Paramedic rapid sequence intubation in patients with non-traumatic coma

Stephen Anthony Bernard; Karen Louise Smith; Richard Porter; Carol Jones; A Gailey; Bartholomew Cresswell; Daniel Cudini; Scot Hill; Brian Moore; Toby St Clair

doi:10.1136/emermed-2013-202930

Paramedic rapid sequence intubation in patients with non-traumatic coma

Stephen Anthony Bernard, Karen Louise Smith, Richard Porter, Carol Jones, A Gailey, Bartholomew Cresswell, Daniel Cudini, Scot Hill, Brian Moore, Toby St Clair

Epidemiology and Preventive Medicine Alfred Hospital

Research output: Contribution to journal › Article › Research › peer-review

13 Citations (Scopus)

Abstract

Introduction: Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumatic cause and the role of paramedic RSI in these patients remains uncertain. Methods: The electronic Victorian Ambulance Clinical Information System was searched for the term suxamethonium between 2008 and 2011. We reviewed the patient care records and included patients with suspected non-traumatic coma who were treated and transported by road-based paramedics. Demographics, intubation conditions, vital signs (before and after drug administration) and complications were recorded. Younger patients (

Original language	English
Pages (from-to)	60 - 64
Number of pages	5
Journal	Emergency Medicine Journal
Volume	32
Issue number	1
DOIs	https://doi.org/10.1136/emermed-2013-202930
Publication status	Published - 2015

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10.1136/emermed-2013-202930

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title = "Paramedic rapid sequence intubation in patients with non-traumatic coma",

abstract = "Introduction: Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumatic cause and the role of paramedic RSI in these patients remains uncertain. Methods: The electronic Victorian Ambulance Clinical Information System was searched for the term suxamethonium between 2008 and 2011. We reviewed the patient care records and included patients with suspected non-traumatic coma who were treated and transported by road-based paramedics. Demographics, intubation conditions, vital signs (before and after drug administration) and complications were recorded. Younger patients (",

author = "Bernard, {Stephen Anthony} and Smith, {Karen Louise} and Richard Porter and Carol Jones and A Gailey and Bartholomew Cresswell and Daniel Cudini and Scot Hill and Brian Moore and {St Clair}, Toby",

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doi = "10.1136/emermed-2013-202930",

language = "English",

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pages = "60 -- 64",

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T1 - Paramedic rapid sequence intubation in patients with non-traumatic coma

AU - Bernard, Stephen Anthony

AU - Smith, Karen Louise

AU - Porter, Richard

AU - Jones, Carol

AU - Gailey, A

AU - Cresswell, Bartholomew

AU - Cudini, Daniel

AU - Hill, Scot

AU - Moore, Brian

AU - St Clair, Toby

PY - 2015

Y1 - 2015

N2 - Introduction: Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumatic cause and the role of paramedic RSI in these patients remains uncertain. Methods: The electronic Victorian Ambulance Clinical Information System was searched for the term suxamethonium between 2008 and 2011. We reviewed the patient care records and included patients with suspected non-traumatic coma who were treated and transported by road-based paramedics. Demographics, intubation conditions, vital signs (before and after drug administration) and complications were recorded. Younger patients (

AB - Introduction: Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumatic cause and the role of paramedic RSI in these patients remains uncertain. Methods: The electronic Victorian Ambulance Clinical Information System was searched for the term suxamethonium between 2008 and 2011. We reviewed the patient care records and included patients with suspected non-traumatic coma who were treated and transported by road-based paramedics. Demographics, intubation conditions, vital signs (before and after drug administration) and complications were recorded. Younger patients (

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DO - 10.1136/emermed-2013-202930

M3 - Article

SN - 1472-0205

VL - 32

SP - 60

EP - 64

JO - Emergency Medicine Journal

JF - Emergency Medicine Journal

IS - 1

ER -

Paramedic rapid sequence intubation in patients with non-traumatic coma

Abstract

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