Advanced Airway Management – a Medical Emergency Response Team Perspective

Haldane, Andrew

doi:10.1136/jramc-156-03-06

Cited by 14 publications

(8 citation statements)

References 11 publications

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“…Use of a multidisciplinary team approach to the management of several acute situations, such as myocardial infarction, coronary dissection, major trauma, and cardiopulmonary arrest, has been found to significantly influence patient outcomes . Similarly, a well‐equipped, multidisciplinary team approach to managing difficult airway situations could improve the efficiency of care and teamwork, in addition to reducing mortality and complications . Our institution introduced a DART that uses an approach similar to that used in the operating room for intubation of patients with difficult airways .…”

Section: Discussionmentioning

confidence: 99%

A novel role for otolaryngologists in the multidisciplinary difficult airway response team

et al. 2014

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Section: Discussionmentioning

confidence: 99%

A novel role for otolaryngologists in the multidisciplinary difficult airway response team

et al. 2014

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“…However, only a few studies advocated the MET intervention for airway management. One study showed that pediatric MET was associated with a significant decrease in the incidence of respiratory arrest in a general ward,12 and another study showed that intervention by the Medical Emergency Response Team, a part of the British Military's trauma system, and advanced airway management including RSI increased survival in the peri-evacuation phase 13. Moreover, our present study demonstrated an association with MET intervention and improvements of various physiologic parameters in critically ill adult patients during airway management.…”

Section: Discussionmentioning

confidence: 99%

Does Medical Emergency Team Intervention Reduce the Prevalence of Emergency Endotracheal Intubation Complications?

et al. 2014

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PurposeEmergency endotracheal intubation (EEI) is a complex process that leads to various complications. Previous studies mainly demonstrated that the Medical Emergency Team (MET) intervention reduced the incidence of cardiac arrest, however, the impact of a MET on airway management has not been investigated in detail. Our purpose was to confirm the impact of a MET on airway management and compare the incidence of complications of EEI before and after MET intervention in a general ward.Materials and MethodsWe performed an observational study and reviewed 318 patients intubated by a MET in a general ward.ResultsThe patients enrolled during the control (2007) and study (2009) periods were 103 and 215, respectively. Cardiopulmonary resuscitation requiring emergency intubation in a general ward was reduced after MET intervention at the Asan Medical Center (39.8% vs. 19.1%, p<0.001). Pre-intubation and post-intubation oxygen saturation levels were higher after MET intervention (pre-intubation, 80% before vs. 92% after MET, p<0.001; post-intubation, 95% before vs. 99% after MET, p<0.001). The use of vasopressors after intubation decreased as a result of MET intervention (62.1% before vs. 36.7% after MET, p<0.001). Hypotension was also reduced (34% before vs. 8.8% after MET, p<0.001).ConclusionEarly interventions of a MET changed the causes of emergency intubation in a general ward from cardiopulmonary resuscitation to respiratory distress or shock and improved hypoxemia and hypotension related to emergency intubation. The MET intervention is safe and effective system for emergency intubation in a general ward.

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“…There is an introduction to PHEM outlining how patients would be transported to the contingency facility and the treatment that they could potentially receive 22 23. There is also a discussion on the role of the Critical Care Air Support Team (CCAST) with an overview of their capabilities and preparing to package a patient for a CCAST transfer 24…”

Section: Core Coursesmentioning

confidence: 99%

Military Anaesthesia in contingencies: what skill sets are required and how will we prepare our trainees?

et al. 2017

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The Defence Medical Services are now in an established period of contingency operations. In 2008, the Royal College of Anaesthetists approved a Military Anaesthesia Higher Training Module which could be easily achieved by deploying to the field hospital in Camp Bastion, Afghanistan, for two months under the supervision of a consultant anaesthetist. This opportunity no longer exists but the need to assure quality training and to demonstrate military skill sets is still essential. This article discusses the revised Military Higher Module and how it will be implemented in the future either during deployment or during times of peace.

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Advanced Airway Management – a Medical Emergency Response Team Perspective

Abstract: The figure of 56 patients requiring advanced airway management is at the higher end of the range expected from the study of historical military data. This may reflect the doctrine of "intelligent tasking", that is sending this physician-led team to the most seriously injured casualties.

Cited by 14 publications

References 11 publications

A novel role for otolaryngologists in the multidisciplinary difficult airway response team

A novel role for otolaryngologists in the multidisciplinary difficult airway response team

Does Medical Emergency Team Intervention Reduce the Prevalence of Emergency Endotracheal Intubation Complications?

Military Anaesthesia in contingencies: what skill sets are required and how will we prepare our trainees?

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