Читать книгу Emergency Medical Services - Группа авторов - Страница 59

Airway management, including endotracheal intuabtion (ETI), is an essential intervention in prehospital care [1, 2]. Airway management is a difficult process associated with potential adverse events. Numerous studies underscore the challenges in attaining and maintaining clinical proficiency. These observations underscore that airway management is not a discrete procedure but rather a comprehensive strategy of care that requires close, system‐level medical oversight. The most successful prehospital airway management programs incorporate multiple elements, including training, skills verification, equipment selection, decision support, continuing education, and total quaility management. The practicing EMS physician must be an expert in out‐of‐hospital airway management and must also be able to choose tools and skills necessary to best mitigate the specific risks within a given EMS system. The goal of this chapter is to describe the medical direction paradigms and considerations necessary for a high quality airway management program.