J Korean Soc Emerg Med.  2019 Apr;30(2):140-146. 10.0000/jksem.2019.30.2.140.

Simulation of healthcare provider's safety on emergency transportation using advanced airway: extension tube usage or not

• Jung JY
• Kim HJ
• Choi HJ

• KMID: 2447766
• DOI: http://doi.org/10.0000/jksem.2019.30.2.140

Abstract

OBJECTIVE
Healthcare providers are exposed to risky environments during prehospital transportation when they give Oâ‚‚ supply to patients. This study examined the problems with risky environments during prehospital transportation and suggests safe and efficient Oâ‚‚ supply methods through extension tube simulation.
METHODS
Fifty-seven volunteers participated the study. The volunteer's back angle was measured during transportation simulation. This study measured the grip strength difference and forearm circumference difference in two situations. Without an extension tube and with extension tube, the participants measured the grip strength and forearm circumference before and after giving an Oâ‚‚ supply to the mannequin for 5 minutes. The participants replied which body part showed the most discomfort.
RESULTS
In the without extension tube group, participants leaned forward on average. On the other hand, the mean of anterior angle was 0° with an extension tube group. Without an extension tube, the grip strength decreased by whereas it decreased by with an extension tube. The decrease in grip strength was similar in both groups (P<0.05), and there was no significant difference in the forearm circumference. With the extension tube, 43.9% of participants reported no discomfort when they gave an Oâ‚‚ supply.
CONCLUSION
The extension tube improved the healthcare provider's safety and Oâ‚‚ supply convenience during pre-hospital transportation.

Keyword

Healthcare personnel; Transportation; Airway; Prehospital; Extension

MeSH Terms

Delivery of Health Care*
Emergencies*
Forearm
Hand
Hand Strength
Health Personnel
Humans
Manikins
Transportation*
Volunteers