Prehospital noninvasive ventilation: a viable treatment option in the urban setting

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
David McD TaylorSalomon Zalstein

Abstract

To determine the viability of prehospital noninvasive ventilation (NIV) as a prelude to a definitive clinical trial. This was a retrospective observational study of patients (aged > 55 years, severe shortness of breath) transported to a tertiary emergency department (10/5/03-12/28/04). Data were extracted from paramedic and hospital medical records. The primary outcome measure was the number of patients who could potentially benefit from prehospital NIV. They were defined as "conscious upon paramedic arrival and who required ventilatory support (bag/valve/mask ventilation [BVM], NIV or endotracheal intubation) during transport or within 30 minutes of arrival at the emergency department (ED)." The secondary outcome measures were the effectiveness of existing paramedic treatment regimens and paramedic management times. Two hundred sixty-four patients were enrolled (mean age 75.5 +/- 8.7 years, 59.1% male). Sixty-seven patients (25.4%, 95% CI: 20.3-31.2) met the primary outcome measure: 31 (11.7%, 95% CI: 8.2-16.4) received prehospital BVM, an additional 35 (13.3%, 95% CI: 9.5-18.1) received NIV in the ED and one (0.4%, 95% CI: 0.0-2.4) was intubated in the ED. Prehospital treatment resulted in significant (p < 0.001) improvements...Continue Reading

References

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Sep 26, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael W HubbleDwayne Young

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Citations

Oct 15, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Espen FevangUNKNOWN Torpo Research Collaboration
Jul 18, 2012·Pediatric Reports·John Scott Baird, Thyyar M Ravindranath
Feb 5, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Teresa A WilliamsIan G Jacobs
Jun 24, 2015·Health Technology Assessment : HTA·Abdullah PandorJerry Penn-Ashman
May 8, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·François-Xavier DuchateauPhilippe Juvin
Mar 18, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·J Scott BairdCharles L Schleien
Jul 3, 2016·Emergency Medicine Journal : EMJ·Andrew R CogginsBrian Burns

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