Prehospital Use of the Intubating Laryngeal Mask Airway in Patients with Severe Polytrauma: A Case Series

Table 1

Summary of clinical findings.

Pre-iLMA insertion

Case

Gender

Age (yrs)

Time trapped (+journey time to hospital) (mins)

Sedation given (IV Midazolam)

GCS

RR (b/min)

Systolic BP (mmHg)

Pulse (b/min)

SpO2  % (pre- iLMA)

SpO2  % (post- iLMA)

iLMA used to facilitate tracheal intubation (TI)

ISS

Ps%

Survived to discharge from hospital

A

M

58

60 (+47)

Yes (5 mg bolus)

8/15 (Combative)

24

$>$80

68

80

100

Yes (in ED at hospital)

30

57

Yes

B

F

48

75 (+6)

Yes (5 mg bolus $\times 2$)

14/15

25

$>$80

110

88 (off O2)

100

Yes (following failed RSI under direct laryngo-scopy in ED)

22

96

Yes

C

F

59

45 (+8)

Yes (5 mg bolus)

3/15

40

$<$80

118

82

100

Yes (in ED)

59

3

Yes

D

M

43

20 (+7)

No

3/15

6

<80

PEA

No reading

No reading

No (iLMA removed in ED then TI by direct laryngo-scopy)

57

6

No

E

M

19

90 (+21)

Yes (2.5 mg bolus)

3/15

33

<80

160 (cardiac monitor)

77

91 (post-iLMA and post-TI)

Yes (in ambulance)

34

25

Yes