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Signa vitae : journal for intesive care and emergency medicine, Vol.5 No.1 April 2010. -

Aim. To determine, in a prospective observational study, whether there are differences in the practice of rapid sequence intubation RSI and to ascertain the characteristics between trauma and non-trauma patients that were intubated in a prehospital setting.

Methods. Included were patients 18 years and over who were not in cardiac arrest and who underwent RSI and were transported to hospital. From January 2000 to December 2006 we intubated 636 patients in cardiac arrest, 159 critically ill non-trauma patients and 142 trauma patients. Placement of an endotracheal tube was confirmed by capnography. We compared medical and trauma groups of intubated patients. We used the two-independent sample t-test, Chi-square test and Wilcoxon-Mann Whitney test for statistical analysis.

Results. Statistical differences between groups medical vs. trauma: initial main arterial pressure 104.9 +- 34.6 vs. 90.7 +- 24.8; p=0.01, blood glucose levels 9.2 +- 3.5 vs. 5.9 +- 1.9; p=0.011, administration of colloids 13,1 % vs. 70,2; p=0.003 and Hyperhaes 2.5 % vs.17.6 %; p=0.001, male gender 62.3 vs 81.6; p=0.014, rate of RSI 71.1 % vs. 96.4 %; p



Autor: KATJA LAH - ; Center for Emergency Medicine; Ljubljanska 5; 2000 Maribor; Slovenia MILJENKO KRIZMARIC - ; Faculty for Health Scie

Fuente: http://hrcak.srce.hr/



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