Response to: pre-hospital advanced airway management in children: a challenge that training can handle
© The Author(s). 2018
Received: 2 January 2018
Accepted: 2 January 2018
Published: 14 March 2018
The original article was published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:117
First of all, we would like to thank Watterson et al. for their comments on our paper.
When comparing the results from our 2011–2012 study of the pre-hospital advanced paediatric airway management in the Central Denmark Region with the new data from Greater Sydney HEMS, we agree with our Australian colleagues that there are several important differences that need to be taken into account:
Firstly, we believe that the different age distribution in the two studies with the majority of patients < 2 years old in our material, may be important for the difference in overall intubation success rates, first-pass success and complication rates.
Secondly, the fact that 24% of the children included in the study from Sydney were inter-facility retrieval missions with the airway management done in-hospital (compared with 0% in our study) likely contributed to the outcome differences.
In addition, it seems plausible that the higher rate of comorbidity in our population may have resulted in increased complication rates.
We fully agree with Watterson et al. that that the use of paediatric reference cards and standard operating procedures as well as a high level of training, exposure and preparedness is necessary to ensure maximum patient safety during pre-hospital advanced paediatric airway management. Following the publication of the 2011–12 data the pre-hospital critical care services in our region therefore implemented a regional standard operating procedure for pre-hospital advanced paediatric airway management, improved equipment and mandatory training for all pre-hospital critical care anaesthesiologists.
On behalf of the authors,
Pre-hospital Critical Care Team, Aarhus University Hospital.
Department of Pre-hospital Medical Services, Central Denmark Region.
Availability of data and materials
MT is the sole author.
Ethics approval and consent to participate
Consent for publication
The author declares that there are no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.