Date of Award

Spring 2020

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

ToriAnne Yetter

Abstract

Cardiac arrest occurs when the heart begins beating in an uncontrolled, unsustainable fashion that does not allow for adequate circulation of blood to perfuse the brain or sustain life. One of the variables in OHCA is airway management. Many of the EMS protocols across the world put a heavy emphasis on endotracheal intubation as the mainstay of securing an airway. While a successful intubation is certainly the gold standard, it takes time and has a considerable failure rate in the pre-hospital environment.

This raises the question; In an adult patient who suffered an out of hospital cardiac arrest and who received cardiopulmonary resuscitation attempts from EMS providers (P), is prehospital placement of an advanced airway device (I) superior to the bag-valve-mask (C) when comparing rates of neurologically intact survival(O)?

Additional Files

Presentation video.mp4 (83852 kB)
TThomasReferences.pdf (85 kB)

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Airway Management Techniques and Their Affect on Neurologically Intact Survival in Out of Hospital Cardiac Arrests

Cardiac arrest occurs when the heart begins beating in an uncontrolled, unsustainable fashion that does not allow for adequate circulation of blood to perfuse the brain or sustain life. One of the variables in OHCA is airway management. Many of the EMS protocols across the world put a heavy emphasis on endotracheal intubation as the mainstay of securing an airway. While a successful intubation is certainly the gold standard, it takes time and has a considerable failure rate in the pre-hospital environment.

This raises the question; In an adult patient who suffered an out of hospital cardiac arrest and who received cardiopulmonary resuscitation attempts from EMS providers (P), is prehospital placement of an advanced airway device (I) superior to the bag-valve-mask (C) when comparing rates of neurologically intact survival(O)?