the Hungarian physician staffed Helicopter Emergency Medical Service

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Andras Petroczy²  Attila Eross¹  Laszlo Hetzman¹  Peter Temesvari²  Akos Soti² 

[1] Hungarian Air Ambulance Nonprofit Ltd., Legimentok u. 8, Budaors H-2040, Hungary;National Ambulance Service, Robert K. krt 77, Budapest H-1134, Hungary

关键词: Helicopter emergency medical service;    Success rate;    Advanced airway;    Rapid sequence intubation;    Prehospital;   

Others  :  1151508
DOI  :  10.1186/s13049-014-0081-z

 received in 2014-08-28, accepted in 2014-12-16,  发布年份 2015

【 摘 要 】

In 2011 the Hungarian Air Ambulance Nonprofit Limited Company introduced a new Rapid Sequence Intubation standard operating procedure using a template from London’s Air Ambulance. This replaced a previous ad-hoc and unsafe prehospital advanced airway management practice. It was hoped that this would increase clinical standards including internationally comparable results. All Rapid Sequence Intubations performed by the units of the Hungarian Air Ambulance under the new procedure between June 2011 and November 2013 were reviewed in a retrospective database analysis. During this period the air ambulance units completed 4880 missions with 433 intubations performed according to the new procedure. The rate of intubations that were successful on first attempt was 95.4% (413), while intubation was successful overall in 99.1% (429) of the cases; there was no failed airway. 90 complications were noted with 73 (16.9%) patients. Average on scene time was 49 minutes (ranging between: 15–110 minutes). This data shows that it is possible to effectively change a system that was in place for decades by implementing a new robust system that is based on a good template.

【 授权许可】

   
2015 Soti et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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