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Trauma, Vol. 8, No. 3,
169-177 (2006)
DOI: 10.1177/1460408606071142
Prehospital advanced airway management for trauma in the United Kingdom: how, when and by whom?
J Hickman
Somerset Accident Voluntary Emergency Service (S.A.V.E.S.), james.hickman{at}doctors.org.uk
Advanced airway management in the prehospital arena remains controversial. This paper aims to explore some of the evidence and options available and propose a way forward. Options for provision of, and training in, pre-hospital emergency anaesthesia are explored and alternative strategies are discussed. Where classical rapid sequence induction of anaesthesia proves impractical for operational reasons or due to lack of facilities, training opportunities or skills maintenance, a potential silver standard is suggested as an alternative.
Key Words: prehospital advanced airway training rapid sequence intubation rapid sequence induction laryngeal mask airway
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