A comparison of the incidence of cricothyrotomy in the deployed setting to the emergency department at a level 1 military trauma center: a descriptive analysis.

Airway management is a critical skill of emergency medicine physicians and prehospital providers. Airway compromise is the cause of 1.8% of battlefield deaths. Cricothyrotomy is a critical, lifesaving procedure. In this study, we conducted a retrospective descriptive analysis comparing the incidence...

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Publicado en:Military Medicine pp. 60 - 64
Autores principales: Schauer, Steven G, Bellamy, Michael A, Mabry, Robert L, Bebarta, Vikhyat S
Formato: research Journal Article
Publicado: Oxford University Press / USA Mar2015 Supplement
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: A comparison of the incidence of cricothyrotomy in the deployed setting to the emergency department at a level 1 military trauma center: a descriptive analysis.
      aug:
        au:
          Schauer, Steven G
          Bellamy, Michael A
          Mabry, Robert L
          Bebarta, Vikhyat S
      sug:
        subj:
          Airway Management Methods
          Cricoid Cartilage Surgery
          Airway Obstruction Surgery
          Intubation, Intratracheal Methods
          Tracheostomy Statistics and Numerical Data
          Military Personnel
          Trauma Centers
          Prospective Studies
          Incidence
          Emergency Medical Services Methods
          Airway Obstruction Epidemiology
          Texas
          Human
          Respiration, Artificial
          Retrospective Design
          Tracheostomy Methods
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: Airway management is a critical skill of emergency medicine physicians and prehospital providers. Airway compromise is the cause of 1.8% of battlefield deaths. Cricothyrotomy is a critical, lifesaving procedure. In this study, we conducted a retrospective descriptive analysis comparing the incidence of cricothyrotomies in the deployed setting versus the incidence in a military level 1 trauma center emergency department (ED) setting in San Antonio, Texas. The deployed/in-theater procedures were performed from September 2007 to July 2009. The ED procedures were performed from April 2010 to February 2012. Over these study periods, 28 cricothyrotomies were performed in the deployed setting against a backdrop of 11,492 trauma admissions compared to 4 cricothyrotomies performed during 2,741 trauma admissions in the ED setting. The per admission incidence of deployed cricothyrotomies was 0.24% versus an incidence of 0.15% in the ED (p=0.46). We conclude that this rare, lifesaving procedure is performed more often in the deployed setting than the ED, but this difference was not statistically significant.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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