1887
  1. الرئيسية
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. المجلد 2022, العدد 5
  5. المقالة
Volume 2022, Issue 5
  • ISSN: 1999-7086
  • E-ISSN: 1999-7094

ملخص

Background There is conflict in the literature addressing the role of paramedics in the outcomes and potential complications of rapid sequence induction (RSI) in pre-hospital settings. Objective This review aims to describe the common indications, complications, anesthetic agents, and success rate of RSI, as performed by paramedics at a pre-hospital setting. Method This scoping review utilized the PRISMA® flow diagram to guide the literature searching process across multiple resources. MEDLINE, Google Scholar, and PubMed search engines were accessed and searched for related articles using different combinations of keywords. The quality of the selected articles was assessed via the critical appraisal skills program. Results Twenty-seven articles were included in this review. The main indication of RSI was the loss of consciousness due to different physical disorders. Potential complications include hypoxia, hypotension, and hypo-/hypercapnia. Anesthetic agents ketamine and succinylcholine were extensively used. Success rates of RSI, if performed by paramedics, ranged from 45% to 92%. Conclusion Endotracheal intubation (ETI) with RSI has various indications and sedative agents that, if used appropriately, increase the victim’s survival rates. Also, ETI with RSI is associated with several complications and challenges that affect the success rate, especially for the first intubation attempt.

© 2022 Alzaatreh, Alsadi, Alkhsealat, Alhemedi, Alrabab’a, licensee HBKU Press.
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References

  1. Lossius HM, Røislien J, Lockey DJ. Patient safety in pre-hospital emergency tracheal intubation: a comprehensive meta-analysis of the intubation success rates of EMS providers. Crit Care. 2012;16:(1):1−9.
     [Google الباحث العلمي]
  2. Hodkinson M. The future of paramedic intubation: who should be responsible? J Param Prac. 2010;2:(8):358−62.
     [Google الباحث العلمي]
  3. Delorenzo A, St Clair T, Andrew E, Bernard S, Smith K. Prehospital rapid sequence intubation by intensive care flight paramedics. Prehosp Emerg Care. 2018;22:(5):595−601.
     [Google الباحث العلمي]
  4. Riyapan S, Lubin J. Apneic oxygenation may not prevent severe hypoxemia during rapid sequence intubation: a retrospective helicopter emergency medical service study. Air Med J. 2016;35:(6):365−8.
     [Google الباحث العلمي]
  5. Fouche PF, Stein C, Simpson P, Carlson JN, Zverinova KM, Doi SA. Flight versus ground out-of-hospital rapid sequence intubation success: a systematic review and meta-analysis. Prehosp Emerg Care. 2018;22:(5):578−87.
     [Google الباحث العلمي]
  6. Yong J, Krapchan L, Ford A. Rapid sequence intubation: Navigating the Ps. Can J Crit Care Nurs. 2020;31:(1):13−4.
     [Google الباحث العلمي]
  7. Groth CM, Acquisto NM, Khadem T. Current practices and safety of medication use during rapid sequence intubation. J Crit Care. 2018;45::65−70.
     [Google الباحث العلمي]
  8. Fouche PF, Jennings PA, Smith K, et al. Survival in out-of-hospital rapid sequence intubation of non-traumatic brain pathologies. Prehosp Emerg Care. 2017;21:(6):700−8.
     [Google الباحث العلمي]
  9. Davis DP, Fakhry SM, Wang HE, et al. Paramedic rapid sequence intubation for severe traumatic brain injury: Perspectives from an expert panel. Prehosp Emerg Care. 2007;11:(1):1−8.
     [Google الباحث العلمي]
  10. Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169:(7):467−73.
     [Google الباحث العلمي]
  11. Kastner M, Tricco AC, Soobiah C, et al. What is the most appropriate knowledge synthesis method to conduct a review? Protocol for a scoping review. BMC Med Res Methodol. 2012;12:(1):1−10.
     [Google الباحث العلمي]
  12. Naumann DN, McLaughlin A, Midwinter MJ, Crombie N. Prehospital rapid sequence induction following trauma in the era of regional networks for major trauma. Eur J Emerg Med. 2017;24:(4):243−8.
     [Google الباحث العلمي]
  13. Chesters A, Keefe N, Mauger J, Lockey D. Prehospital anaesthesia performed in a rural and suburban air ambulance service staffed by a physician and paramedic: a 16-month review of practice. Emerg Med J. 2014;31:(1):65−8.
     [Google الباحث العلمي]
  14. Kwok H, Prekker M, Grabinsky A, Carlbom D, Rea TD. Use of rapid sequence intubation predicts improved survival among patients intubated after out-of-hospital cardiac arrest. Resuscitation. 2013;84:(10):1353−8.
     [Google الباحث العلمي]
  15. McQueen C, Crombie N, Hulme J, et al. Prehospital anaesthesia performed by physician/critical care paramedic teams in a major trauma network in the UK: a 12 month review of practice. Emerg Med J. 2015;32:(1):65−9.
     [Google الباحث العلمي]
  16. Rognås L, Hansen TM, Kirkegaard H, Tønnesen E. Anaesthesiologist-provided prehospital airway management in patients with traumatic brain injury: an observational study. Eur J Emerg Med. 2014;21:(6):418.
     [Google الباحث العلمي]
  17. Walker RG, White LJ, Whitmore GN, et al. Evaluation of physiologic alterations during prehospital paramedic-performed rapid sequence intubation. Prehosp Emerg Care. 2018;22:(3):300−11.
     [Google الباحث العلمي]
  18. Spaite DW, Hu C, Bobrow BJ, et al. The effect of combined out-of-hospital hypotension and hypoxia on mortality in major traumatic brain injury. Ann Emerg Med. 2017;69:(1):62−72.
     [Google الباحث العلمي]
  19. Davis DP, Aguilar S, Sonnleitner C, Cohen M, Jennings M. Latency and loss of pulse oximetry signal with the use of digital probes during prehospital rapid-sequence intubation. Prehosp Emerg Care. 2011;15:(1):18−22.
     [Google الباحث العلمي]
  20. Wimalasena Y, Burns B, Reid C, Ware S, Habig K. Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Ann Emerg Med. 2015;65:(4):371−6.
     [Google الباحث العلمي]
  21. Wimalasena YH, Corfield AR, Hearns S. Comparison of factors associated with desaturation in prehospital emergency anaesthesia in primary and secondary retrievals. Emerg Med J. 2015;32:(8):642−6.
     [Google الباحث العلمي]
  22. Burns B, Habig K, Eason H, Ware S. Difficult intubation factors in prehospital rapid sequence intubation by an Australian helicopter emergency medical service. Air Med J. 2016;35:(1):28−32.
     [Google الباحث العلمي]
  23. Ferguson I, Alkhouri H, Fogg T, Aneman A. Ketamine use for rapid sequence intubation in Australian and New Zealand emergency departments from 2010 to 2015: A registry study. Emerg Med Australas. 2019;31:(2):205−10.
     [Google الباحث العلمي]
  24. Grant S, Khan F, Keijzers G, Shirran M, Marneros L. Ventilator-assisted preoxygenation: protocol for combining non-invasive ventilation and apnoeic oxygenation using a portable ventilator. Emerg Med Australas. 2016;28:(1):67−72.
     [Google الباحث العلمي]
  25. Bernard SA, Smith K, Porter R, et al. Paramedic rapid sequence intubation in patients with non-traumatic coma. Emerg Med J. 2015;32:(1):60−4.
     [Google الباحث العلمي]
  26. Prekker ME, Kwok H, Shin J, Carlbom D, Grabinsky A, Rea TD. The process of prehospital airway management: challenges and solutions during paramedic endotracheal intubation. Crit Care Med. 2014;42:(6):1372.
     [Google الباحث العلمي]
  27. Alkhouri H, Vassiliadis J, Murray M, et al. Emergency airway management in Australian and New Zealand emergency departments: a multicentre descriptive study of 3710 emergency intubations. Emerg Med Australas. 2017;29:(5):499−508.
     [Google الباحث العلمي]
  28. Griffin D. Traumatic brain injuries: Continuing dilemmas in the pre-hospital care arena. J Param Prac. 2013;5:(2):83−93.
     [Google الباحث العلمي]
  29. Lyon RM, Perkins ZB, Chatterjee D, Lockey DJ, Russell MQ. Significant modification of traditional rapid sequence induction improves safety and effectiveness of pre-hospital trauma anaesthesia. Crit Care. 2015;19:(1):1−11.
     [Google الباحث العلمي]
  30. Garg P, Agarwal S, Choubey S, Waghray R. Effect of rocuronium and succinylcholine on intraocular pressure during rapid sequence induction and endotrachial intubation. Int J Ophthalmic Res. 2016;2:(4):198−200.
     [Google الباحث العلمي]
  31. Shoenberger JM, Mallon WK. Rocuronium versus succinylcholine revisited: Succinylcholine remains the best choice. Ann Emerg Med. 2018;71:(3):398−9.
     [Google الباحث العلمي]
  32. Peters J, van Wageningen B, Hendriks I, et al. First-pass intubation success rate during rapid sequence induction of prehospital anaesthesia by physicians versus paramedics. Eur J Emerg Med. 2015;22:(6):391−4.
     [Google الباحث العلمي]
  33. Al-Kalaldeh M, Al-Bdour E, Shosha GA. Patients’ evaluation of the quality of emergency care services in Jordan. Res Theory Nurs Pract. 2022;36:(1):20−33.
     [Google الباحث العلمي]
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Pre-hospital rapid sequence induction by paramedics: A scoping review
Journal of Emergency Medicine, Trauma and Acute Care 2022, 40 (٢٠٢٢); https://doi.org/10.5339/jemtac.2022.40
/content/journals/10.5339/jemtac.2022.40
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الموضوعات الرئيسية airway management, paramedics, rapid sequence induction and RSI

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