Pre-Hospital Anesthesia Handbook

The safe and swift establishment of a secure airway is crucial in the pre-hospital situation, and many pre-hospital systems have developed standard operating procedures that involve inducing anesthesia for airway control. Developed from the manual for a t

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Andrew Griffiths Tim Lowes Jeremy Henning

Pre-Hospital Anesthesia Handbook

Lt Col Andrew Griffiths, MBBS BMed Sci FRCA RAMC Consultant in Anaesthesia 16 Close Support Medical Regiment/ James Cook University Hospital/GNAAS UK Lt Col Tim Lowes, MBBS FRCA Dip IMC.RCS(Ed) RAMC Consultant in Anaesthesia & ICU 16 Close Support Medical Regiment/ James Cook University Hospital/GNAAS UK ISBN: 978-1-84996-158-5

Lt Col Jeremy Henning, MBBS FRCA RAMC Consultant in Anaesthesia & ICU Ministry of Defence Hospital Unit Northallerton/ James Cook University Hospital Clinical Director Great North Air Ambulance Service UK

e-ISBN: 978-1-84996-159-2

DOI 10.1007/978-1-84996-159-2 Springer London Dordrecht Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2010928390 © Springer-Verlag London Limited 2010 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Foreword

The dramatic changes in the management of critically ill or injured patients in the pre-hospital environment that follow the implementation of lessons learnt in austere distant zones precede the publication of focused, evidence-based guides and manuals. This manual is therefore a great step forwards in training and assessment. The commitment expressed in the Darzi report (High Quality Care for All – NHS Next Stage Review Final Report 2008) to provide the best care for all patients does mean that there will be occasions when primary resuscitation of patients is followed by a more prolonged transfer to definitive care. The opportunities to start and continue critical care of seriously ill patients by skilled anesthetists should provide the same benefits for civilian populations as has been demonstrated in hostile operations; a clear message from the Healthcare Commission (2009). The authors are all experts in both the practical clinical application and the academic an