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Factors That Contribute to Provider Decision Between Direct and Video Laryngoscopy in a Helicopter Emergency Medical Services System: A Survey. Air Med J 2020;39(6):444-447

Date

11/25/2020

Pubmed ID

33228891

DOI

10.1016/j.amj.2020.09.005

Scopus ID

2-s2.0-85092169994 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

OBJECTIVE: In caring for critically ill patients in the prehospital setting, rapid, definitive airway management is a high-risk, crucial procedure. All helicopter emergency medical services (HEMS) providers must proficiently and safely perform this procedure. Little information is available about the preference and efficacy of video laryngoscopy (VL) compared with direct laryngoscopy (DL). Additionally, there is a paucity of research investigating which method of intubation is more successful in the HEMS setting. The objective of this study was to delineate factors that contribute to provider decision regarding the method of orotracheal intubation and compare the frequency of use for each method.

METHODS: An anonymous online survey was distributed to all providers in a single HEMS program. The survey results were deidentified and blinded to the researchers.

RESULTS: The survey was sent to 40 HEMS providers; 29 responded, and 119 total intubations were reported. Method familiarity and patient condition were the most commonly cited reasons for choosing both DL and VL for intubation. DL accounted for 15 intubation attempts, whereas 104 attempts were completed by VL.

CONCLUSION: For both laryngoscopy techniques, the top reasons cited for selecting an intubation technique were being comfortable with that technique and patient presentation. Further investigation with chart review would help confirm the reported data.

Author List

Lenz TJ, Nolen C, Pokorney J

Author

Timothy John Lenz MD Associate Professor in the Emergency Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aircraft
Emergency Medical Services
Humans
Intubation, Intratracheal
Laryngoscopes
Laryngoscopy