Emergencias Médicas envuelo (HEMS) / No disponible

Como consecuencia de las características inherentes almedio de transporte HEMS (Helicópteros de los ServiciosMédicos de Emergencias), con un ambiente de trabajo reducidoy dinámico, que condicionan o limitan determinadastécnicas a bordo del helicóptero, así como los riesgos asociadosa su ejecución (deflagración, arco eléctrico, combustiónde O2, derivación de corriente, afectación de instrumentosde vuelo y radiocomunicación, etc.), se impone la exigenciade actuaciones coordinadas a bordo, siempre sometidas aljuicio clínico oportuno en cada momento, que reduzcan almáximo los riesgos de la misión, bajo la perspectiva, eso sí,del mantenimiento de la mejor asistencia sanitaria alpaciente y la adaptación y cumplimiento de las normasasistenciales vigentes. El tema que nos aborda es el caso dela reanimación cardiopulmonar en el medio HEMS y la desfibrilacióna bordo (AU)

As a result of the inherent characteristics in the transportationway, HEMS (Helicopters Emergency MedicalServices) with a reduced working environment and dynamic,conditioning or restricting certain techniques on boardthe helicopter, as well as the risks associated with its implementation(deflagration, electric arc, O2 combustion, referralpower, affecting flight instruments and radio, etc.),imposing the requirement for coordinated actions on board,always subject to appropriate clinical trial at any giventime, to reduce risks of the mission to a minimum, underthe perspective, of course, of maintaining the best healthcare for the patient and the adaptation and complianceassistance force. The issue before us is dealt with the case ofcardiopulmonary resuscitation in the HEMS environmentand defibrillation on board (AU)

Nasal route to ventilation during basic cardiopulmonary resuscitation in children under two months of age.

In order to determine the feasibility of performing mouth to mouth and nose resuscitation according to the established guidelines, a study was carried out on the facial dimensions of 40 children under 2 months of age (20 under 1 month and 20 aged 1 month) and the open-mouth dimensions of the 40 adults in charge of these children. Only nine adults in charge of children under 1 month of age would have been able to seal the mouth and nose of these infants. In the case of the 1 month old infants, only one adult (5%) proved able to encircle the mouth and nose. Strikingly, none of the adults involved in this study would have been able to perform the ventilation manoeuvres in children with open mouths as recommended by the American Heart Association and European Resuscitation Council guidelines. In conclusion, since adults are unable to cover with their mouths both the mouth and nose of the infants, the nasal route to ventilation, with oral sealing of the nose, is recommended as the best approach for the practice and teaching of the basic cardiopulmonary resuscitation (CPR) in children under 2 months of age who have respiratory arrest.