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Prehospital Emergency Care

ISSN: 1090-3127 (Print) 1545-0066 (Online) Journal homepage: https://www.tandfonline.com/loi/ipec20

Alternate Airways in the Out-of-Hospital Setting


Position Statement of the National Association of
EMS Physicians

Robert E. O'Connor

To cite this article: Robert E. O'Connor (2007) Alternate Airways in the Out-of-Hospital Setting
Position Statement of the National Association of EMS Physicians, Prehospital Emergency Care,
11:1, 55-55, DOI: 10.1080/10903120601021143

To link to this article: https://doi.org/10.1080/10903120601021143

Published online: 02 Jul 2009.

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POSITION PAPER
ALTERNATE AIRWAYS IN THE OUT-OF-HOSPITAL SETTING
POSITION STATEMENT OF THE NATIONAL ASSOCIATION OF EMS PHYSICIANS

While endotracheal intubation emergency medical services (EMS) • Medical directors should im-
(ETI) has been central to advanced agencies that provide advanced life plement quality assurance and
prehospital airway management support level care: improvement initiatives to en-
for over 30 years, ETI efforts are sure adequate training in and
not always successful or possible. • All agencies should have avail- appropriate clinical application
In addition, there may be situations able for use at least one blindly in- of alternate airways.
where ETI efforts are anticipated to serted nonsurgical airway device • There is insufficient evidence to
be difficult or futile. To ensure that as a rescue or alternative to ETI. either support or refute a rec-
every patient has a patent airway, • Rescuers must receive adequate ommendation that all agencies
alternate airways (non-ETI airway initial and continuing training in have a surgical airway technique
management devices) should be the use and application of alter- (surgical cricothyroidotomy,
available to all prehospital rescuers nate airways, including training percutaneous cricothyroidotomy,
that perform ETI. The NAEMSP in difficult airway management transtracheal jet ventilation, etc.)
recommends the following for and decision making. available for use.

Address correspondence to: Robert E.


O’Connor, MD, MPH, Department of Emer-
gency Medicine, Christiana Care Health
System, Christiana Hospital, Room 1590,
P.O. Box 6001, Newark, DE 19718. e-mail:
<roconnor@christianacare.org>.
Approved by the NAEMSP Board of Direc-
tors, August 28, 2006.
doi: 10.1080/10903120601021143

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