« Golden hour » et manœuvre de Sellick en urgence : le bébé est-il à jeter avec l’eau du bain ? [« Golden hour » and the Sellick manoeuvre in emergency care: we must not throw out the baby with the bathwater]

Details

Serval ID
serval:BIB_7432408F16B0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
« Golden hour » et manœuvre de Sellick en urgence : le bébé est-il à jeter avec l’eau du bain ? [« Golden hour » and the Sellick manoeuvre in emergency care: we must not throw out the baby with the bathwater]
Journal
Revue medicale suisse
Author(s)
Bürki L., Yersin B.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
09/08/2017
Peer-reviewed
Oui
Volume
13
Number
570
Pages
1373-1377
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This article evaluates 3 controversial subjects of pre-hospital emergency care : 1) The concept of the « Golden hour » predicates an increased morbidity and mortality for injured patients, if pre-hospital care exceeds 1 hour. In the subgroup of patients presenting with severe hemorrhagic injuries or penetrating trauma to the torso, a transport of 60 minutes or less decreases mortality ; 2) The Sellick manoeuvre is used to decrease the risk of bronchoaspiration in patients undergoing an emergency intubation. In view of the low incidence of bronchoaspiration and the inherent risks of cricoid pressure, it should be used only in selected patients ; 3) Improvised cricothyroidotomy using non-medical devices may be feasible if a knife to perform an incision in the cricothyroid membrane and an endotracheal tube of sufficient diameter are available.
Keywords
Cricoid Cartilage, Emergency Medical Services, Emergency Treatment, Humans, Intubation, Intratracheal
Pubmed
Create date
02/11/2017 17:41
Last modification date
20/08/2019 14:31
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