A Study on the Tactical Safety of Endotracheal Intubation Under Darkness

Abstract

Considering this finding, we still strongly recommend that it would be relatively safer to open the ML blade inside the mouth and to perform the procedures under a PL. In chaotic environments where it might become necessary to provide civilian health services for humanitarian aid purposes (Red Crescent, Red Cross, etc.) without NVGs, we believe that it would be relatively safer to open the CL blade inside the mouth and to perform the procedures under a PL.

Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness

“…The use of a light source during medical interventions will reveal the location of the casualty and friendly units, making them an open target for enemy units in unknown locations and equipped with observation equipment 4. In this regard, the use of a visible light source has known tactical disadvantages that may result in becoming a target for enemy 2 4. The use of NVGs provides tactical advantages and security during incursions or retreats, preventing units from being spotted by enemy units.…”

“…Although the tactical use of NVGs has been included in the routine training programme of combatant units, their use has not become widespread in the training and practice of CMS 3 7 8. It has been recommended that the use of NVGs must be included in practical and theoretical training in medical/tactical scenarios in dark conditions 3 4 7 9. It has also been reported that increasing user experience through practical training increases success rates in interventions using NVGs under dark conditions 3.…”

“…Using a light source in night conditions will expose the location of friendly units which may therefore come under fire of enemy units. The use of NVGs by the CMS while responding the casualties in an active combat area is a requirement for tactical security 3 4. There may be some limitations such as lack of a routine training programme on placement of an intravenous line using NVGs by the CMS and lack of experience.…”