OXYGEN CONCENTRATION DURING PATIENT TRANSPORTATION IN THE AMBULANCE OF THE EMS

Authors

  • David Peran Prague Emergency Medical Services, Prague
  • Jiri Kodet Department of Emergency Medicine, University Hospital Motol, Prague
  • Jaroslav Pekara Medical College, Prague

DOI:

https://doi.org/10.29121/ijetmr.v5.i9.2018.281

Keywords:

Oxygen, Defibrillation, Risk of Fire

Abstract

European Resuscitation Council Guidelines for Resuscitation 2010 and Advanced Life Support Provider Course teaches that the open oxygen supply must be removed from the patient during defibrillation to the distance of minimum of 1 meter. Scientific articles describe few incidents of fire during defibrillation in oxygen – enriched atmospheres. It was performed a series of measurement of the oxygen concentration in the ambulance vehicle of 10 cubic meters. The measurements were made in parked vehicle. Patient was seated on the stretchers and oxygen was applied with oxygen mask on high flow (15 l per minute). The oxygen concentration was measured on different places in the ambulance car – the patient’s face, on the chest, on the wall in front of the car, on the wall in the rear and on the celling. We measured temperature, atmospheric pressure and humidity together with oxygen concentration. The result of our study showed that the oxygen concentration has risen from 20.9 % at all locations of the ambulance. In certain locations the concentration has increased at least to 30 %. It has prepared recommendations for defibrillation during oxygen administration according to the literature and our study.

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References

NOLAN, Jerry P. et al. European Resuscitation Council Guidelines for Resuscitation 2010. Resuscitation, Volume 81, 1219 - 1451 DOI: https://doi.org/10.1016/j.resuscitation.2010.08.021

EUROPEAN RESUSCITATION COUNCIL. Advanced Life Support. Belgium: ERC, 2011. ISBN 9789079157280.

MILLER PH. Potential fire hazard in defibrillation [letter]. JAMA. 1972; 221:192 DOI: https://doi.org/10.1001/jama.1972.03200150056019

MSDR – medical safety device reports. Defibrillation in oxygen-enriched environments [hazard]. Health Devices. 1987; 16:113

THEODOROU AA, Gutierrez JA, Berg RA. Fire attributable to a defibrillation attempt in a neonate. Pediatrics. 2003; 112: 677-679 DOI: https://doi.org/10.1542/peds.112.3.677

LEFEVER J, Smith A. Risk of fire when using defibrillation in oxygen enriched atmosphere. Medical Devices Agency. 1995. Safety notice MDA SN 9503

CONOXIA, medical gas. Linde Gas Therapeutics [users guide]. Praha 2007

ROBERTSHAW H, McAnulty GR. Ambient oxygen concentrations during simulated cardiopulmonary resuscitation. Anaesthesia. 1988; 53:634-637 DOI: https://doi.org/10.1046/j.1365-2044.1998.410-az0512.x

CANTELLO E, Davy TE, Koenig KL. The question of removing a ventilation bag before defibrillation [letter]. J Accid Emer Med. 1998; 15:286 DOI: https://doi.org/10.1136/emj.15.4.286

BARKER SJ, Polson JS. Fire in the operating room: a case report and laboratory study. Anesth Analg. 2001; 93:960-965 DOI: https://doi.org/10.1097/00000539-200110000-00031

MSDR – medical safety device reports. Fires from defibrillation during oxygen administration. Health Devices. 1994; 23:307-308

HUMMEL RS III, Ornato JP, Winberg SM, Clarke AM. Spark-generating properties of electrode gels used during defibrillation. A potential fire hazard. JAMA. 1988; 260:3021-3024 DOI: https://doi.org/10.1001/jama.1988.03410200077029

McANULTY GR, Robertshaw H. Risk of fire outweighed by need for oxygen and defibrillation. J Accid Emer Med. 1999; 16:77 DOI: https://doi.org/10.1136/emj.16.1.77-c

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Published

2018-09-30

How to Cite

Peran, D., Kodet, J., & Pekara, J. (2018). OXYGEN CONCENTRATION DURING PATIENT TRANSPORTATION IN THE AMBULANCE OF THE EMS . International Journal of Engineering Technologies and Management Research, 5(9), 1–6. https://doi.org/10.29121/ijetmr.v5.i9.2018.281