IMPROVING HEALTH SEVICES

Improving Health Sevices-

Endotracheal Versus Laryngeal Airways In Pre Hospital Care

Word Count: 2200

Improving Health Sevices- Endotracheal Versus Laryngeal Airways In Pre Hospital Care

Introduction

This review paper is based on summerising an Emergency Medicine Journal named as “A Critical Reassessment of Ambulance Service Airway Management in Pre-Hospital Care” . 5 articles were reviewed using PICO PICO is a method of putting together a search strategy that allows you to take a more evidence based approach to your literature searching when you are searching bibliographic databases like ejournal & pub med.

PICO stands for(Huang, 2009:359-63):

Patient/Population:           Who or What?

Intervention:                      How?

Comparison:                      What is the main alternative? (If appropriate)

Outcome:                           What are you trying to accomplish, measure,

improve, effect?

Research Strategy

Method

The research was based on secondary data collection. The data was extracted from ejournal & pub med. In secondary research data will be extracted from various journals, books and articles. Qualitative research will be used for proposed study. Qualitative research is more subjective as compared to quantitative research and uses very different methods of collecting information which could be both primary and secondary. As already mentioned this study will choose the secondary method. The criteria of selection for the literature will be relevance to the research topic and the year of publication.

Actual Results From Articles

Thr first article depicts that in an ideal world all medical and paramedical personnel responding to major trauma should be experts in advanced airway management. This of course is impossible, so the question then becomes 'how do we balance cost, training, and availability of our personnel to maximise the benefits to our patients?' (Driscoll, 2006: 45-61) Are we better off concentrating expertise in the hands of a small number of experts, at the expense of a slower response time, or diluting the experience more widely in the medical and paramedical community? The answers to the above questions will vary widely around the world. It is important to distinguish between a well developed and properly staffed trauma centre, and a casualty department staffed by junior doctors who may have minimal experience in major trauma management. In some hospitals it may be the best solution to move badly injured directly to an operating theatre, if there is no good trauma resuscitation system in the emergency department. In addition, any patient who is bleeding significantly should be in an operating theatre or radiology suite, not an emergency department. It is also important to know how well developed prehospital systems are in that location, including availability and appropriate use of aeromedical services, whether paramedics are themselves trained to perform advanced procedures or rely on prehospital responses by doctors or advanced practice nurses, and indeed what experience and training the doctors and nurses have had - a junior or 'non expert' doctor is probably worse than useless in a dangerous prehospital environment. The medical literature must be interpreted in this light. When levels of training, experience and protocols are examined, however, the trauma systems in which these paramedics worked differed dramatically. The same applies ...