Prehospital anaesthesia by a helicopter emergency medicine service: a review
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Author
O'Neill, RonanTopping, Andrew
Monaghan, Darren
O'Rorke, Glenn
Hay, Philip
McLaughlin, Russell
Mitchell, Hannah
McFetridge, Lisa
Wolfe, Julia
Keyword
Emergency Medical ServicesHelicopter Emergency Medical Service (HEMS)
Rapid Sequence Induction and Intubation
Airway Management
Anaesthesia
Pre-hospital Care
Journal title
Journal of Paramedic Practice
Metadata
Show full item recordAbstract
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. Abstract published with permissionae974a485f413a2113503eed53cd6c53
10.12968/jpar.2023.15.7.280
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