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Advanced airway management for the prehospital traumatic patient

병원 전 환경의 외상성 응급환자를 위한 전문기도관리

  • Shim, Gyu-Sik (Dept. of Emergency Medical Technology, Korea Nazarene University) ;
  • Kim, Eun-Mee (Dept. of Emergency Medical Technology, Korea Nazarene University)
  • 심규식 (나사렛대학교 응급구조학과) ;
  • 김은미 (나사렛대학교 응급구조학과)
  • Received : 2013.04.10
  • Accepted : 2013.05.09
  • Published : 2013.05.31

Abstract

The purpose of this study was to improve the paramedics skills to manage advanced airway by comparing speed and success rate between endotracheal intubation and laryngeal mask airway(LMA) insertion in a moving ambulance. Sixty subjects were randomly recruited and samely divided into control group and experimental group. And they were asked to join a practical experiment using dummy model. Data analysis was done by SPSS WIN 14.0 Version. As a result of this research, in terms of difference in speed according to patient's intubation posture, the speed of control group was indicated to be good in sniffing position(t=-4.038, p<.001). There was no difference in speed between two groups in neutral position. In the neutral posture given the endotracheal intubation, tooth fracture occurred in 16 people(53.3%). There was no difference in success rate between two groups. As for a change in self-confidence before and after experiment, the post self-confidence was indicated to have been enhanced in both groups. In conclusion, it is effective to use LMA in the traumatic patient who is unable to receive endotracheal intubation in sniffing position. It is very important for the paramedics to receive the continuous training of the airway management skills.

Keywords

Endotracheal Intubation;LMA;Moving ambulance;Paramedic

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