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Evaluation of basic life support interventions for foreign body airway obstructions: A population-based cohort study.
Dunne, Cody L; Cirone, Julia; Blanchard, Ian E; Holroyd-Leduc, Jayna; Wilson, Todd A; Sauro, Khara; McRae, Andrew D.
Afiliación
  • Dunne CL; Department of Emergency Medicine, University of Calgary, Calgary, AB, Canada; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Electronic address: Cody.dunne@ucalgary.ca.
  • Cirone J; Department of Emergency Medicine, University of Calgary, Calgary, AB, Canada. Electronic address: Julia.cirone1@ucalgary.ca.
  • Blanchard IE; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada; Emergency Medical Services, Alberta Health Services, AB, Canada. Electronic address: ian.blanchard@albertahealthservices.ca.
  • Holroyd-Leduc J; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada; Department of Medicine, University of Calgary, Calgary, AB, Canada. Electronic address: jayna.holroyd-leduc@albertahealthservices.ca.
  • Wilson TA; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Electronic address: tawilson@ucalgary.ca.
  • Sauro K; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada; Department of Oncology & Arnie Charbonneau Cancer Institute, University of Calgary, Calgary, AB, Canada; Department of Surgery, University of Calgary, Calgary, AB, Canada. Electronic address: Kmsauro@ucalgary.ca
  • McRae AD; Department of Emergency Medicine, University of Calgary, Calgary, AB, Canada; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Electronic address: Amcrae@ucalgary.ca.
Resuscitation ; 201: 110258, 2024 08.
Article en En | MEDLINE | ID: mdl-38825222
ABSTRACT

AIM:

To quantify the associations of foreign body airway obstruction (FBAO) basic life support (BLS) interventions with FBAO relief and survival to discharge.

METHODS:

We identified prehospital FBAO patient encounters in Alberta, Canada between Jan 1, 2018 and Dec 31,2021 using the provincial emergency medical services' medical records, deterministically linked to hospital data. Two physicians reviewed encounters to determine cases and extract data. Multivariable logistic regression determined the adjusted odds ratio of FBAO relief (primary outcome) and survival to discharge for the exposure of BLS interventions (abdominal thrusts [AT], chest compressions/thrusts [CC], or combinations) relative to back blows [BB]. Intervention-associated injuries were identified using International Classification of Diseases codes, followed by health records review.

RESULTS:

We identified 3,677 patient encounters, including 709 FBAOs requiring intervention. Bystanders performed the initial BLS intervention in 488 cases (77.4%). Bystanders and paramedics did not relieve the FBAO in 151 (23.5%) and 11 (16.7%) cases, respectively. FBAOs not relieved before paramedic arrival had a higher proportion of deaths (n = 4[0.4%] versus n = 92[42.4%], p < 0.001). AT and CC were associated with decreased odds of FBAO relief relative to BB (adjusted odds ratio [aOR] 0.49 [95%CI 0.30-0.80] and 0.14 [95%CI 0.07-0.28], respectively). CC were associated with decreased odds of survival to discharge (aOR 0.04 [95%CI 0.01-0.32]). AT, CC, and BB were implicated in intervention-associated injuries in four, nine, and zero cases, respectively.

CONCLUSIONS:

Back blows are associated with improved outcomes compared to abdominal thrusts and chest compressions. These data can inform prospective studies aimed at improving response to choking emergencies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Obstrucción de las Vías Aéreas / Servicios Médicos de Urgencia / Cuerpos Extraños Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Resuscitation Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Obstrucción de las Vías Aéreas / Servicios Médicos de Urgencia / Cuerpos Extraños Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Resuscitation Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda