48384
document
A pilot study of the Tele-Airway Management System in a hospital emergency department . We developed a telemedicine system for remote guidance of emergency airway management called the Tele-Airway Management System ( TAMS ) . In a pilot study we examined the usefulness of the TAMS for intubations of actual patients in a hospital emergency department . Twenty-five patients were allocated randomly either to a TAMS group or to an on-scene directed ( OSD ) group . A total of 12 were intubated using the TAMS . The mean time to intubation ( TAMS 62 s vs. OSD 56 s ) and the success rate was not different between the two groups ( P > 0.05 ) . There were two oesophageal intubations in the TAMS group and four in the OSD group , but this was not significantly different ( P = 0.36 ) . There were no mechanical or technical errors such as disconnection during use of the TAMS . The pilot study demonstrated the feasibility of the TAMS as an alternative to OSD . However , a larger study will be required to determine non-superiority or equivalence .
48385
Intervention_Educational
Tele-Airway Management System
48386
Intervention_Educational
Tele-Airway Management System
48387
Intervention_Educational
TAMS
48388
Intervention_Educational
TAMS group
48389
Intervention_Educational
on-scene directed ( OSD ) group
48390
Intervention_Educational
TAMS
48391
Intervention_Other
TAMS
48392
Intervention_Educational
OSD
48393
Intervention_Educational
TAMS
48394
Intervention_Other
OSD
48395
Intervention_Educational
TAMS
48396
Intervention_Educational
OSD
48397
Outcome_Other
mean time to intubation
48398
Outcome_Other
success rate
48399
Outcome_Other
oesophageal intubations
48400
Outcome_Other
mechanical or technical errors such as disconnection
48401
Outcome_Other
feasibility
48402
Participant_Sample-size
Twenty-five
48403
Participant_Sample-size
12