Airway Management via Insertion of Laryngeal Tube versus Combitube into a Manikin by Emergency Medicine Residents
Journal Title: مجله طب اورژانس ایران - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Laryngeal tube (LT) and combitube (CT) are among devices used for establishing the airway in patients. This study was done with the purpose of comparing the success rate and duration of intubation when emergency medicine (EM) residents used LT or CT. Methods: In this cross sectional study, carried out in Tabriz, Iran, in 2016, all EM residents of Tabriz University of Medical Sciences were included. Number of attempts and time required for successful intubation via LT and CT a nd airway management were evaluated for each participant using a manikin. Results: A total of 52 EM residents in three groups (First Year: 17, Second Year: 16, and Third Year: 19) with the mean age of 36.24 ± 9.21 years participated in this study (61.53% male). All the residents were successful in inserting LT and CT on the first attempt. Mean duration of CT and LT placement in third year residents (7.5 ± 2.01, 6.39 ± 1.21, respectively) was significantly shorter than second year residents (9.25 ± 2.87, 8.06 ± 2.24, respectively) and first year residents (13.06 ± 3.54, 11.76 ± 2.43, respectively). Mean duration of CT placement (9.9 ± 3.15) was significantly greater than LT placement (8.71 ± 2.88) (p<0.05). Conclusion: Based on the results obtained in the present study, EM residents were successful in LT and CT placement into a manikin on the first attempt. However, time required for placement of LT was shorter than CT.
Effects of irrigation with different solution on Incidence of Wound Infection
Introduction: Management of acute and chronic wounds has significantly altered in the last decade but little attention has been paid to the solution used for cleansing the wounds. Therefore, the present study aimed to co...
Bite; a Rare but Probable Cause for Hemodynamic Instability
Scorpion bites are common in south-east Iran, especially in the rural areas. Most scorpion bite cases are benign and cause no systemic side effects. Local erythema and edema, and mild allergic effects are the most common...
Evaluating the Relationship between Rib Fractures and the Probability of Abdominal Trauma; a Brief Report
Introduction: Trauma is one of the most important causes of death in patients under 40 years of age and the third common cause of death regardless of age. Rib cage damages are one of the major reasons for death in the ea...
Occupational Exposure to Sharp Tools in Emergency Medical Service Staff; an Epidemiologic Study
Introduction: Sharp tools are among the major risk factors for transmission of blood borne infections. Therefore, the present study was carried out with the aim of determining epidemiologic aspects of occupational exposu...
Intravenous Morphine vs. Acetaminophen for Pain Management in Suspected Acute Cholecystitis Cases; a Clinical Trial
Introduction: Acute cholecystitis is one of the most common surgical emergencies and a major cause of acute abdomen all over the world. One of the most important measures taken for these patients in emergency department...