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Table 2 Procedures performed less frequent than once a year. Procedures that are expected to be performed less frequent than once a year by a prehospital physician at OUH HEMS. Occurrence is based on 61 24-h shifts per year. Numbers apply for all age groups if nothing else is noted

From: A prospective survey of critical care procedures performed by physicians in helicopter emergency medical service: is clinical exposure enough to stay proficient?

Procedures expected to be performed once between every 1 to 2 years

• BMV in patient < 1 yoa

• Endotracheal intubation in patient <1 yoa with cardiac arrest

• Endotracheal intubation in patient 1–12 yoa with cardiac arrest

• Non-invasive ventilator in patient < 1 yoa

• Intra-osseous access in patient 1–12 yoa

Procedures expected to be performed once between every 2 to 5 years

• BMV in patient 1–12 yoa

• Endotracheal intubation in patient <1 yoa, other causes

• Supraglottic airway device in patient >12 yoa

• Non-invasive ventilator in patient 1–12 yoa

• Advanced cardiac life support in patient <1 yoa

• External cardiac pacing

• Intra-osseous access in patient <1 yoa

• Needle chest decompression

• Local anaesthesia

Procedures expected to be performed with more than 5 year intervals

• Endotracheal intubation in patient <1 yoa with respiratory distress

• Endotracheal intubation in patient <1 yoa with trauma

• Endotracheal intubation in patient 1–12 yoa, other causes

• Endotracheal intubation in patient 1–12 yoa, with respiratory distress

• Endotracheal intubation in patient 1–12 yoa with trauma

• Supraglottic airway device in patient <1 yoa

• Supraglottic airway device in patient 1–12 yoa

• Cricothyrotomy

• Advanced cardiac life support in patient 1–12 yoa

• Umbilical cord catheter insertion

• Birth assistance

• Reposition of dislocated joint

• Urethral catheter insertion

  1. BMV Bag mask ventilation, CPAP Continuous Positive Airway Pressure, OUH HEMS Oslo University Hospital Helicopter Emergency Medical Service, yoa years of age