Does the ambulance environment adversely affect the ability to perform oral endotracheal intubation

摘要: OBJECTIVE: Oral endotracheal intubation (ETI) is the preferred method of controlling airway in critically ill or injured patients. It was postulated that time could be saved if performed ambulance en route to hospital. This study designed determine whether environment adversely affected ability emergency medical technicians at advanced-intermediate level (EMT-AI) perform oral ETI. HYPOTHESIS: The restrictive a moving would affect EMT-AIs ETI compared with controlled setting. result significant increase necessary setting not complicated by space and motion. METHODS: Twenty on-duty were recruited volunteer for this prospective, nonrandomized, nonblinded trial. All participants three consecutive ETIs on an mannequin two settings: 1) back ambulance; 2) table rescue squad station. Of participants, 10 intubations first; remainder station first. Time recorded stopwatch. mean times both settings Student's t-test (p < 0.05). RESULTS: attempts successful. 13.0 +/- 3.4 seconds. 13.2 5.3 There no difference between = 0.88). CONCLUSION: does appear hinder laboratory model.