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- Title
Prehospital anaesthesia by a helicopter emergency medicine service: a review.
- Authors
O'Neill, Ronan; Topping, Andrew; Monaghan, Darren; O'Rorke, Glenn; Hay, Philip; McLaughlin, Russell; Mitchell, Hannah; McFetridge, Lisa; Wolfe, Julia
- Abstract
Background: The Northern Ireland (NI) Ambulance Service launched its helicopter emergency medical service (HEMS) in 2017. Aims: This paper reviews the first 200 cases of prehospital emergency anaesthesia (PHEA). Methods: A retrospective review of the NI HEMS intubation database between 29 July 2017 and 28 February 2021 was conducted. Findings: PHEA was delivered as rapid sequence intubation (RSI). There was a 100% RSI success rate. The mean 999 call to RSI time was 65.9 minutes (median=61 minutes), with 14.6% of procedures carried out within the National Institute for Health and Care Excellence target of 45 minutes or less. The first pass oral intubation rate was 89.3%. There was a significant difference in the number of male compared to female patients (men=145; women=55; P≤0.0001). Conclusion: PHEA delivery by the HEMS since it was set up has been successful provided in a safe, robust manner. Reducing the 999 call to RSI time in line with the National Institute for Health and Care Excellence target was identified as an area for development.
- Subjects
NORTHERN Ireland; AIRPLANE ambulances; ANESTHESIA; INTUBATION; ACQUISITION of data; RETROSPECTIVE studies; MANN Whitney U Test; FISHER exact test; EMERGENCY medical technicians; SEX distribution; EMERGENCY medical services; AIRPLANES; MEDICAL records; DESCRIPTIVE statistics; DATA analysis software; EMERGENCY medicine
- Publication
Journal of Paramedic Practice, 2023, Vol 15, Issue 7, p280
- ISSN
1759-1376
- Publication type
Article
- DOI
10.12968/jpar.2023.15.7.280