European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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The objective of this study was to analyze the prehospital use of a Glidescope video laryngoscope (GSVL) due to anticipated and unexpected difficult airway in a helicopter emergency medical service setting in which emergency physicians (EP) are experienced anesthetists. Retrospective observational study and survey of the experiences of EP were conducted for more than a 3-year period (July 2007-August 2010). In 1675 missions, 152 tracheal intubations (TI) were performed. ⋯ In two patients, the EP required two attempts with GSVL to obtain a successful TI. Since the introduction of the GSVL, no other backup airway device was necessary. GSVL may be a valuable support instrument in the prehospital management of difficult airways in emergency patients.
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Inadequate chest compressions during cardiopulmonary resuscitation (CPR) may be insufficient to provide the required blood flow to preserve critical organ function. The purpose of this study was to evaluate the influence of the CPR provider's physical fitness on the quality of chest compression and physiological changes during continuous chest compressions for 5 min. We also investigated the possible effects of rescuer's sex, weight, and height on the quality of CPR performed. ⋯ The results of this study suggest that a fitness program, such as muscle strength exercise for CPR providers, should be considered for improving survival from cardiac arrest.