POCUS Use for Emergency Airway Management in Rural Emergency Departments

Authors

Margaret Downing, Thomas Jefferson UniversityFollow

Files

Description

Introduction

- Preparation and accurate prediction of difficult airways in emergent situations is necessary for successful first pass intubation

- Current methods for airway assessments require patient cooperation and may vary by provider

• Mallampati score: open mouth, protrude tongue, see what structures are visible³
• LEMON criteria: look externally, evaluate 3-3-2 rule, Mallampati score, obstruction, neck mobility
• Thyromental distance: measure thyroid cartilage to tip of chin with neck extended³

- Difficult airways have successful first pass intubation only 82.2% of the time (vs 92.4% for non-difficult airways)⁶

- Adverse effects occurred in 14.2% of patients with successful first pass intubation versus 47.2% in failed first pass attempts⁷

- First pass success in rural hospitals are 69% versus 95% at trauma centers⁹

Publication Date

8-15-2023

Keywords

POCUS, airway management, emergency, rural

Disciplines

Emergency Medicine | Medicine and Health Sciences | Pulmonology

Comments

Capstone presentations were completed in partial fulfillment of the Master of Science degree in Physician Assistant Studies at Thomas Jefferson University.

Document Type

Presentation

Recommended Citation

Downing, Margaret, "POCUS Use for Emergency Airway Management in Rural Emergency Departments" (2023). Master of Science in Physician Assistant Studies Capstone Presentations (Center City). 7.
https://jdc.jefferson.edu/mspas_capstones/7