Main Article Content
Background: Pre-hospital emergency is an important part of the health-care system helping for critically ill patients in the life-threatening conditions by endotracheal intubation, preventing complications and mortality. The present study was conducted to determine the knowledge of pre-hospital emergency staff about the endotracheal intubation.
Methods and Materials: This was an analytical cross-sectional study performed on 70 pre-hospital staff in Rasht. Samples were obtained through census. Data collection tools included a researcher-made questionnaire with three parts: Demographic and job characteristics with 14 questions and knowledge questionnaire, with 15 questions. The reliability coefficient of the knowledge questionnaire was 0.87 and the interclass correlation coefficient was 0.86. Kolmogorov-Smirnov, mean and standard deviation (in the Mann-Whitney and Kruskal-Wallis tests) were used. The collected data were entered into SPSS 24 software and analyzed.
Results: The majority of study participants were in the age groups of 26-30 and 36-40 years. Regarding education, the majority had associate and bachelor's degree. The findings of the pre-hospital emergency department staff's knowledge and status of the endotracheal tube insertion based on individual and occupational variables showed that the knowledge score based on work experience in the health system (p=0.05) and having unsuccessful intubation at six months (p=0.009) was statistically different, so that employees with higher work experience were less aware of endotracheal intubation and employees who have had a history of unsuccessful intubation for the past six months have had a higher level of knowledge.
Conclusion: According to the results of the present study, the knowledge of pre-hospital emergency personnel was in moderate level and needs educational programs to reach the optimum level.
Saeedi M, Haji-Seyd-Javadi H, Alaa A, Rahmani H, Mohammadnezhad E, Zebardast J. Evaluation of endotracheal intubation skill in prehospital emergency medical personnels (EMS) of East Azerbaijan. Zahedan Journal of Research in Medical Sciences. 2012;13(10):36.
Amin SN, Mahmoud NM, Farzaneh MM. Identify stressful factors causing dissatisfaction in pre-hospital emergency personnel in Kerman. Payavard Salamat. 2013;6(6).
Lalehgani H, Yadollahi S, Fadaee Y, Ansari F, Karimifard M. Knowledge of Emergency Medical Service Staff on Crisis Management. Iranian Journal of Emergency Medicine. 2018;5:3.
Desmettre T, Yeguiayan JM, Coadou H, Jacquot C, Raux M, Vivien B, Martin C, Bonithon-Kopp C, Freysz M. Impact of emergency medical helicopter transport directly to a University Hospital Trauma Center on mortality of severe blunt trauma patients until discharge. Critical Care. 2012;16(5):R170.
Ebrahimnia M, Amerion A, Azizabadi M, Khodami H, Herdari S. Patients' satisfa-ction with emergency care services in military hospitals. Journal of hospital. 2009;8(2):14-23.
Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. The Lancet Neurology. 2008; 7(8):728- 41.
Heidari M, Shahbazi S. Effect of training problem-solving skill on decision-making and critical thinking of personnel at medical emergencies. International Journal of Critical Illness and Injury Science. 2016; 6(4):182.
Von Elm E, Schoettker P, Henzi I, Osterwalder J, Walder B. Pre-hospital tracheal intubation in patients with traumatic brain injury: Systematic review of current evidence. British Journal of Anaesthesia. 2009;103(3):371-86.
Soysal S, Karcioglu O, Topacoglu H, Yenal S, Koparan H, Yaman O. Evaluation of prehospital emergency care in the field and during the ambulance drive to the hospital. Advances in therapy. 2005;22(1): 44-8.
Brambrink AM, Koerner IP. Prehospital advanced trauma life support: How should we manage the airway, and who should do it?. Critical care. 2003;8(1):3.
Davaty A. The survey of student’s knowledge about triage. In Proceeding of the 3th international congress of cure and health and crisis management in disaster 2007;22-24.
Parks JK, Elliott AC, Gentilello LM, Shafi S. Systemic hypotension is a late marker of shock after trauma: A validation study of Advanced Trauma Life Support principles in a large national sample. The American Journal of Surgery. 2006;192(6):727- 31.
Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Cohen NH, Young WL. Miller's Anesthesia E-Book: Elsevier Health Sciences; 2014.
Wang HE, Kupas DF, Paris PM, Bates RR, Costantino JP, Yealy DM. Multivariate predictors of failed prehospital endotra-cheal intubation. Academic Emergency Medicine. 2003;10(7):717-24.
Seidabadi M, Kohankhaki AH, Mohammadi R, Raziani F, Ezzati E, Mohammadi A. Endotracheal Intubation and airway management skills of Iranian Freshman emergency medical students in 2014. International Journal of Advanced Biotechnology and Research. 2016;7(4): 1241-9.
Alikhanizadeh H, Sabouhi F, Haghani F, Yusefi HA. A study of emergency medical technicians' cognitive and practical skills in airway management and its relationship with some related factors in emergency medical centers selected in Isfahan in the year 2015–2016. Annals of Tropical Medicine and Public Health. 2017;10(6): 1691.