The Importance Of Maintaining Patient Airways
Securing and maintain a patent airway reserves the highest priority when caring for critical ill or injured patient. When airway intervention is required it should be performed in an expedient and organised fashion by an experienced individual with the goal of providing a definitive airway safely, minimizing any possible complications (Braude and Richards, 2007). The decision to place a definitive airway is based on clinical decision and the understanding that a stable patient may deteriorate rapidly, requiring frequent reassessment of their airway, ventilatory and neurologic status, as well as vital signs. A definitive airway is meant to represent an endotracheal tube (ETT) that is placed in the trachea, passing through the vocal cords with a balloon located distally, serves to protect against aspiration when inflated (Stept and Safar, 1970).
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Rapid sequence intubation (RSI) has the same goal in order to be successfully which takes experience, a thorough understanding of its indications, contraindications and limitations, with working knowledge of the physiology and pharmacological agents used (Pousman, 2000: 03). In the following research assignment the following key words will be discussed: brief history of RSI, RSI technique, indication of RSI, and literature review of RSI performed by paramedics………………
In the research of this assignment a number of resources had been utilized. These includes the use of internet data-bases specifically the science direct website, American Heart association website, up-to-date website, trauma organisation website, ispub website and Google Scholar search with the following key phrases being employed, history of RSI, definitions of RSI, indications of RSI, and the following key words under Rapid Sequence Intubation: literature review, pre-hospital, and paramedic performing .
Journal articles concerning pre-hospital RSI in Emergency Medicine Journal, Annals of Emergency Medicine, Prehospital and Disaster Medicine, Critical Care Journal, Canadian Journal of Anaesthesia and Prehospital Emergency Care Journal……………….
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