RESUMO
To assess the performance of intubation skills by advanced trained ambulance personnel, a prospective study was carried out of the intubation of cardiac arrest victims by ambulance personnel in the field. Twenty-eight ambulance personnel attempted the intubation of 87 patients over 2 years. Eighty-five patients were initially successfully intubated, one endotracheal tube became displaced and cuff leakage occurred on three occasions. This was treated appropriately in each instance. Ambulance personnel can perform the skills of intubation successfully in out-of-hospital cardiac arrest victims.
Assuntos
Ambulâncias , Auxiliares de Emergência , Intubação Intratraqueal , Auxiliares de Emergência/educação , Inglaterra , Humanos , Capacitação em Serviço , Estudos ProspectivosRESUMO
This paper describes the results of a survey in 1990 which examined the practice of general anaesthesia in Accident and Emergency Departments. Data were obtained concerning the anaesthetics induced during the previous year, specifically the number of procedures undertaken, the equipment, the facilities and the personnel involved, including any complications. These findings are discussed in relation to recommendations for minimum standards in anaesthetic practice.
Assuntos
Anestesia Geral/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Anestesia Geral/instrumentação , Serviço Hospitalar de Emergência/normas , Estudos de Avaliação como Assunto , Pesquisa sobre Serviços de Saúde , Medicina Estatal , Inquéritos e Questionários , Reino Unido , Ventiladores Mecânicos/estatística & dados numéricosRESUMO
Many patients presenting to the Emergency Medical Services have recently consumed alcohol. This may profoundly affect their behaviour, conscious level and response to illness and treatment. The blood alcohol level (BAL) is of little use in the evaluation of these responses. Abnormal conscious level should never be ascribed to alcohol intoxication alone. It is only a diagnosis of exclusion. The most commonly associated conditions are head injury, cerebro-vascular incidents, hypoglycaemia and other drug intoxications.
