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dc.contributor.authorSunde, Geir Arne
dc.contributor.authorHeltne, Jon-Kenneth
dc.contributor.authorLockey, David
dc.contributor.authorBurns, Brian
dc.contributor.authorSandberg, Mårten
dc.contributor.authorFredriksen, Knut
dc.contributor.authorHufthammer, Karl Ove
dc.contributor.authorSoti, Akos
dc.contributor.authorLyon, Richard
dc.contributor.authorJäntti, Helena
dc.contributor.authorKämäräinen, Antti
dc.contributor.authorReid, Bjørn Ole
dc.contributor.authorSilfvast, Tom
dc.contributor.authorHarm, Falko
dc.contributor.authorSollid, Stephen J. M.
dc.identifier.citationSunde, G.A (2015) Airway management by physician-staffed helicopter emergency medical services – a prospective, multicentre, observational study of 2,327 patients. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 23:57nb_NO
dc.descriptionThis is an article originally published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2015) 23:57; and distributed under the terms of the Creative Commons Attribution 4.0 International License ( See DOI 10.1186/s13049-015-0136.nb_NO
dc.description.abstractBackground: Despite numerous studies on prehospital airway management, results are difficult to compare due to inconsistent or heterogeneous data. The objective of this study was to assess advanced airway management from international physician-staffed helicopter emergency medical services. Methods: We collected airway data from 21 helicopter emergency medical services in Australia, England, Finland, Hungary, Norway and Switzerland over a 12-month period. A uniform Utstein-style airway template was used for collecting data. Results: The participating services attended 14,703 patients on primary missions during the study period, and 2,327 (16 %) required advanced prehospital airway interventions. Of these, tracheal intubation was attempted in 92 % of the cases. The rest were managed with supraglottic airway devices (5 %), bag-valve-mask ventilation (2 %) or continuous positive airway pressure (0.2 %). Intubation failure rates were 14.5 % (first-attempt) and 1.2 % (overall). Cardiac arrest patients showed significantly higher first-attempt intubation failure rates (odds ratio: 2.0; 95 % CI: 1.5-2.6; p <0.001) compared to non-cardiac arrest patients. Complications were recorded in 13 %, with recognised oesophageal intubation being the most frequent (25 % of all patients with complications). For non-cardiac arrest patients, important risk predictors for first-attempt failure were patient age (a non-linear association) and administration of sedatives (reduced failure risk). The patient’s sex, provider’s intubation experience, trauma type (patient category), indication for airway intervention and use of neuromuscular blocking agents were not risk factors for first-attempt intubation failure. Conclusions: Advanced airway management in physician-staffed prehospital services was performed frequently, with high intubation success rates and low complication rates overall. However, cardiac arrest patients showed significantly higher first-attempt failure rates compared to non-cardiac arrest patients. All failed intubations were handled successfully with a rescue device or surgical airway. Trial registration: Study registration: NCT01502111. Registered 22 December 2011.nb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 3.0 Norge*
dc.subjectadvanced trauma life supportnb_NO
dc.subjectairway managementnb_NO
dc.subjectemergency medical servicesnb_NO
dc.titleAirway management by physician-staffed helicopter emergency medical services – a prospective, multicentre, observational study of 2,327 patientsnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewed
dc.subject.nsiVDP::Medical disciplines: 700::Basic medical, dental and veterinary science disciplines: 710nb_NO
dc.source.journalScandinavian Journal of Trauma, Resuscitation and Emergency Medicinenb_NO

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Navngivelse 3.0 Norge
Except where otherwise noted, this item's license is described as Navngivelse 3.0 Norge