Читать книгу Emergency Medical Services - Группа авторов - Страница 60

Airway management in the field comes with unique challenges that differ from those of the hospital setting. Prehospital airway management occurs in an uncontrolled environment where patients are severely ill and undifferentiated. The prior medical histories of EMS patients are frequently unknown. Prehospital patients may also be situated in awkward locations such as on the floor, on a bed, or in the wreckage of a car. Prehospital clinicians, including EMS physicians, have fewer monitoring and pharmacologic options than they do in the hospital. Certain options for in‐hospital airway management (e.g., calling for specialized equipment or seeking additional expertise) are not generally available in the field. These factors increase the complexity and difficulty of airway management and underscore the need for simple and efficient approaches. The EMS medical director must be aware of these distinctions and provide appropriate guidance.