Prehospital intubation and the checklist – what can we learn
Prehospital anaesthesia, PHEA (or rapid sequence intubation) is performed in many systems, often by physician-led teams, or specially trained paramedics. As with many high-risk procedures, it is recommended that clinicians performing these procedures follow a standardised checklist. In this month's issue, our Editor's Choice is an an eye-opening survey by Burgess and colleagues that included 43 of the 59 physician-led prehospital teams in the UK, determining the volume of intubations and the use and format of their prehospital intubation checklists (see page 532). They logged 1629 intubations and it is worth noting that of the 34 services who performed these, 10 performed 84%. Checklists were used among 83% of services, and 20% had a standard operating procedure. Reviewing 24 of these checklists, the authors found a mean of 41 (28-70) required checks, and that the style, and...
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