Kaneda Toru, Suzuki Toshiyasu
Department of Anesthesiology, Tokai University School of Medicine, Isehara 259-1193.
Masui. 2007 May;56(5):595-600.
It is said that airway management is an important part of lifesaving at the prehospital care for a seriously ill emergency patient. We performed the training of endotracheal intubation for an emergency medical technician, and in this report we discussed the results of trainings and examined 3 cases of endotracheal intubation in the emergency situation after training. Various kinds of problem arose through this training, for example, difficulty to get the consent from patients, overlap of a case for clinical resident and emergency medical technician, large responsibility of the anesthesiologist as a teaching staff. In addition, there may be no useful case for lifesaving at the emergency situation in 3 cases of endotracheal intubation. We consider that it may be difficult, but possibility cannot deny if endotracheal intubation by emergency medical technicians contribute to lifesaving rate improvement from viewpoint of prehospital care.
据说气道管理是危重症急诊患者院前急救中挽救生命的重要组成部分。我们对一名急救医疗技术人员进行了气管插管培训，在本报告中，我们讨论了培训结果，并检查了培训后紧急情况下的3例气管插管病例。通过这次培训出现了各种问题，例如，难以获得患者的同意，临床住院医师和急救医疗技术人员的病例重叠，麻醉医师作为教员的责任重大。此外，3例气管插管病例在紧急情况下可能没有挽救生命的有效病例。我们认为，急救医疗技术人员进行气管插管从院前护理的角度来看可能很难，但提高挽救生命率的可能性不可否认。
