Randomized Comparative Assessment of Three Surgical Cricothyrotomy Devices on Airway Mannequins

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jillian M DorsamPaul J D Roszko

Abstract

Airway obstruction is the second leading cause of preventable battlefield death, at least in part because surgical cricothyrotomy (SC) failure rates remain unacceptably high. Ideally, SC should be a rapid, simple, easily-learned, and reliably-performed procedure. Currently, 3 SC devices meet Tactical Combat Casualty Care (TCCC) standards: The Tactical CricKit® (TCK), Control-CricTM(CC), and Bougie-assisted Technique (BAT). However, no previous studies have compared these devices in application time, application success, user ratings, and user preference. United States Navy Corpsmen (N = 25) were provided 15 minutes of standardized instruction, followed by hands-on practice with each device on airway mannequins. Participants then performed SC with each of the 3 devices in a randomly assigned sequence. In this within-subjects design, application time, application success, participant ratings, and participant preference data were analyzed using repeated-measures ANOVA, regression, and non-parametric statistics at p < 0.05. Application time for CC (M = 184 sec, 95% CI 144-225 sec) was significantly slower than for BAT (M = 135 sec, 95% CI 113-158 sec, p < 0.03) and TCK (M = 117 sec, 95% CI 93-142 sec, p < 0.005). Success was signif...Continue Reading

References

Dec 14, 1999·The Journal of Emergency Medicine·T C ChanP Rosen
Mar 1, 2003·The Journal of Emergency Medicine·Aaron E BairJohn C Sakles
May 25, 2007·Annals of Surgery·John B HolcombFrank K Butler
Feb 16, 2008·Military Medicine·Allan MacIntyreJohn J Fildes
Nov 27, 2008·Anaesthesia·J C Dimitriadis, R Paoloni
Jul 4, 2009·Air Medical Journal·Darren BraudeDavid Grimsley
May 25, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Chandler HillJames Miner
Dec 15, 2011·Military Medicine·Brad L BennettJoseph Kotora
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Brian J EastridgeLorne H Blackbourne
Oct 8, 2013·Annals of Emergency Medicine·Robert L MabryAlan Frankfurt
Jul 2, 2015·The Journal of Trauma and Acute Care Surgery·Erin C SavageHomer C Tien
Oct 28, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Danielle HartUNKNOWN University of Minnesota Combat Casualty Training Consortium (UMN CCTC)
Dec 8, 2017·The American Journal of Emergency Medicine·Steven G SchauerMichael D April

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