Andresen Åke Erling L, Varild Lauritzen Magnus, Kramer-Johansen Jo, Kristiansen Thomas
Department of Research, The Norwegian Air Ambulance Foundation, P.O. Box 414 Sentrum, 0103 Oslo, Norway.
Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1171 Blindern, 0318 Oslo, Norway.
Resusc Plus. 2023 Oct 6;16:100480. doi: 10.1016/j.resplu.2023.100480. eCollection 2023 Dec.
We wanted to assess the implementation and use of a supraglottic airway (SGA) for on-call firefighter first responders in out-of-hospital cardiac arrest.
We trained 502 firefighter first responders, located at 35 fire stations in the South-East of Norway, in the use of SGA during cardiopulmonary resuscitation in adult out-of-hospital cardiac arrest. Training consisted of 45 minutes of theoretical and practical training in small groups.Primary outcome was successful ventilation with SGA assessed by both firefighter first responders and first paramedic arriving on-scene. Secondary outcomes included time expenditure and complications related to the procedure, evaluation of the training, and descriptive characteristics of the out-of-hospital cardiac arrest cases.
An SGA was used by firefighter first responders in 23 out-of-hospital cardiac arrests, and successful ventilation was achieved in 20 (87%) cases. Air-leak was described in the three unsuccessful cases. The median procedural time was 30 seconds (IQR = 15-40), with no observed procedural complications. Firefighter first responders arrived in median time 9 minutes (IQR = 6-10 min) before the ambulance. They performed chest compressions on all patients and 6 (26%) of the patients received shock with semi-automatic external defibrillator. After training, all participants were able to successfully ventilate a manikin with the SGA. The cost of the SGA equipment for all fire stations was 3955 GBP.
Implementation of an SGA for firefighter first responders in out-of-hospital cardiac arrest management seems feasible, safe and can be introduced with limited amount of training and limited use of resources.
我们旨在评估声门上气道（SGA）在院外心脏骤停时供待命消防员急救人员使用的实施情况和效果。
我们对位于挪威东南部35个消防站的502名消防员急救人员进行了培训，内容是在成人院外心脏骤停的心肺复苏过程中使用SGA。培训包括45分钟的小组理论和实践培训。主要结局是由消防员急救人员和首批到达现场的护理人员评估的使用SGA进行通气成功情况。次要结局包括与该操作相关的时间花费和并发症、培训评估以及院外心脏骤停病例的描述性特征。
消防员急救人员在23例院外心脏骤停中使用了SGA，其中20例（87%）通气成功。3例通气未成功病例出现了漏气情况。操作的中位时间为30秒（四分位间距=15 - 40），未观察到操作并发症。消防员急救人员比救护车中位提前9分钟（四分位间距=6 - 10分钟）到达。他们对所有患者都进行了胸外按压，6例（26%）患者接受了半自动体外除颤器电击。培训后，所有参与者都能够使用SGA成功为人体模型通气。所有消防站的SGA设备成本为3955英镑。
在院外心脏骤停管理中为消防员急救人员实施SGA似乎是可行、安全的，并且可以通过有限的培训和有限的资源使用来引入。
