Paramedic rapid sequence intubation in patients with non-traumatic coma

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

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10 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 languageEnglish
Pages (from-to)60 - 64
Number of pages5
JournalEmergency Medicine Journal
Volume32
Issue number1
DOIs
Publication statusPublished - 2015

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