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Effects of Airway Localization Device Use During Surgical Cricothyrotomy on Procedural Times and Confidence Levels of Pre-Hospital Personnel.
Schlocker et al., J Spec Oper Med 2023
DOI: 10.55460/5TNR-B19B
Listen folks, we’ve got a study here, a great study, that looked at this thing called an airway localization device (ALD). It’s all about surgical cricothyrotomy (SC), a procedure that’s needed in up to 1.8% of military trauma cases. Very important, especially when you’re dealing with traumatic airway obstruction.
They tested this ALD on a mannequin model, using the Control-Cric Cricothyrotomy System, which is recommended by the Committee on Tactical Combat Casualty Care (CoTCCC). They looked at how long it took, how confident the operators felt, and got some feedback for future improvements.
Here’s the deal: the average time it took hospital corpsmen, that’s 20 men and 8 women, was 67 seconds without the ALD and 87 seconds with it. That’s a difference, folks, a significant difference. But here’s the thing, their confidence went up, for all the steps of the procedure, whether they used the ALD or not.
Now, for the Navy Special Operations Forces group, 8 guys, the times were 56 seconds without the ALD and 64 seconds with it. Not a big difference, not significant. But their confidence also went up, especially for two steps of the procedure.
And get this: the success rate for the first attempt was 90% in both groups. That’s a great success rate, folks. They gave some feedback on the Control-Cric and ALD, which will be used to make things even better.
So, the ALD increased the time it took, but not by much. And in a classroom setting, that might not matter. It’s all about saving lives, folks, and this study is a step in the right direction.
