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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