Prehospital Cardiac Arrest Airway Management: An NAEMSP Position Statement and Resource Document. Prehosp Emerg Care 2022;26(sup1):54-63
Date
01/11/2022Pubmed ID
35001831DOI
10.1080/10903127.2021.1971349Scopus ID
2-s2.0-85122737309 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
Airway management is a critical component of out-of-hospital cardiac arrest (OHCA) resuscitation. Multiple cardiac arrest airway management techniques are available to EMS clinicians including bag-valve-mask (BVM) ventilation, supraglottic airways (SGAs), and endotracheal intubation (ETI). Important goals include achieving optimal oxygenation and ventilation while minimizing negative effects on physiology and interference with other resuscitation interventions. NAEMSP recommends:Based on the skill of the clinician and available resources, BVM, SGA, or ETI may be considered as airway management strategies in OHCA.Airway management should not interfere with other key resuscitation interventions such as high-quality chest compressions, rapid defibrillation, and treatment of reversible causes of the cardiac arrest.EMS clinicians should take measures to avoid hyperventilation during cardiac arrest resuscitation.Where available for clinician use, capnography should be used to guide ventilation and chest compressions, confirm and monitor advanced airway placement, identify return of spontaneous circulation (ROSC), and assist in the decision to terminate resuscitation.
Author List
Carlson JN, Colella MR, Daya MR, J De Maio V, Nawrocki P, Nikolla DA, Bosson NAuthor
Mario R. Colella DO, MPH Professor in the Emergency Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Airway ManagementCardiopulmonary Resuscitation
Emergency Medical Services
Humans
Intubation, Intratracheal
Out-of-Hospital Cardiac Arrest
