Prehospital rapid sequence induction following @entity130 in the era of regional networks for major XXXX .

@entity130 @entity1 @entity1170
OBJECTIVE: @entity1170 ( @entity1170 ) provides prompt airway control during emergency evacuation of @entity130 @entity1 . Physicians may be tasked to travel with paramedic ambulance crews to the scene of injury when @entity1170 is more likely to be required. This study investigates whether there are any differences in the practice of @entity1170 during emergency retrievals for @entity130 since the establishment of the regional @entity130 Network (MTN) in March 2012. METHODS: A retrospective observational study examined prehospital records for all @entity130 @entity1 from September 2010 to January 2015 at a @entity130 Centre in Birmingham, UK. Prehospital physician availability increased from 12 to 24   h after March 2012, and tasking became centralized. Data included demographics, mechanism of injury, crew personnel, and details of @entity1170 . The periods before and after the establishment of the regional MTN were compared. RESULTS: There were 5244 @entity1 : 1432 (27.3%) before and 3812 (72.7%) after March 2012. Of the @entity1 , 67.2% were male. The most common injuries were road traffic collisions (45.0%). Physicians were more likely to be present after (2345 missions, 61.5%) than before (529 missions, 36.9%) March 2012 (P<0.01). @entity1170 was performed 434 (8.3%) times and was more likely during the latter than the former period [359 (9.4%) vs. 75 (5.2%), P<0.01]. Successful tracheal intubation was achieved in 99% of occasions. CONCLUSION: The establishment of regional MTNs enables centrally tasked, 24-h physician availability for emergency @entity130 @entity1 . There has been an increase in physician presence on emergency missions and increased frequency of @entity1170 for at-risk @entity130 @entity1 at times when there may previously have been an unmet requirement.
