TY - JOUR
T1 - Prehospital Cardiac Arrest Airway Management
T2 - An NAEMSP Position Statement and Resource Document
AU - Carlson, Jestin N.
AU - Colella, M. Riccardo
AU - Daya, Mohamud R.
AU - J. De Maio, Valerie
AU - Nawrocki, Philip
AU - Nikolla, Dhimitri A.
AU - Bosson, Nichole
N1 - Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - Airway management is a critical component of out-of-hospital cardiac arrest (OHCA) resuscitation. Multiple cardiac arrest airway management techniques are available to EMS clinicians including bag-valve-mask (BVM) ventilation, supraglottic airways (SGAs), and endotracheal intubation (ETI). Important goals include achieving optimal oxygenation and ventilation while minimizing negative effects on physiology and interference with other resuscitation interventions. NAEMSP recommends: Based on the skill of the clinician and available resources, BVM, SGA, or ETI may be considered as airway management strategies in OHCA. Airway management should not interfere with other key resuscitation interventions such as high-quality chest compressions, rapid defibrillation, and treatment of reversible causes of the cardiac arrest. EMS clinicians should take measures to avoid hyperventilation during cardiac arrest resuscitation. Where available for clinician use, capnography should be used to guide ventilation and chest compressions, confirm and monitor advanced airway placement, identify return of spontaneous circulation (ROSC), and assist in the decision to terminate resuscitation.
AB - Airway management is a critical component of out-of-hospital cardiac arrest (OHCA) resuscitation. Multiple cardiac arrest airway management techniques are available to EMS clinicians including bag-valve-mask (BVM) ventilation, supraglottic airways (SGAs), and endotracheal intubation (ETI). Important goals include achieving optimal oxygenation and ventilation while minimizing negative effects on physiology and interference with other resuscitation interventions. NAEMSP recommends: Based on the skill of the clinician and available resources, BVM, SGA, or ETI may be considered as airway management strategies in OHCA. Airway management should not interfere with other key resuscitation interventions such as high-quality chest compressions, rapid defibrillation, and treatment of reversible causes of the cardiac arrest. EMS clinicians should take measures to avoid hyperventilation during cardiac arrest resuscitation. Where available for clinician use, capnography should be used to guide ventilation and chest compressions, confirm and monitor advanced airway placement, identify return of spontaneous circulation (ROSC), and assist in the decision to terminate resuscitation.
KW - EMS
KW - airway
KW - cardiac arrest
KW - intubation
KW - prehospital
KW - ventilation
UR - http://www.scopus.com/inward/record.url?scp=85122737309&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85122737309&partnerID=8YFLogxK
U2 - 10.1080/10903127.2021.1971349
DO - 10.1080/10903127.2021.1971349
M3 - Article
C2 - 35001831
AN - SCOPUS:85122737309
SN - 1090-3127
VL - 26
SP - 54
EP - 63
JO - Prehospital Emergency Care
JF - Prehospital Emergency Care
IS - S1
ER -