Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Risk assessment of pre-hospital trauma airway management by anaesthesiologists using the predictive Bayesian approach | Sollid et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 22 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Risk assessment of pre-hospital trauma airway management by anaesthesiologists using the predictive Bayesian approach Stephen JM Sollid 1 2 Hans Morten Lossius1 3 Anders R Nakstad4 Terje Aven5 and Eldar Soreide2 Abstract Introduction Endotracheal intubation ETI has been considered an essential part of pre-hospital advanced life support. Pre-hospital ETI however is a complex intervention also for airway specialist like anaesthesiologists working as pre-hospital emergency physicians. We therefore wanted to investigate the quality of pre-hospital airway management by anaesthesiologists in severely traumatised patients and identify possible areas for improvement. Method We performed a risk assessment according to the predictive Bayesian approach in a typical anaesthesiologist-manned Norwegian helicopter emergency medical service HEMS . The main focus of the risk assessment was the event where a patient arrives in the emergency department without ETI despite a pre-hospital indication for it. Results In the risk assessment we assigned a high probability 29 for the event assessed that a patient arrives without ETI despite a pre-hospital indication. However several uncertainty factors in the risk assessment were identified related to data quality indications for use of ETI patient outcome and need for special training of ETI providers. Conclusion Our risk assessment indicated a high probability for trauma patients with an indication for pre-hospital ETI not receiving it in the studied HEMS. The uncertainty factors identified in the assessment should be further investigated to better understand the problem assessed and consequences for the patients. Better quality of prehospital airway management data could contribute to a reduction of these uncertainties. Introduction Pre-hospital endotracheal intubation .
