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• W2159637112 abstract "Training in advanced airway management techniques, such as tracheal intubation, is usually performed with the patient or manikin lying on a bed or stretcher with the operator standing at the head of the patient.When confronted with a patient on the ground, usually the operator will kneel down to attempt to get in the same position as when the patient is on a stretcher. The main disadvantage is that the operator has to kneel and crouch uncomfortably and still be able to lift with his or her left arm to view the airway with the laryngoscope. The subject has been discussed in a paper by Tesler et al. in this journal in January 2003 [[1]Tesler J. Rucker J. Sommer D. et al.Resuscitation. 2003; 56: 83-89Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar].The following alternative method has been developed by our paramedics who encounter patients on the ground who require airway control frequently (Fig. 1):1.The patient’s right arm is abducted to 90 degrees from the trunk.2.The equipment is placed next to and above the elbow of the patient.3.The operator places both feet in the angle between the trunk and the patient’s right arm and sits down at the right side of the patients head.4.Using the left hand, the operator inserts the laryngoscope into the mouth in the normal way.5.The larynx is viewed by the operator leaning backwards while lifting the laryngoscope at the same time. This combination of movement provides a balance so that excessive power is not required to expose the glottis. Because of this position lifting is much easier and tilting the laryngoscope is also less likely to happen.6.Intubation can then proceed as usual. Training in advanced airway management techniques, such as tracheal intubation, is usually performed with the patient or manikin lying on a bed or stretcher with the operator standing at the head of the patient. When confronted with a patient on the ground, usually the operator will kneel down to attempt to get in the same position as when the patient is on a stretcher. The main disadvantage is that the operator has to kneel and crouch uncomfortably and still be able to lift with his or her left arm to view the airway with the laryngoscope. The subject has been discussed in a paper by Tesler et al. in this journal in January 2003 [[1]Tesler J. Rucker J. Sommer D. et al.Resuscitation. 2003; 56: 83-89Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar]. The following alternative method has been developed by our paramedics who encounter patients on the ground who require airway control frequently (Fig. 1):1.The patient’s right arm is abducted to 90 degrees from the trunk.2.The equipment is placed next to and above the elbow of the patient.3.The operator places both feet in the angle between the trunk and the patient’s right arm and sits down at the right side of the patients head.4.Using the left hand, the operator inserts the laryngoscope into the mouth in the normal way.5.The larynx is viewed by the operator leaning backwards while lifting the laryngoscope at the same time. This combination of movement provides a balance so that excessive power is not required to expose the glottis. Because of this position lifting is much easier and tilting the laryngoscope is also less likely to happen.6.Intubation can then proceed as usual." @default.
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• W2159637112 date "2004-01-01" @default.
• W2159637112 modified "2023-10-04" @default.
• W2159637112 title "Tracheal intubation of a casualty in the supine position on the ground" @default.
• W2159637112 cites W2000316347 @default.
• W2159637112 doi "https://doi.org/10.1016/j.resuscitation.2003.09.016" @default.
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