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dc.contributor.authorDurham, Mark
dc.contributor.authorWesthead, Pete
dc.contributor.authorGriffiths, David
dc.contributor.authorLyon, Richard
dc.contributor.authorLau-Walker, Margaret
dc.date.accessioned2020-07-24T12:20:38Z
dc.date.available2020-07-24T12:20:38Z
dc.date.issued2020-05-05
dc.identifier.citationDurham, M. et al, 2020. Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol. Journal of Paramedic Practice, 12 (5), 202-207.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2020.12.5.202
dc.identifier.urihttp://hdl.handle.net/20.500.12417/841
dc.description.abstractBackground: Since 2016, critical care paramedics from the South East Coast Ambulance Service have offered neuromuscular blockade to patients for ventilatory/airway control after cardiac arrest. Aims: To examine the first cases of paramedic-delivered neuromuscular blockade, and evaluate the prevalence of its use and safety. Methods: Retrospective service evaluation of patients receiving post-arrest paralysis during the study period from 1 April 2016 until 31 July 2017. Findings: The study included 127 patients. The mean age of administration was 63 years, mean weight was 80 kg (SD: 19 kg), dose was 1 mg/kg and median time from rocuronium administration to hospital was 32 minutes (IQR 20–43 minutes). Three patients (2.3%) experienced a minor adverse incident. There were no major airway complications, nor other significant adverse incidents. Thirty-seven patients (31%) survived to discharge. Conclusion: From this patient group, paramedic-administered rocuronium in intubated patients who have experienced a cardiac arrest and a return of spontaneous circulation appears to be safe, but further interventional research is required to determine whether this improves patient outcomes. Abstract published with permission.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectPre-hospital Careen_US
dc.subjectOut-of-Hospital Cardiac Arrest (OHCA)en_US
dc.subjectReturn of Spontaneous Circulation (ROSC)en_US
dc.subjectNeuromuscular Blockadeen_US
dc.titlePrehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocolen_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
dcterms.dateAccepted2020-07-09
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2020-07-09
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2020-05-05
html.description.abstractBackground: Since 2016, critical care paramedics from the South East Coast Ambulance Service have offered neuromuscular blockade to patients for ventilatory/airway control after cardiac arrest. Aims: To examine the first cases of paramedic-delivered neuromuscular blockade, and evaluate the prevalence of its use and safety. Methods: Retrospective service evaluation of patients receiving post-arrest paralysis during the study period from 1 April 2016 until 31 July 2017. Findings: The study included 127 patients. The mean age of administration was 63 years, mean weight was 80 kg (SD: 19 kg), dose was 1 mg/kg and median time from rocuronium administration to hospital was 32 minutes (IQR 20–43 minutes). Three patients (2.3%) experienced a minor adverse incident. There were no major airway complications, nor other significant adverse incidents. Thirty-seven patients (31%) survived to discharge. Conclusion: From this patient group, paramedic-administered rocuronium in intubated patients who have experienced a cardiac arrest and a return of spontaneous circulation appears to be safe, but further interventional research is required to determine whether this improves patient outcomes. Abstract published with permission.en_US


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